基于Orem自理理论的康复护理在脑梗死偏瘫患者中的应用效果

Application effect of rehabilitation nursing based on Orem self-care theory in patients with cerebral infarction hemiplegia

目的分析基于Orem自理理论的康复护理在脑梗死偏瘫患者中的应用效果。方法选取我院收治的120例脑梗死偏瘫患者作为研究对象,根据护理方式的不同将其分为对照组(60例,常规康复护理)和观察组(60例,基于Orem自理理论的康复护理)。比较两组的护理效果。结果随访后,观察组的中国卒中量表(CSS)评分低于对照组,Fugl-Meyer运动功能量表(FMA)、Berg平衡量表(BBS)评分高于对照组(P<0.05)。随访后,观察组的自我护理能力量表(ESCA)各维度评分及总分均高于对照组(P<0.05)。随访后,观察组的社会支持评定量表(SSRS)、脑卒中专用生活质量量表(SS-QOL)评分高于对照组,日常生活能力量表(ADL)评分低于对照组(P<0.05)。结论基于Orem自理理论的康复护理对改善脑梗死偏瘫患者的神经功能、运动功能及平衡能力均有较好的效果,并能提高患者的自我护理能力、日常生活能力和社会支持水平,从而提高生活质量。

Objective To analyze the application effect of rehabilitation nursing based on Orem self-care theory in patients with cerebral infarction hemiplegia. Methods A total of 120 patients with cerebral infarction hemiplegia admitted in our hospital were selected as the research objects and divided into control group(60 cases, routine rehabilitation nursing) and observation group(60 cases, rehabilitation nursing based on Orem self-care theory) according to different nursing methods. The nursing effects of the two groups were compared. Results After follow-up, the Chinese Stroke Scale(CSS) score in the observation group was lower than that in the control group, and the Fugl-Meyer Assessment Scale(FMA)and Berg Balance Scale(BBS) scores were higher than those in the control group(P<0.05). After follow-up, the scores of each dimension and total score of Exercise of Self-Care Agency Scale(ESCA) in the observation group were higher than those in the control group(P<0.05). After follow-up, the scores of Social Support Rating Scale(SSRS) and Stroke-Specific Quality of Life(SS-QOL) in the observation group were higher than those in the control group, and the score of Activity of Daily Living Scale(ADL) was lower than that in the control group(P<0.05). Conclusion The rehabilitation nursing based on Orem self-care theory has a good effect on improving the neurological function, motor function and balance ability of patients with cerebral infarction hemiplegia, and it can improve the self-care ability, daily living ability and social support level of patients, so as to improve the quality of life.