Orem自理理论在脑卒中患者护理中的应用  

Application of Orem theory of self-care to nursing care of patients with stroke

作　　者：杨海燕[1] 马学霞[1] 

机构地区：[1]泰安市中心医院,山东泰安271000

出　　处：《齐鲁护理杂志》2009年第5期20-21,共2页Journal of Qilu Nursing

摘　　要：目的:探讨Orem自理理论在脑卒中患者护理中的应用效果。方法:将202例脑卒中患者随机分为观察组和对照组各101例,两组均采用传统神经内科常规护理措施,观察组将Orem自理模式贯穿于常规护理的全过程。比较两组患者护理并发症的发生率和应用Barthel指数进行日常生活能力(ADL)的评定情况。结果:观察组护理并发症的发生率明显低于对照组(P<0.05,P<0.01);两组患者Barthel指数均有提高,但观察组的改善程度明显优于对照组(P<0.01)。结论:将Orem自理理论用于脑卒中患者的护理可减少护理并发症的发生率,改善患者日常生活活动方面的自理能力,提高生活质量。Objective： To study the effect of Orem theory of self - care on nursing care of patients with stroke. Methods： 202 patients with stroke were randomly divided into observation group and control group （ 101 eases for each group）. The patients in both groups were given conventional neurological nursing care, and in the meantime, self - care in terms of Orem theory was additionally applied in observation group. The incidence of nursing complications and the Barthel indexes for activities of daily living were compared between the two groups. Results ： The incidence of nursing complication in observation group was obviously lower than that in control group （ P 〈 0.05, P 〈 0.01 ）. Barthel indexes have increased in both groups, but improvements in observation group were superior to that in control group （ P 〈0. 01 ）. Conclusion： The Orem theory of self - care for patients with stroke can reduce the incidence of nursing complications and improve patient＇s self - care ability and quality of life.

关 键 词：OREM自理理论 脑卒中 护理 

分 类 号：R473.5[医药卫生—护理学]