Orem自理理论对脑血栓患者生命质量影响观察  

Effect of Orem Self-care Theory on Quality of Life in Patients With Cerebral Thrombosis

作　　者：王馨慧[1] 王亮[2] WANG Xinhui;WANG Liang(Department of Neurology,The First Affiliated Hospital of China Medical University,Shenyang Liaoning 110001,China;Department of Neurosurgery,The Fourth Affiliated Hospital of China Medical University,Shenyang Liaoning 110001,China)

机构地区：[1]中国医科大学附属第一医院神经内科,辽宁沈阳110001 [2]中国医科大学附属第四医院神经外科,辽宁沈阳110001

出　　处：《中国继续医学教育》2018年第27期170-172,共3页China Continuing Medical Education

基　　金：辽宁省高等学校基本科研项目(LQNK201716)

摘　　要：目的探究Orem自理理论对脑血栓患者生命质量的影响。方法选取我院2016年11月—2017年10月收治的160例脑血栓患者,将其随机分为试验组和对照组。试验组患者运用Orem自理理论进行护理,对照组患者则运用常规护理。对患者的肢体功能及并发症的发病率进行密切观察并详细记录,同时调查患者和患者家属的满意度。结果试验组中患者肌力≤2级的例数(20例)明显少于对照组(46例),患者肌力≥3级的比例(75.0%)高于对照组(42.5%),差异均有统计学意义(P<0.05)。试验组的并发症发病率(2.50%)明显少于对照组(11.25%),差异有统计学意义(P<0.05)。结论脑血栓患者通过Orem自理理论进行个性化护理后,其肢体功能得到了明显改善。同时可有效减少患者的并发症,提高患者生活质量。Objective To explore the effect of Orem self-care theory on the quality of life of patients with cerebral thrombosis.Methods In this study,160 patients with cerebral thrombosis admitted to our hospital from November 2016 to October 2017 were randomly divided into the experimental group and the control group.Patients in the experimental group were treated with Orem self-care theory,and patients in the control group were treated with routine care.The limb function and incidence of complications were recorded in the two groups,and the satisfaction of the two groups of patients and their families was investigated.Results The number of patients with muscle strength≤2 in the experimental group(20 cases)was significantly less than that in the control group(46 cases),and the proportion of patients with muscle strength≥3(75.0%)was also significantly higher than that of the control group(42.5%).All were statistically significant(P<0.05).The incidence of complications in the experimental group(2.50%)was significantly lower than that in the control group(11.25%),and the difference was statistically significant(P<0.05).Conclusion After cerebral thrombosis patients were personalized by Orem self-care theory,their limb function was significantly improved.At the same time,it can effectively reduce the complications of patients and improve the quality of life of patients.

关 键 词：OREM自理理论 脑血栓 生命质量 护理干预 并发症 肢体功能 护理满意度 

分 类 号：R473[医药卫生—护理学]