基于奥瑞姆自理理论的康复护理对脑梗死偏瘫患者的影响  

INFLUENCE OF REHABILITATION NURSING BASED ON OREM'S SELF-CARE THEORY ON HEMIPLEGIC PATIENTS WITH CEREBRAL INFARCTION

作　　者：夏传红[1] 高升梅 XIA Chuan-hong;GAO Sheng-mei(Linyi City Mental Health Center,Linyi 276000;Linyi City Tumor Hospital,Linyi 276000,China)

机构地区：[1]临沂市精神卫生中心,山东临沂276000 [2]临沂市肿瘤医院

出　　处：《山东医学高等专科学校学报》2022年第3期167-170,共4页Journal of Shandong Medical College

摘　　要：目的探讨脑梗死偏瘫患者的康复护理方法。方法将102例脑梗死偏瘫患者随机分为两组,各51例。在临床治疗的基础上,对照组给予常规康复护理,观察组实施基于奥瑞姆自理理论的康复护理,比较两组肢体功能、社会支持水平、生活质量、神经功能等。结果观察组上下肢FMAS评分、SSRS量表各维度评分、GQOLI-74各指标评分升高幅度以及MRS量表评分降低幅度均大于对照组(t=7.33-31.53,P<0.01),并发症发生率低于对照组(χ^(2)=4.55,P=0.033)。结论对脑梗死偏瘫患者实施基于奥瑞姆自理理论的康复护理,效果确切。Objective To explore the rehabilitation nursing method of hemiplegic patients with cerebral infarction.Methods 102 hemiplegic patients with cerebral infarction were randomly divided into two groups,with 51 cases in each group.In addition to the basic clinical treatment,the control group received routine rehabilitation nursing,while the observation group was given rehabilitation nursing based on Orem's Self-care Theory.The limb function,the social support level,the quality of life,and the neurological function were compared between the two groups.Results The FMAS scores of upper and lower limbs,the score of each dimension of the SSRS scale,the increase in the score of each GQOLI-74 index and the decrease in the scores of MRS scale in the observation group were higher than those in the control group(t=7.33-31.53,P<0.01).The incidence of complications in the observation group was lower than that in the control group(χ^(2)=4.55,P=0.033).Conclusion Rehabilitation nursing based on Orem's Theory of Self-care for hemiplegic patients with cerebral infarction has proved to be definite effect.

关 键 词：脑梗死 奥瑞姆自理理论 肢体功能 社会支持 生活质量 

分 类 号：R743.33[医药卫生—神经病学与精神病学]