Abstract:Objective To investigate the influence of Orem self-care mode combined with language rehabilitation training on cerebral infarction with aphemia patients. Methods The clinical data of 100 cases of cerebral infarction with aphemia patients in Affiliated Hospital of Qinghai University from March 2016 to March 2018 were collected and divided into control group and observation group according to different nursing methods, with 50 cases in each group. The control group was treated with acupuncture and drug therapy, and the observation group was treated with Orem self-care mode on the basis of the control group. The linguistic function score, aphasia quotient (AQ) score, aphasia assessment, daily life communication and communication ability score of two groups before and after treatment were observed. The clinical treatment total effective rate of two groups were observed. Results Before treatment, the language competence ability, reading ability, comprehensive ability, writing ability score, AQ score, aphasia assessment, daily life communication and communication ability score of two groups were compared, the differences were not statistically significant (P > 0.05). After treatment, the language competence ability, reading ability, comprehensive ability, writing ability score, AQ score, daily life communication and communication ability score of two groups were higher than those before treatment, aphasia assessment were better than that before treatment; the language competence ability, reading ability, comprehensive ability, writing ability score, AQ score, daily life communication and communication ability score of observation group after treatment were higher than those of control group, aphasia assessment was better than that of control group; the clinical treatment total effective rate of observation group was higher than that of control group, all the differences were statistically significant (P < 0.05). Conclusion The application of Orem self-care mode combined with language rehabilitation training on cerebral infarction with aphemia patients can strengthen linguistic function, daily life communication and communication ability, improve aphasia assessment, increase clinical treatment efficiency. It is worthy of clinical promotion and application.
张颖. 奥瑞姆自理模式联合语言康复训练对脑梗死后运动性失语症患者的影响[J]. 中国医药导报, 2019, 16(1): 90-93,97.
ZHANG Ying. The influence of Orem self-care mode combined with language rehabilitation training on cerebral infarction with aphemia patients. 中国医药导报, 2019, 16(1): 90-93,97.
[1] 魏从兵.丁苯酞联合语言康复治疗急性脑梗死后运动性失语的临床疗效观察[J].神经损伤与功能重建,2017,12(3):256,259.
[2] Hussain M,Moussavi M,Korya D,et al. Systematic review and pooled analyses of recent neurointerventional randomized controlled trials:setting a new standard of care for acute ischemic stroke treatment after 20 years [J]. Interv Neurol,2016,5(1/2):39-50.
[3] 杨影,王春燕,李侠.Orem自理理论在老年脑梗死患者护理中的应用效果研究[J].中国继续医学教育,2016,8(30):214-215.
[4] Ashoorkhani M,Bozorgi A,Majdzadeh R,et al. Comparing the effectiveness of the BPMAP(Blood Pressure Management Application)and usual care in self-management of primary hypertension and adherence to treatment in patients aged 30-60 years:study protocol for a randomized controlled trial [J]. Trials,2016,17(1):511.
[5] 陈海燕.早期康复训练改善脑梗死偏瘫失语患者语言功能运动功能和日常生活能力的效果观察[J].中国实用神经疾病杂志,2016,19(24):92-94.
[6] 杨彬彬,乔菲,陈铎.奥瑞姆自理模式下舌针联合语言康复训练治疗脑梗死后运动性失语疗效分析[J].海南医学,2018,29(3):316-319.
[7] 陈楚玲,丁美晖,范敏.针对性护理干预对脑梗死运动性失语患者语言康复的影响[J].中国现代医药杂志,2017, 19(4):88-90.
[8] 陈爱英.奥伦自理模式在脑梗死康复期患者锻炼积极性与肢体功能改善中的应用[J].齐鲁护理杂志,2017,23(21):86-88.
[9] 罗西凯.丁苯肽注射液治疗脑梗死后失语患者的疗效及对语言功能的影响[J].中国实用神经疾病杂志,2016,19(22):116-117.
[10] Repšait■ V,Vainoras A,Berškien■ K,et al. The effect of differential training-based occupational therapy on hand and arm function in patients after stroke:Results of the pilot study [J]. Neurol Neurochir Pol,2015,49(3):150-155.
[11] 中华神经学会,中华神经外科学会.各类脑血管疾病诊断要点[J].中华神经外科杂志,1997,13(1):3-5.
[12] 高素荣.失语症[M].北京:北京医科大学、中国协和医科大学联合出版社,1993:1-3.
[13] 全国第四届脑血管病学术会议.脑卒中患者临床神经功能缺损评分标准[J].中华神经科杂志,1996,29(6):381-384.
[14] 陈晓娥,沈文英,徐文琪.视频教学在脑卒中后运动性失语患者语言康复指导中的应用[J].检验医学与临床,2016,13(23):3358-3359.
[15] 郭红艳.丁苯肽注射液治疗脑梗死后失语患者的疗效及对语言功能的影响[J].航空航天医学杂志,2018,29(2):207-209.
[16] 黄娜,范艳竹,郭昱琪,等.超早期护理干预对脑功能区胶质瘤病人术后运动性失语的有效性分析[J].安徽医药,2017,21(7):1342-1345.
[17] 何会超,张伟滨,吕政,等.早期护理干预对脑卒中偏瘫失语患者日常生活能力及负性情绪的影响[J].中国医药导报,2017,14(2):146-149.
[18] Gao J,Zhang HJ. Effects of chin tuck against resistance exercise versus Shaker exercise on dysphagia and psychological state after cerebral infarction [J]. Eur J Phys Rehabil Med,2017,53(3):426-432.
[19] 孙英华,班允超.头穴丛刺与语言康复训练联合高压氧对脑梗死后运动性失语患者的临床疗效分析[J].贵州医药,2018,42(2):181-183.
[20] 黄岩,金灵青.语言康复训练对脑卒中后偏瘫失语患者语言功能的改善作用[J].中国现代医生,2018,56(5):75-78.
[21] 董霞,李红,程文蕾.奥伦自理模式在改善脑梗死康复期患者康复锻炼态度及治疗效能感中的效果[J].护理实践与研究,2017,14(19):24-26.
[22] 陈亚飞,梁华,陈志建.言语康复训练改善缺血性脑卒中后运动性失语患者语言功能的作用[J].中国现代医生,2017,55(28):61-64.
[23] 郭春,朱高平,邓婉莹,等.重复经颅磁刺激结合盐酸美金刚与言语训练治疗脑梗死后运动性失语的效果[J].中国医药导报,2016,13(5):83-86.