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The application effect of Orem self-care theory in patients with cerebral infarction |
LIN Zhi |
The Second Department of Rehabilitation, the Second People′s Hospital of Neijiang City, Sichuan Province, Neijiang 641000, China |
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Abstract Objective To investigate the application of Orem self-care theory in patients with cerebral infarction. Methods The clinical data of 110 cases of cerebral infarction patients admitted to the Rehabilitation Department of the Second People′s Hospital of Neijiang City in Sichuan Province from February 2016 to February 2018 were retrospectively analyzed. According to different rehabilitation nursing methods, they were divided into 50 cases in the control group and 60 cases in the observation group. Patients in the two groups were observed for their attitude towards rehabilitation training after nursing, Barthel index and Fugl-Meyer score before and after nursing, clinical effects, complications and 3-month recurrence rate of patients in the two groups. Reuslts The attitude of rehabilitation training after nursing in the observation group was better than that in the control group, and the difference was statistically significant (P < 0.05). The Barthel index and Fugl-Meyer score between the two groups before treatment had no statistically significant difference (P > 0.05), After nursing, Barthel index and Fugl-Meyer score higher than before treatment, and the Barthel index and Fugl-Meyer scores of observation group were higher than the control group, the difference were statisticant (P < 0.05), the clinical total effective rate of observation group was higher than the control group, the incidence of complications and 3 months recurrence rates of observation group were lower than the control group, the differences were statistically significant (P < 0.05). Conclusion The application of Orem self-care theory in patients with cerebral infarction can improve patients′ attitude towards rehabilitation training, improve Barthel index, Fugl-Meyer score and clinical effect, and reduce their complications and 3-month recurrence rate.
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[1] 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.
[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] 邰素琴.急性脑血管病患者的临床护理及早期康复训练评价[J].山西医药杂志,2016,45(14):1710-1712.
[6] 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.
[7] 王新德.实用临床神经病学[M].北京:科学技术文献出版社,2007:619-620,630.
[8] Page SJ,Levine P,Hade E. Psychometric properties and administration of the wrist/hand subscales of the Fugl-Meyer assessment in minimally impaired upper extremity hemiparesis in stroke [J]. Arch Phys Med Rehabil,2012, 93(12):2373-2376.
[9] 徐骞.Oren自理理论在脑梗死偏瘫病人护理中的应用[J].全科护理,2014,12(29):2714-2715.
[10] Repait V,Vainoras A,Berkien 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] 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.
[12] 郭春等.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.
[13] 刘玉梅,邓本强.同型半胱氨酸、相关基因多态性与急性脑梗死关系的研究进展[J].中国医药导报,2017,14(5):87-91.
[14] 张丽雅,谭同才,叶祥明.中医对症配乐结合语言训练治疗运动性失语疗效观察[J].浙江中西医结合杂志,2015,25(1):50-52.
[15] 黄娜等.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.
[16] 钱燕,何买定,陈红波,等.减重步行训练对早期脑梗死偏瘫患者的疗效[J].中外医学研究,2017,15(15):156-157.
[17] 冯军,陈海花,张岚,等.连续性护理干预联合康复训练对运动性失语患者语言能力的影响[J].护理管理杂志,2014,14(4):280-281.
[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] 闻万顺,叶祥明,李厥宝.早期综合康复训练对脑梗死患者的康复效果及NHISS评分的影响[J].中国现代医生, 2017,55(9):101-105.
[20] 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.
[21] Clarke PN,Allison SE,Berbiglia VA,et al. The impact of dorothea E.Orem′s life and work:An interview with Orem scholars [J]. Nurs Sci Q,2009,22(1):41-46.
[22] 邸艳荣,王淑芬.Orem自理模式在脑梗死患者早期康复护理中的应用[J].山西医药杂志,2014,43(23):2827-2829.
[23] 庄清琴.奥瑞姆自理模式在脑梗死患者护理中的应用[J].中国校医,2014,28(5):358-359.
[24] 邸艳荣,王淑芬.Orem自理模式在脑梗死患者早期康复护理中的应用[J].山西医药杂志,2014,43(23):2827.
[25] 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. |
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