国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2012年
15期
2281-2284
,共4页
Orem护理系统理论%脑卒中%酒精戒断综合征%康复
Orem護理繫統理論%腦卒中%酒精戒斷綜閤徵%康複
Orem호리계통이론%뇌졸중%주정계단종합정%강복
Orem self-care theory%Stroke%Alcohol withdrawal syndrome%Rehabilitation
目的 探讨Orem护理系统理论在脑卒中并酒精戒断综合征患者中的应用效果.方法 将50例脑卒中并酒精戒断综合征患者随机分为观察组和对照组,各25例,对照组采取常规的护理干预措施,观察组在此基础上应用Orem护理系统模式进行护理干预:ADL能力评分≤40分者,实施①环境及人身安全护理(如上床栏,必要时使用保护性约束或适当的镇静剂)；②加强意识、思维、认知观察；③避免激惹因素.ADL能力评分60 ～41分者,行肢体功能训练指导,坐、卧姿势,进食等的指导,干预三周后比较两组患者的日常生活能力( ADL),并观察两组患者在住院期间护理并发症的发生率.结果 观察组ADL得分高于对照组t=4.254.而误吸、肺部感染、压疮较对照组发生率低,t检验值分别为2.257、2.038,2.085.结论 将Orem护理系统理论应用于脑卒中并酒精戒断综合症患者的护理,可调动患者及家属的积极性,提高患者的生活质量,实现患者的自我护理和康复.
目的 探討Orem護理繫統理論在腦卒中併酒精戒斷綜閤徵患者中的應用效果.方法 將50例腦卒中併酒精戒斷綜閤徵患者隨機分為觀察組和對照組,各25例,對照組採取常規的護理榦預措施,觀察組在此基礎上應用Orem護理繫統模式進行護理榦預:ADL能力評分≤40分者,實施①環境及人身安全護理(如上床欄,必要時使用保護性約束或適噹的鎮靜劑)；②加彊意識、思維、認知觀察；③避免激惹因素.ADL能力評分60 ～41分者,行肢體功能訓練指導,坐、臥姿勢,進食等的指導,榦預三週後比較兩組患者的日常生活能力( ADL),併觀察兩組患者在住院期間護理併髮癥的髮生率.結果 觀察組ADL得分高于對照組t=4.254.而誤吸、肺部感染、壓瘡較對照組髮生率低,t檢驗值分彆為2.257、2.038,2.085.結論 將Orem護理繫統理論應用于腦卒中併酒精戒斷綜閤癥患者的護理,可調動患者及傢屬的積極性,提高患者的生活質量,實現患者的自我護理和康複.
목적 탐토Orem호리계통이론재뇌졸중병주정계단종합정환자중적응용효과.방법 장50례뇌졸중병주정계단종합정환자수궤분위관찰조화대조조,각25례,대조조채취상규적호리간예조시,관찰조재차기출상응용Orem호리계통모식진행호리간예:ADL능력평분≤40분자,실시①배경급인신안전호리(여상상란,필요시사용보호성약속혹괄당적진정제)；②가강의식、사유、인지관찰；③피면격야인소.ADL능력평분60 ～41분자,행지체공능훈련지도,좌、와자세,진식등적지도,간예삼주후비교량조환자적일상생활능력( ADL),병관찰량조환자재주원기간호리병발증적발생솔.결과 관찰조ADL득분고우대조조t=4.254.이오흡、폐부감염、압창교대조조발생솔저,t검험치분별위2.257、2.038,2.085.결론 장Orem호리계통이론응용우뇌졸중병주정계단종합증환자적호리,가조동환자급가속적적겁성,제고환자적생활질량,실현환자적자아호리화강복.
Objective To investigate the effect of Orem self-care theory in patients with stroke and alcohol withdrawal syndrome.Methods 50 patients with stroke and alcohol withdrawal syndrome were randomly divided into observation group and control group(n=25),cases in the control group took regular nursing care interventions,while the observation group had additional Orem self-care model of nursing intervention on the basis of regular nursing care:For those with activities of daily living (ADL) ability score =40 points,the following implementation were conducted:①Environmental and personal safety care (such as bedrails,if necessary,the use of protective restraint or sedative):②Strengthening awareness,thinking,cognition observation; ③Avoiding the irritation factor.Those with ADL score of 60～41 points,took the limb function training guidance,sitting or lying posture,eating guidance,3 weeks later 2 groups were compared with ADL,and patients were observed on nursing complications during hospitalization.Results The ADL score of observation group was higher than that of the control group t=4.254,and aspiration,pulmonary infection and pressure sores had lower incidence than those in control group,with t=2.257,2.038,2.085 respectively.Conclusion Applying the Orem self-care theory to patients of stroke with alcohol withdrawal syndrome,can mobilize the enthusiasm of patients and their families to achieve self-care and rehabilitation,and improve the quality of life of patients.
