CAJ | 학술논문

目的：探讨Orem自理理论在不同时期脑卒中患者护理中的应用效果。方法：将60例急性脑卒中患者随机分为实验组32例和对照组28例。对照组给予常规护理，实验组在此基础上运用Orem自理理论进行护理干预。对两组入选时，病后1个月、3个月和6个月日常生活能力（ ADL）评分进行评定，采用视觉模拟评分法（ VAS）对两组干预效果进行评价。结果：与治疗前比较，两组病后1个月、3个月和6个月ADL评分均升高（P＜0．01）；与对照组比较，实验组病后1个月、3个月和6个月ADL评分升高（P＜0．05）；实验组满意度与对照组比较差异有统计学意义（P＜0．05）。结论：Orem自理理论可提高脑卒中患者ADL及满意度，提高患者的治疗效果。
목적：탐토Orem자리이론재불동시기뇌졸중환자호리중적응용효과。방법：장60례급성뇌졸중환자수궤분위실험조32례화대조조28례。대조조급여상규호리，실험조재차기출상운용Orem자리이론진행호리간예。대량조입선시，병후1개월、3개월화6개월일상생활능력（ ADL）평분진행평정，채용시각모의평분법（ VAS）대량조간예효과진행평개。결과：여치료전비교，량조병후1개월、3개월화6개월ADL평분균승고（P＜0．01）；여대조조비교，실험조병후1개월、3개월화6개월ADL평분승고（P＜0．05）；실험조만의도여대조조비교차이유통계학의의（P＜0．05）。결론：Orem자리이론가제고뇌졸중환자ADL급만의도，제고환자적치료효과。
Objective:To investigate the application effect of Orem self -care theory in nursing care of patients with stroke in different periods.Methods:60 acute stroke patients were randomly divided into the experimental group (n=32) and the control group (n=28). The routine nursing care was given to the patients in the control group;the Orem self-care theory was adopted to conduct nursing interven-tion in the experimental group .The scores of activity of daily living ( ADL) of the patients were respectively assessed when the patients were selected ,in one month ,3 and 6 months after the patients were ill and the intervention effect was evaluated by using visual analogue scale (VAS) in the two groups.Results:Compared with those before treatment ,the scores of ADL of the patients increased in the two groups in one month,3 and 6 months after the patients were ill (P<0.01);the scores of ADL increased in one month ,3 and 6 months af-ter the patients were ill in the experimental group ,compared with the control group (P<0.05);the difference in the comparison of patient satisfaction was statistically significant between the two groups (P<0.05).Conclusion:The Orem self-care theory can improve ADL,sat-isfaction and treatment outcomes of the patients .