CAJ | 학술논문

目的：评价Orem自理模式在脑卒中患者日常生活功能训练中的应用效果。方法选取康复治疗的脑卒中患者134例，随机均分为常规组和Orem自理组（n=67），常规组采取常规护理模式，Orem自理组采取Orem自理护理模式，分别于患者入院时、治疗1个月和2个月时，对患者日常活动和肢体运动能力、生存质量进行评估，于出院时对患者及家属满意度进行调查。结果治疗1个月和2个月时，Orem自理组患者Barthel指数、肢体运动能力和生存质量评分均显著高于常规组，差异均具有统计学意义（P<0.05）；出院时，患者及家属满意度为88.1%，显著高于常规组，差异具有统计学意义（P<0.05）。结论 Orem自理模式有助于提高患者自理能力，促进患者肢体运动功能康复，改善患者生存质量。
목적：평개Orem자리모식재뇌졸중환자일상생활공능훈련중적응용효과。방법선취강복치료적뇌졸중환자134례，수궤균분위상규조화Orem자리조（n=67），상규조채취상규호리모식，Orem자리조채취Orem자리호리모식，분별우환자입원시、치료1개월화2개월시，대환자일상활동화지체운동능력、생존질량진행평고，우출원시대환자급가속만의도진행조사。결과치료1개월화2개월시，Orem자리조환자Barthel지수、지체운동능력화생존질량평분균현저고우상규조，차이균구유통계학의의（P<0.05）；출원시，환자급가속만의도위88.1%，현저고우상규조，차이구유통계학의의（P<0.05）。결론 Orem자리모식유조우제고환자자리능력，촉진환자지체운동공능강복，개선환자생존질량。
Objective To investigate the application effect of Orem’s self-care mode in daily living training of patiens with stroke.Methods 134 cases of patients with stroke undergoing rehabilitation treatment were randomly divided into conventional group and Orem’s self-care group. Patients in conventional group were taken regular care model. Patients in Orem’s self-care group were taken Orem’s self-care model. When patients were admission, and after treatment for 1 and 2 months, the patients’ daily activities, physical exercise capacity and quality of life were evaluated, respectively. When the patients discharged, the satisfactions of patients and their families were surveyed.Results After treatment for 1 and 2 months, the scores of Barthel index, physical exercise capacity and quality of life of patients in Orem’s self-care group were all higher than the conventional group, the differences were all statistically significant (P<0.05). When discharged, the satisfaction of the patients and their families in Orem’s self-care group was 88.1%, which was higher than the conventional group, the difference was statistically significant (P<0.05).Conclusion Orem’s self-care mode could help improve patients’ self-care capacity, promote the rehabilitation of motor function, and improve the quality of life.