基于Orem自理理论康复护理联合情志干预对脑梗死偏瘫患者神经功能、自护能力及生活质量的影响

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目的:探究基于Orem自理理论康复护理联合情志干预对脑梗死偏瘫患者神经功能、自护能力及生活质量的影响。方法:选取2018年6月至2019年2月在雅安市中医医院进行脑梗死治疗的100例患者,根据患者入院时间将其分为常规组及研究组,对常规组患者行常规护理,对研究组患者行基于Orem自理理论康复护理联合情志干预,比较两组患者干预前后神经功能、自护能力及生活质量。结果:干预前,两组患者NIHSS评分、Barthel指数评分及SF36量表评分比较差异均无统计学意义(均n P>0.05),干预后,研究组患者NIHSS评分及Barthel指数评分分别为(3.08±1.12)分及(79.28±6.41)分,均显著优于常规组及干预前,差异有统计学意义(均n P<0.05),且研究组患者各项活质量评分均显著优于常规组及干预前(n P<0.05)。n 结论:对脑梗死偏瘫患者实施脑梗死偏瘫患者,能够有效改善其神经功能,且对提高患者自护能力及生活质量具有重要意义。“,”Objective:To explore the effects of rehabilitation nursing combined with affective intervention based on Orem self-care theory on neurological function, self-care ability and quality of life in patients with cerebral infarction hemiplegia.Methods:A total of 100 patients with cerebral infarction treated in this hospital from June 2018 to February 2019 were selected and divided into conventional group and study group according to the time of admission. Patients in the conventional group received routine nursing, while patients in the study group received rehabilitation nursing combined with emotional intervention based on Orem self-care theory.Neurological function, self-care ability and quality of life were compared between the two groups before and after intervention.Results:Before intervention, there were no statistically significant differences in NIHSS score, Barthel index score and SF36 scale score between the two groups (n P<0.05). After intervention, the NIHSS score and Barthel index score of patients in the study group were (3.08±1.12) and (79.28±6.41), respectively, which were significantly better than those in the conventional group and before intervention, and the differences were statistically significant (n P<0.05). In addition, the life quality scores of the study group were significantly better than those of the conventional group and before intervention (n P<0.05).n Conclusions:The implementation of cerebral infarction hemiplegia in patients with cerebral infarction can effectively improve their neurological function, and it is of great significance to improve patients' self-care ability and quality of life.
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