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目的:探讨Orem自理理论在脑出血患者术后护理中的应用方法与效果。方法:2014年10月到2016年9月选择在我院进行诊治的急性脑出血患者59例,根据随机信封抽签原则分为观察组30例与对照组29例,所有患者都给予颅内手术治疗且顺利完成手术,对照组术后给予常规护理,观察组在对照组护理的基础上给予Orem自理理论护理,两组术后护理观察周期为3个月。结果:护理后观察组与对照组的总有效率分别为96.7%和82.8%,观察组的总有效率高于对照组(P<0.05)。护理后经过评定,观察组的躯体化、强迫症状、人际关系、敌对等评分明显低于对照组(P<0.05)。结论:Orem自理理论在脑出血患者术后护理中的应用能改善预后总有效率,促进生活质量的改善,值得临床推广应用。
Objective: To explore the application of Orem self-care theory in postoperative care of patients with intracerebral hemorrhage. Methods: From October 2014 to September 2016, 59 patients with acute cerebral hemorrhage who were selected for diagnosis and treatment in our hospital were randomly divided into observation group (30 cases) and control group (29 cases) according to the random envelope drawing principle. All patients were given intracranial surgery And the operation was completed successfully. The control group was given routine nursing after operation. The observation group was given Orem self-care theory on the basis of the control group. The observation period of the two groups was 3 months. Results: The total effective rate of the observation group and the control group after nursing was 96.7% and 82.8% respectively, and the total effective rate of the observation group was higher than that of the control group (P <0.05). After nursing assessment, the observation group somatization, obsessive-compulsive symptoms, interpersonal relationships, hostility and other scores were significantly lower than the control group (P <0.05). Conclusion: The application of Orem self-care theory in postoperative care of patients with cerebral hemorrhage can improve the total effective rate of prognosis and promote the improvement of quality of life, which deserves clinical application.