orem自理模式在首次脑梗死后认知功能障碍患者中的应用

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3、46（重修稿）Orem自理模式在首次脑梗死后认知功能障碍患者中的应用陆兰芳江苏省张家港市中医医院215600摘要目的探讨Orem自理模式在首次脑梗死后认知功能障碍患者中的应用。方法将64例首次脑梗死后发生认知功能障碍的患者随机分为观察组34例和对照组30例，对照组采用传统的脑梗死常规护理措施，观察组应用Orem自理模式贯穿于常规护理全过程。用蒙特利尔认知评估量表（MontrealCognitiveAssessment,MOCA）对两组患者在入院时和护理实施后30天各评估一次认知功能。结果护理实施30天后两

4、组患者的认知功能均有提高，但试验组的改善程度明显高于对照组，差异具有统计学意义(P<0.05)。结论Orem自理模式对首次脑梗死后发生认知功能障碍的患者的认知能力的恢复起到了积极的作用，值得在临床护理工作中广泛开展。关键词Orem自理模式；脑梗死；认知功能障碍；护理ApplicationofOremSelf-careModelfortheCognitiveImpairmentPatientsSecondarytoFirstCerebralInfarctionLuLanfangZhangjiagangTra

5、ditionalChineseMedicineHospitalJiangSu215600Abstract:Objective　TostudytheapplicationofOremSelf-careModelforthecognitiveimpairmentpatientssecondarytofirstcerebralinfarction.Methods64cognitiveimpairmentpatientssecondarytofirstcerebralinfarctionwererandomlyd

6、ividedintoexperimentgroup(34)andcontrolgroup(30),theformerwerecaredbyOremSelf-careModelnursing,andthelatterbyconventionalnursing.MontrealCognitiveAssessment(MOCA)scoreofpatientsintwogroupswererespectivelyevaluatedinhospitalizationand30daysafternursing.Res

7、ultsBothgroupsshowedimprovementinMCOAscore30daysafternursing,butthescoreofexperimentgroupincreasedhigherthanthatofthecontrolgroup,andthedifferencehadthestatisticalsignificance(P<0.05).Conclusion　ApplicationofOremSelf-careModelincognitiveimpairmentpatients

8、secondarytofirstcerebralinfarctioncanobviouslyimprovetheircognitivefunction,andwasworthcarryingoutinclinicalnursingworkextensively.KeywordsOremSelf-careModel;CognitiveImpairment;CerebralInfarction;Nursing有研究[1]显示，高达