通过奥伦的自我护理理论,改善创伤性脑损伤患者的日常生活和认知功能
1Department of Orthopedics and Emergency Surgery, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, China.
Frontiers in neurology
|September 4, 2024
概括
基于奥伦的自我护理理论的早期康复护理在创伤性脑损伤 (TBI) 患者中显著改善了认知和神经功能,以及日常生活技能. 这种方法提高了整体的患者护理和康复结果.
科学领域:
- 康复护理 康复护理
- 创伤性脑损伤 (TBI) 是一种创伤性脑损伤.
- 奥雷姆的自我照顾理论
背景情况:
- 创伤性脑损伤 (TBI) 显著影响认知,神经和日常生活功能.
- 早期和有效的康复护理对TBI患者的康复至关重要.
- 奥雷姆的自我护理理论为以患者为中心的护理干预提供了一个框架.
研究的目的:
- 调查早期康复护理对TBI患者的影响,以Orem的自我护理理论为指导.
- 评估对认知功能,神经功能和日常生活活动 (ADL) 的影响.
主要方法:
- 一项涉及108名TBI患者的研究,分为对照组 (标准护理) 和观察组 (基于Orem理论的护理).
- 干预措施在4周和8周内进行.
- 评估包括ADL,国家卫生研究院中风量表 (NIHSS),格拉斯哥昏迷量表 (GCS),蒙特利尔认知评估量表 (MoCA) 和迷你精神状态检查 (MMSE).
主要成果:
- 与对照组相比,观察组在ADL,认知得分 (MoCA,MMSE) 和神经功能 (NIHSS,GCS) 中显著改善.
- 干预后4周和8周的改善均具有统计学意义 (大多数措施的p<0.001).
- 奥雷姆的基于自我护理模型的护理为TBI患者带来了增强的康复轨迹.
结论:
- 早期康复护理结合奥伦的自我护理理论,有效地改善TBI患者的认知,神经和日常生活功能.
- 这种方法提高了提供护理护理的质量和全面性.
- 这些发现支持将奥伦的理论整合到TBI康复方案中.
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