Oream护理理论在脑卒中后吸入性肺炎探究.docVIP

Oream护理理论在脑卒中后吸入性肺炎探究[摘要] 目的 分析Oream护理理论在脑卒中后吸入性肺炎的临床护理研究及应用效果。方法 选择100例脑卒中患者，按照入院先后排序分为研究组和对照组。研究组按照Oream理论进行护理，对照组按照常规护理。比较两组吸入性肺炎发生率、吞咽功能改善情况等。结果 研究组吸入性肺炎发生率低于对照组，吞咽功能改善优于对照组（P＜0.05）。结论 运用Oream护理理论可明显减少脑卒中后吸入性肺炎发生率，改善吞咽功能，有利于患者早日康复，提高患者的舒适度和生活质量。 [关键词] Oream护理理论；脑卒中；吸入性肺炎；康复 [中图分类号] R473.74 [文献标识码] B [文章编号] 1673-9701（2011）36-70-02 The Research of Oream Nursing Theory on Stroke Aspiration Pneumonia LU Weiwei Department of Integrative Internal Medicine，the Affiliated Wenling Hospital of Wenzhou Medical College，Wenling 317500，China [Abstract] Objective To investigate the Oream nursing theory on stroke aspiration pneumonia. Methods All of 100 stroke aspiration pneumonia patients were randomly divided into two groups：the study group was treating under Oream nursing theory and the control group under regular treating. The complication incidences of aspiration pneumonia and recovery extent of swallowing of two groups were compared. Results The complication incidence of aspiration pneumonia of the study group was lower than that of the control group；The recovery extent of swallowing of the study group had an advantage over the control group（P＜0.05）. Conclusion Using Oream nursing theory after stroke can significantly reduce the incidence of aspiration pneumonia，improve the swallowing function，and is conducive to early recovery of patients，improving patients’comfort and quality of life. [Key words] Oream nursing theory；Stroke；Aspiration pneumonia；Rehabilitation Oream护理模式围绕目标维持并促进患者自理能力，主要分为三大系统：全补偿系统、部分补偿系统、辅助教育系统。辅助教育系统：有些自理需要能够自己完成，但要提供咨询、指导教育；部分补偿系统：有能力满足部分自理需要，但另一部分需要护士来满足；全补偿系统：无任何自理能力，所有的自理需要靠护士来满足[1]。脑卒中患者约30%并发肺部感染，尤其吸入性肺炎是死亡和影响功能高危因素之一[2]。笔者运用Oream护理模式治疗脑卒中后吸入性肺炎取得较好疗效，现报道如下。 1 资料与方法 1.1 临床资料 2005年1月～2011年1月我科将100例脑卒中患者作为研究对象，全部病例均经头颅MRI或CT检查证实，均符合全国第四届脑血管病会议标准[2]，卒中后吸入性肺炎诊断标准[3]：①既往无支气管及肺部疾病史；②脑卒中后72h以上无诱因出现气急、咳嗽咯痰、呛咳、发绀、发热、体温＞37℃；③双肺干湿?音；④外周血白细胞＞11×109/L、中性粒细胞＞0.70，辅助检查提示双肺片状阴影。按照入院先后排序单双号分为两组，每组50例，研究组按照Oream护理模式护理，对照组予常规护理。两组患