Effect of Early Rehabilitation Nursing on Motor Function and Living Ability of Patients with Traumatic Brain Injury Based on Orem’s Self-Care Theory

Abstract

Objective. To explore the effect of early rehabilitation nursing on motor function and living ability of patients with traumatic brain injury (TBI) based on Orem’s self-care theory. Methods. A total of 60 patients with TBI treated in our hospital from February 2019 to June 2021 were enrolled. The patients were randomly divided into a control group and a research group. The control group adopted the early rehabilitation nursing model, while the research group adopted the early rehabilitation nursing model based on Orem’s self-nursing theory. Nursing satisfaction, Fugl-Meyer score, NIH-SS score, Barthel index, quality of life score, and compliance were in the comparison of the two groups. Results. The nursing satisfaction of the research group was higher than that of the control group ( P < 0.05). Compared with the control group, the Fugl-Meyer scores of the research group were higher at 1 month, 2 months, and 3 months after nursing ( P < 0.05). After nursing, the NIH-SS score of the two groups decreased. In the comparison of the two groups, the NIH-SS score of the research group at 1 month, 2 months, and 3 months after nursing was lower ( P < 0.05). After nursing, the Barthel index of the two groups increased. In the comparison of the two groups, the Barthel index of the research group was higher compared to the control group at 1 month, 2 months, and 3 months after nursing ( P < 0.05). The scores of physiological function, psychological function, social function, and health self-cognition in the research group were lower ( P < 0.05). The compliance rate of the research group was higher than that of the control group ( P < 0.05). Conclusion. Patients with TBI receive early rehabilitation nursing based on Orem’s self-care theory, which can effectively improve patient satisfaction and compliance and achieve the purpose of improving motor function and living ability. This nursing program is worth popularizing in the clinic.

Effect of early rehabilitation nursing on neurological function and quality of life of patients with hemiplegia after stroke: A meta-analysis

“…Consistent with the results of this study, early rehabilitation nursing plays a promoting role in the rehabilitation of a variety of diseases, including the recovery of breast cancer surgery, respiratory failure, lumbar disc herniation, and traumatic brain injury. [40][41][42][43] To be specific, early rehabilitation nursing can improve the understanding of patients of the diseases, develop rehabilitation plans for training their language and motor function from scratch, ameliorate their neurological function, increase their treatment confidence, elevate their quality of life, and then promote their prognosis.…”

Traumatismo craneoencefálico en adultos jóvenes: una serie de casos y análisis de su pronóstico

“…La DAI estuvo presente en el 47% de las resonancias magnéticas realizadas en un estudio retrospectivo de paciente con traumatismo craneoencefálico grave mayores de 18 años y las localizaciones más frecuentes fueron (25 % de grado I, 18 % de grado II, 13 % de grado III) (21). La rehabilitación temprana tiene efectos sobre la función motora y la capacidad de vida de pacientes con lesión cerebral traumática (22). La neurorehabilitación es necesaria para los pacientes después de una lesión cerebral traumática, dividiéndose en fase intrahospitalaria que se subdivide en fase aguda y fase crítica y la fase extrahospitalaria se subdivide en subaguda y crónica (23).…”

Based on the relationship between anxiety of existential meaninglessness, hope level, and fear of progression, explored the effect of preoperative nursing with Orem theory in the senile cataract population

“…Orem's Self-Care Theory suggests that nurses should interact with patients based on their self-care capabilities: total compensation, partial compensation, and supportive educational systems. In the supportive-educational system, patients are capable of self-care but require education on therapeutic self-care behaviors (Yang and Niu, 2022). Nurses are optimally positioned to identify potential health issues and provide appropriate supportive educational interventions (Dinkelaker, 1999;Orem, 2001;Cottin et al, 2004).…”