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Effect of Orem self-care theory nursing on psychiatric symptoms and ability of daily living in schizophrenia patients |
CHEN Juan1 LIU Yi-feng2 |
1. The Seventh Department of Psychiatry, Jiujiang Fifth People's Hospital
2. The First Department of Psychiatry, Jiujiang Fifth People's Hospital |
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Abstract Objective To explore the application effect of Orem self-care theory nursing in schizophrenia patients.Methods A total of 88 schizophrenia patients admitted to Jiujiang Fifth People's Hospital from February 2019 to February 2021 were selected as subjects. They were divided into the control group (44 patients) and the observation group (44 patients) using random number table method. Both groups were treated with antipsychotic drugs. The control group was given conventional nursing, and the observation group was given Orem self-care theory nursing. The intervention time was 4 weeks. The scores of psychiatric symptoms (brief psychiatric rating scale [BPRS], ability of daily living (activity of daily living scale [ADL]) and self-care ability (exercise of self-care agency scale [ESCA]) were compared between the two groups before and at 4 weeks after intervention. Results The BPRS scores in terms of excitement, anxiety, depression, thinking disorder, retardation, and hostility suspicion in the observation group were (4.63±0.25), (5.09±1.28), (10.02±1.98), (3.90±0.58),and(9.63±1.39)points,which were lower than those in the control group of(5.26±0.34), (6.97±1.30), (12.05±2.13), (5.01±0.63), and (12.07±1.46) points, with statistical differences (P<0.05). The ADL and ESCA scores after intervention in the observation group were (80.67±6.04) and (106.87±6.54) points, which were higher than those in the control group of (70.59±5.21) and (95.74±7.25) points, with statistical differences (P<0.05). Conclusion Orem self-care theory nursing can alleviate the psychiatric symptoms, improve the patients' ability of daily living and self-care, and promote the fast recovery in schizophrenia patients.
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