The combinative effects of orem self-care theory and PDCA nursing on cognitive function, neurological function and daily living ability in acute stroke.

Objective: The combined effects of Orem Self-care Theory and PDCA nursing on cognitive function, neurological function and daily living ability of patients with acute stroke were analyzed in this research.

Methods: 126 patients, who admitted to our hospital with acute stroke from January 2019 to March 2020, were enrolled in this study as research subjects. The subjects were divided into control-group (n=61) and observation-group (n=65) in accordance with their admission time. The control-group received routine nursing care; and the observation-group, was applied with the combined nursing interventions of Orem's self-care mode and PDCA nursing management in addition to conventional treatment. Subsequently, the changes in daily living ability (ADL score), neurological function (GCS score, NIHSS score) and cognitive function (MoCA and MMSE scores) of the two groups before and after receiving nursing care were compared accordingly.

Results: After the implementation of nursing measures, the ADL scores of the two groups improved dramatically than before (), and observation-group had obviously higher post-intervention scores than that of the control-group (); The GCS scores of the two groups were remarkably higher than those before nursing (), and the observation-group had critically higher post-intervention scores than those of the control-group (); The NIHSS scores of the two groups decreased substantially than before (), and the observation-group had dramatically lower scores than the control-group (); The MMSE score in two groups increased remarkably than before nursing (), and the post-intervention score of observation-group was significantly higher than that of control-group ().

Conclusion: On the basis of Orem Self-care theory, the application of PDCA nursing in daily nursing work to acute stroke patients can actively improve their cognitive function, neurological function and daily life ability. This has a positive role in promoting medical staff to improve the quality of care and provide patients with more comprehensive and thoughtful nursing services.