RESUMEN
Objective To evaluate the effect of Orem self‐care mode on sense of well‐being in patients with schizophrenia by Me‐ta analysis .Methods The databases of CBM ,VIP ,CNKI and Wan Fang Data were searched .All randomized controlled trials(RCT ) about Orem self‐care mode for patients about sense of well‐being were included .Data collection and literature review were per‐formed by two reviewers independently .The RevMan 5 .2 software was taken for analysis .Results Three literatures were includ‐ed .All these articles were regarded as low quality ,and only one article′s score of methodological quality are more than three .The Meta analysis showed there were significant differences between the Orem self‐care mode group and the normal nursing mode group in sense of well‐being .Besides the scores of the Orem self‐care mode group are higher(MD = 16 .29 ,95% CI(14 .54 - 18 .05) ,P<0 .05) .Conclusion The Orem self‐care mode is better than normal nursing for sense of well‐being in patients .However ,trials are only three ,and most trials included in the review are of low quality .So large scale randomized controlled trials of higher quality are needed to confirm the result .
RESUMEN
Objective To discuss the application value of Orem's self-care mode in the nursing of patients with stroke. Methods 88 patients with acute stroke in our hospital were selected from January 2008 to January 2011.All patients were divided into the control group and the observation group with 44patients in each group. The control group was treated by conventional medical care, and the observation group was treated by Orem's self-care mode. The ADL of two groups was observed before and after treatment. Results After treatment, the Barthel index of the control group and the observation group were significantly increased. But compared with the control group, the Barthel index of the observation group increased significantly. Conclusions By Orem's self-care mode, patients with stroke can improve their ADL and their quality of life.