Study on the Effect of Rehabilitation Exercise Intervention Based on Orem's Self-care Theory and Support Education System on Elderly Paranoid Schizophrenics
Objective:To observe the effect of Orem's self-care theory support education system in the rehabilitation exercise of elderly paranoid schizophrenics.Methods:123 elderly patients with paranoid schizophrenia admitted to the hospital from June 2020 to January 2022 were selected as the research objects.They received systematic drug intervention and were all assisted with rehabilitation exercise.They were divided into observation group(62 cases,based on Orem's self-care theory-rehabilitation exercise intervention implemented by the support education system)and control group(61 cases,regular rehabilitation exercise intervention)by computer random grouping method.The compliance of rehabilitation exercise,improvement of symptoms and the rehabilitation effect of cognitive and social functions of two groups were compared.Results:Under different intervention modes,the excellent and good rate of rehabilitation compliance in the observation group was 93.55%,which was higher than that in the control group(81.97%),with statistically significant difference(χ2=6.242,P＜0.05).The BPRS score in the intervention group was lower than that in the control group after 3,7 and 14 days,with statistically significant difference(t=12.134,48.584,46.054;P＜0.05).During the follow-up period,MMSE and MoCA in the observation group were higher than those in the control group,and SDSS was lower than those in the control group(t=56.641,49.347,45.253;P＜0.05).Conclusion:Based on Orem's self-care theory-support education system,rehabilitation exercise and auxiliary treatment for elderly paranoid schizophrenics can effectively improve their rehabilitation compliance,and have positive significance in further improving patients'clinical symptoms and promoting the recovery of cognitive and social functions.
Paranoid schizophreniaOrem's self-care theory-supporting the education systemRehabilitation exerciseComplianceCognitive functionSocial function
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