| Objective: To explore the application effect of group occupational therapy based on Orem’s self-care theory in stroke patients with upper limb motor dysfunction. Methods: According to the random number table method, 42 hospitalized stroke patients were randomly divided into control group and the experimental group, with 21 cases in each group. The control group received routine one-to-one occupational therapy, 40 min/time, 1 time/day, 5 days/week, for a total of 4 weeks. The experimental group received 3 times of group occupational therapy and 2 times of one-to-one occupational therapy every week, 40 min/time, once a day, 5 days a week for 4 weeks. The score of Fugl-meyer assessment upper extremity (FMA-UE), modified Barthel index (MBI), self-rating anxiety scale (SAS), and self-rating depression scale (SDS) were evaluated before and after the intervention. Results: Compared with those before the intervention, the FMA-UE and MBI scores were increased (P<0.05), SAS and SDS scores were decreased (P<0.05) in both groups after the intervention. Comparing the difference scores of FMA-UE, MBI, SAS and SDS before and after intervention, those in the experimental group were all higher than in the control group (P<0.05). Conclusion: The implementation of group occupational therapy based on Orem’s theory of self-care for stroke patients can promote patients’ upper limb motor function and activities of daily living, as well as help to improve anxiety and depression symptoms. |
