Effect of Orem Self-Care Model Combined with Early Rehabilitation Training on Mechanically Ventilated Patients in ICU: A Retrospective Cohort Study.

Objective: To evaluate the effectiveness of integrating Orem self-care mode with early rehabilitation training in mechanically ventilated ICU patients.

Methods: This retrospective cohort study included 142 patients who underwent mechanical ventilation at the Department of Intensive Care Medicine from January to December 2023. Patients were divided into two groups based on documented nursing interventions: the control group (n=62) received standard care, while the experimental group (n=62) received Orem-based nursing combined with structured early rehabilitation training. Respiratory function, psychological status, and adverse event incidence were compared between groups.

Results: The experimental group showed significantly improved respiratory parameters including respiratory rate, partial pressure of oxygen (PaO₂), partial pressure of carbon dioxide (PaCO₂), and PaO₂/FiO₂ ratio (P < 0.05). Mechanical ventilation duration and ICU length of stay were significantly shorter in the experimental group (P < 0.001). Psychological assessments revealed significantly lower scores for delirium, anxiety (HAMA), and depression (HAMD) in the experimental group post-intervention (P < 0.001). Additionally, the incidence of adverse events such as pressure ulcers and delirium was markedly reduced (P < 0.001).

Conclusion: Integrating Orem self-care model with early rehabilitation training demonstrates significant benefits in improving respiratory outcomes, mental health, and clinical safety for mechanically ventilated ICU patients, offering a promising approach for critical care nursing.