奥马哈系统干预对housebound老年人的社会心理领域和生理领域的影响  

Effect of Omaha system intervention on social psychology and physical health of the housebound elderly

作　　者：宋玉钰 孙培芳 汪凤兰[1] 何旋[3] 邢凤梅[1] 

机构地区：[1]河北联合大学护理与康复学院,河北唐山063000 [2]天津滨海人民医院,天津300000 [3]山西省稷山县人民医院,山西稷山043200

出　　处：《现代预防医学》2015年第8期1448-1451,共4页Modern Preventive Medicine

基　　金：国家社科基金项目(36647101);河北省社科基金资助项目(HB12SHO48)

摘　　要：目的探讨奥马哈系统干预对housebound老年人社会心理领域和生理领域的影响,为有效干预老年housebound状态提供依据。方法将符合条件的108例housebound老年人随机分为干预组和对照组,干预组按照奥马哈系统干预从健康教育、治疗规程、个案管理、监督4个方面进行每周1-2次,为期6个月的干预。对照组为空白对照。在干预0、6个月时应用奥马哈评价表进行社会心理领域、生理领域的评价。结果通过6个月干预,除了神经-肌肉-骨骼功能评分干预前（7.24±1.64）分,干预后（7.09±1.88）分,评分有所下降外,其余各项评分均有所提高,且两组比较差异有统计学意义（P〈0.05）。结论奥马哈干预系统可有效改善老年housebound人群的社会心理领域问题和生理领域问题。Objective This work aimed to investigate the effect of Omaha system intervention on the social psychology and physical health of the housebound elderly, so as to provide evidence for effective intervention. Methods 108 elderly housebound people were randomly divided into an intervention group and a control group. According to Omaha intervention system, a 6-month intervention on health education, treatment procedures, case management and supervision was conducted to the intervention group with a frequency of 1-2 times a week. The control group was the blank control. Right before and 6-month after the intervention, the social psychology and physical health of subjects were evaluation by using Omaha evaluation form. Results The neuro- musculo-skeletal function score was 7.24±1.64 before the intervention. After the 6-month intervention it slightly dropped to 7.09±1.88. The scores of other indexes were higher after intervention, and the difference between two groups were significant（P〈0.05）. Conclusion The Omaha intervention system can effectively improve the social psychology and physical health of the housebound elderly.

关 键 词：奥马哈系统 housebound 社会心理领域 生理领域 

分 类 号：R19[医药卫生—卫生事业管理]