应用奥马哈系统为脑卒中患者实施社区康复护理的个案分析  

Case analysis of applying Omaha system to community rehabilitation nursing for stroke patients

作　　者：高擎擎[1] 黄金月[2] 朱金萍 万巧琴[4] 尚少梅[4] 

机构地区：[1]天津中医药大学护理学院,天津300193 [2]香港理工大学护理学院,香港06430 [3]太和社区卫生服务中心,清新511800 [4]北京大学护理学院,北京100191

出　　处：《上海交通大学学报（医学版）》2015年第6期834-838,869,共6页Journal of Shanghai Jiao tong University:Medical Science

基　　金：香港理工大学研究基金(G-U571);CMB基金(08-887);天津市高校"十二五"综合投资规划专业建设项目品牌专业建设(护理学专业;100701)~~

摘　　要：目的介绍社区康复护士依据奥马哈系统对1例脑卒中患者实施社区康复护理的方法及效果。方法社区康复护士为脑卒中患者提供社区康复护理,依据奥马哈系统实施全面的护理评估;针对性护理干预包括健康教育、指导和咨询,治疗和程序,个案管理,监测;对护理效果进行持续评价。结果患者能够正确使用助行器行走、上下楼梯,日常生活能力(ADL)评分由35分提高至90分,生活基本自理。结论奥马哈系统可以全面评估患者的健康问题,指导社区康复护士实施针对性护理干预,并对患者健康问题现状及护理干预效果进行准确评价。Objective To introduce the effect and methods of community rehabilitation nursing for one stroke patient by community rehabilitation nursing according to the Omaha system. Methods Community rehabilitation nurses provided community rehabilitation nursing for a stroke patient and performed the nursing evaluation according to the Omaha system. Relevant nursing intervention included health education, guidance and consultation, treatment and procedure, and case management and monitoring. The effect of nursing was continuously evaluated. Results The patient could use a walker to walk and go up and down the stairs and had the basic self-care ability of daily life. The score of Activity of Daily Living （ADL） increased from 35 to 90. Conclusion The Omaha system can comprehensively evaluate the health status of patients, guide community rehabilitation nurses to perform relevant nursing intervention, and correcdy evaluate the effect of nursing intervention.

关 键 词：脑卒中 奥马哈系统 社区康复护理 

分 类 号：R473.2[医药卫生—护理学]