奥马哈系统在永久性肠造口患者中的应用  

Application of Omaha system in patients with permanent enterostomy

作　　者：林琼[1] 林御贤[1] 赖雯娟[1] 成明穆 阎玉矿[1] 

机构地区：[1]深圳市龙岗中心医院普通外科,深圳市518116

出　　处：《护理实践与研究》2017年第6期13-15,共3页Nursing Practice and Research

基　　金：深圳市科技计划项目(JCYJ20140411150159441)

摘　　要：目的:探讨基于奥马哈系统在永久性肠造口患者围手术期的应用效果,为规范的护理干预提供循证依据。方法:基于奥马哈系统,运用护理程序发现问题、跟踪问题、解决问题,对40例永久性肠造口患者实施护理。结果:患者从入院至术前,消化-水合、排便功能、营养、睡眠和休息形态的认知均有所改善(P<0.05),精神健康的认知、行为和状况均有所改善(P<0.05);从术后第1天至出院前,消化-水合、排便功能、角色改变、精神健康、睡眠和休息形态、身体活动、个人照顾的认知、行为和状况均有所改善(P<0.05)。结论:基于奥马哈系统的护理实践,可以分析永久性肠造口患者住院期间的护理问题并改善护理结局的状况。Objective： TO discuss the application effect of Omaha system in the perioperative period of patients with permanent enterostomy,so as to provide a confirmation basis for the regulation of nursing intervention. Methods： Based on Omaha system,nursing procedure was used to discover,track and solve the problems,and nursing was implemented for 40 patients with enterostomy. Results： From the period of admission to the time before operation,the patients improved their cognition of digestion-hydration,defacating function,nutrition,sleep and rest form（ P〈0. 05）,and the mental health cognition,behavior and state were improved（ P〈0. 05）; from the first day to the time before discharge,the cognition,behavior and state of digestion-hydration,defecating function,role change,mental health,sleep and rest form,physical activity and personal care were improved（ P〈0. 05）. Conclusion： The Omaha-based nursing practice could analyze the nursing problems of patients with permanent enterostomy during hospitalization,and could improve the nursing state.

关 键 词：永久性肠造口 奥马哈系统 护理 

分 类 号：R473.73[医药卫生—护理学]