奥马哈系统在永久性结肠造口患者延续护理问题评估与干预类别中的应用  

Application of Omaha system in the assessment and intervention of the patients with permanent colostomy continue nursing problem

作　　者：王艳秋[1] 段晓侠[2] 陈冬梅[3] 霍蕊[4] 

机构地区：[1]蚌埠医学院护理学系,233000 [2]蚌埠医学院第二附属医院护理部,233000 [3]蚌埠医学院第二附属医院泌尿外科,233000 [4]蚌埠医学院第一附属医院胃肠外科

出　　处：《中国实用护理杂志》2017年第16期1238-1241,共4页Chinese Journal of Practical Nursing

基　　金：蚌埠医学院研究生科研创新计划资助立项项目（Byycxl536）

摘　　要：目的 探讨奥马哈系统在永久性结肠造口患者延续护理问题评估与干预类别中的应用.方法 以奥马哈系统为框架制订永久性结肠造口延续护理问题评估表,评估46例患者的延续护理问题和选择相应干预类别.结果 现存延续护理问题共260个,平均5.7个;超过50%的护理问题有个人照顾、角色改变、精神健康等;潜在延续护理问题共90个,平均1.97个,分别是造口并发症和造口周围皮肤并发症;延续护理干预共727个,平均每例患者15.8个,主要针对生理领域,其次是心理社会领域.结论 奥马哈问题分类系统能够全面评估永久性结肠造口患者延续护理问题,并根据护理问题制订合理干预.需重点关注心理社会和健康相关行为领域,教育、指导、咨询和监测是延续护理最常采用的干预类别.Objective To explore the assessment and intervention categorized for patients with permanent colostomy′s continue nursing problem based on the Omaha system. Methods Developing permanent colostomy′s continue nursing problem assessment form in the framework of Omaha system, using this assessment form to evaluate 46 patients′continue nursing problem and choose appropriate interventions. Results A total of 46 patients on the day of discharge had a total of 260 continue nursing problems. There were 5.7 nursing problems averagely for every patient. Incidence of more than 50%of the nursing problems had personal care, role change, mental health, sleep and rest, digestion- hydration and social; potential continue nursing problems was 90. There were 1.97 nursing problems averagely for every patient. The main potential continue nursing problems were two, respectively was colostomy complications and colostomy surrounding skin complications. Continue nursing intervention had a total of 727. There were 15.8 continue nursing interventions averagely for every patient. The most frequent interventions were for physiological and psychosocial domain. Conclusions Omaha Question Classification System can fully assess permanent colostomy′s continue nursing problem andset corresponding nursing intervention strategiesaccording to Omaha intervention system. More attention should be paid to psychosocial and health-related behavior problem. The most frequent interventions were health education, guidance, counseling and monitoring.

关 键 词：奥马哈系统 永久性结肠造口 延续护理 

分 类 号：R473.73[医药卫生—护理学]