奥马哈系统对出院结肠癌患者延续护理效果的影响  

Effects of Omaha system on transitional care in discharged patients with colon carcinoma

作　　者：窦振侠 郑荣娟[1] Dou Zhenxia Zheng Rongjuan(Gastroenterology Department, Tangshan C.ongren Hospital of Hebei Province, Tangshan 063000, Chin)

机构地区：[1]河北省唐山工人医院消化科,063000

出　　处：《中华现代护理杂志》2017年第21期2738-2741,共4页Chinese Journal of Modern Nursing

基　　金：唐山市科技局科技攻关项目（06134601c-7）

摘　　要：目的 探讨奥马哈系统对出院结肠癌患者延续护理效果的影响.方法 选择在河北省唐山工人医院接受手术治疗的结肠癌患者为研究对象,其中2012年1月—2013年12月治疗的62例患者为对照组,实施常规的延续护理教育;2014年1月—2015年12月治疗的63例患者为观察组,在对照组的基础上实施基于奥马哈系统的延续护理教育.比较两组患者在奥马哈问题系统中护理结局改善情况和一般自我效能.结果 干预6个月后,观察组患者在生理、社会心理、健康相关行为、环境4个领域中问题认知得分分别为（1.21±0.20）、（2.14±0.30）、（1.23±0.72）、（2.15±0.34）分,均优于对照组,差异有统计学意义（t值分别为4.635、2.695、3.896、14.632;P〈0.01）.干预后,观察组患者癌症自我效能评估量表得分为（35.12±5.22）分,对照组（21.27±8.27）分,差异有统计学意义（t=8.652,P〈0.01）.结论 运用奥马哈系统对出院结肠癌患者进行延续性护理,能更好地帮助护理人员了解患者出院后的护理需求,并根据问题提供相应的教育和指导,帮助患者、家属及社区解决康复过程中遇到的问题,提高其生存质量.Objective To explore the effects of Omaha system on transitional care in discharged patients with colon carcinoma.Methods Patients with colon carcinoma who accepted surgical treatment in Tangshan Gongren Hospital of Hebei Province were selected as subjects. A total of 62 patients were chosen as control group with routine transitional nursing education from January 2012 to December 2013. Besides, a total of 63 patients were chosen as observation group with Omaha system nursing education based on intervention in control group from January 2014 to December 2015. The improvement of nursing outcomes and general self-efficacy in Omaha problem system was compared between two groups.Results The scores of problem recognition from four domains including physiology, social psychology, health-related behaviors and environments of patients in observation group were （1.21±0.20）, （2.14±0.30）, （1.23±0.72）, （2.15±0.34） better than those in control group with significant differences （t=4.635, 2.695, 3.896, 14.632;P〈0.01） 6 months after intervention. The score of the cancer self efficacy scale was （35.12±5.22） in observation group and （21.27±8.27） in control group with a significant difference （t=8.652,P〈0.01）.Conclusions Transitional care for discharged patients with colon carcinoma based on Omaha system can nicely help nurses understand the nursing needs of discharged patients and provide corresponding education and guidance according to problems so as to help patients, family members and community solve the problems that they encounter during rehabilitation course, and to improve the quality of life of them.

关 键 词：结肠肿瘤 奥马哈系统 延续护理 

分 类 号：R473.73[医药卫生—护理学]