奥马哈系统对根治性膀胱全切尿流改道术患者护理效果和生活质量的影响  

Effect of Omaha system on nursing effect and quality of life in patients with radical cystic total urinary diversion

作　　者：孙媛[1] 蔡红艳[2] 畅雅学[3] 鲁宗高 SUN Yuan;CAI Hongyan;CHANG Yaxue;LU Zonggao(Prehospital Emergency Department,Shaanxi Provincial People’s Hospital,Xi’an 710068,China;Urology Department,NO.2 Hospital of Yulin City in Shaanxi Province,Yulin 719000,China;Urology Department,Shaanxi Provincial People’s Hospital,Xi’an 710068,China)

机构地区：[1]陕西省人民医院院前急救科,西安710068 [2]陕西省榆林市第二医院泌尿外科,陕西榆林719000 [3]陕西省人民医院泌尿外科,西安710068

出　　处：《长春中医药大学学报》2020年第1期173-176,共4页Journal of Changchun University of Chinese Medicine

基　　金：陕西省资源主导型产业关键技术(链)项目-社会发展领域重大统筹项目(2016KTCL03-05)

摘　　要：目的分析奥马哈系统对根治性膀胱全切尿流改道术患者护理效果和生活质量的影响。方法选择2015年5月-2018年5月陕西省人民医院进行根治性膀胱全切尿流改道术患者80例,根据入院顺序经随机数字表法分为研究组和对照组,各40例。对照组给予常规护理措施;研究组给予以奥马哈系统为基础的护理干预措施;记录并对比2组的临床指标改善情况、并发症发生率和生活质量评分。结果研究组的术后肠道功能恢复时间、术后下床活动时间、术后住院时间等临床指标均显著短于对照组(P<0.05);研究组的并发症发生率均显著少于对照组(P<0.05);干预后,2组的生活质量评分均比干预前显著升高,且研究组更为显著(P<0.05)。结论奥马哈系统可有效缩短根治性膀胱全切尿流改道术患者的术后肠道功能恢复时间、术后下床活动时间、术后住院时间,并降低其术后并发症发生率,且患者的生活质量也得到显著提升。Objective To analyze the effect of Omaha system on the nursing effect and quality of life of patients with radical cystic turbulent diversion.Methods Eighty patients with radical cystic ureteral diversion were enrolled from May 2015 to May 2018 in Shaanxi Provincial People’s Hospital.According to the order of admission,they were divided into study group and control group,40 cases in each group,by random number table method.The control group received routine nursing measures;the study group was given nursing interventions based on the Omaha system.Clinical indicators,complication rates,and quality of life scores were recorded and compared between the two groups.Results The recovery time of intestinal function,the time of getting out of bed and the time of hospitalization in the study group were significantly shorter than those in the control group(P<0.05),and the incidence of complications in the study group was significantly lower than that in the control group(P<0.05).After intervention,the quality of life scores in two groups were significantly higher than those before intervention,and the quality of life scores in the study group were more significant(P<0.05).Conclusion The Omaha system can effectively shorten the postoperative intestinal function recovery time,postoperative outpatient activity time and postoperative hospital stay in patients with radical cystic ureteral diversion,and reduce the incidence of postoperative complications,and the quality of life of patients has also been significantly improved.

关 键 词：奥马哈系统 根治性膀胱全切尿流改道术 护理效果 生活质量 

分 类 号：R473.6[医药卫生—护理学]