奥马哈系统作用于肾脏造瘘患儿延续性护理的效果观察  

Effect of Omaha problem classification system-based continuous nursing on the children with nephrostomy

作　　者：陈懿[1] 周海燕 吴明花 戈晓华[4] 俞群[4] 朱圣媚 王瑛[1] 袁佳妮 Chen Yi;Zhou Haiyan;Wu Minghua;Ge Xiaohua;Yu Qun;Zhu Shengmei;Wang Ying;Yuan Jiani(Department of Urology,Xinhua Hospital,Affiliated to Shanghai Jiaotong University,Shanghai 200092,China)

机构地区：[1]上海交通大学医学院附属新华医院小儿泌尿外科,上海200092 [2]海军军医大学第一附属医院虹口院区门诊部 [3]海军军医大学第一附属医院虹口院区门诊耳鼻喉科 [4]上海交通大学医学院附属新华医院护理部

出　　处：《海军医学杂志》2021年第2期201-204,共4页Journal of Navy Medicine

基　　金：上海交通大学医学院科研项目(ZT201706);上海交通大学医学院护理科研重点项目(Jyhz1920)。

摘　　要：目的探讨奥马哈问题分类系统作用于肾脏造瘘患儿延续性护理的效果。方法选取2014年8月至2017年1月上海交通大学医学院附属新华医院小儿泌尿外科收治的73例肾脏造瘘患者为对照组,将2017年2月至2019年1月收治的73例肾脏造瘘患者为干预组。对照组接受常规护理及健康指导,干预组除采用一般常规护理及健康指导以外,联合奥马哈问题分类系统进行延续护理。在护理干预12周后,对2组患儿的社会心理状况、生活质量、护理满意度进行调查。结果对照组护理前后社会心理状况评价指标比较差异无统计学意义(P>0.05);经奥马哈系统护理干预后,干预组患儿社会心理状况评分均有升高,且分值明显高于对照组的分值,2组比较差异有统计学意义(P<0.05)。2组患儿经过护理后的生活质量评分均较护理前明显升高,差异均有统计学意义(P<0.05);在12周的护理干预后,干预组患儿的生活质量评分显著高于对照组,差异有统计学意义(P<0.05)。干预组患儿的总满意率(93.15%)明显高于对照组(76.71%),差异有统计学意义(χ^(2)=34.035,P<0.001)。结论奥马哈问题分类系统的延续护理干预可显著改善肾脏造瘘患儿社会心理状况,提高了患儿的生活质量,且更易被患儿所接受,可作为肾脏造瘘患儿居家延续护理的首选护理干预模式。Objective To investigate the effects of the Omaha problem classification system-based continuous care on the children with nephrostomy.Methods Seventy-three patients with renal fistula admitted to the Department of Pediatric Urology,Xinhua Hospital,School of Medicine,Shanghai Jiaotong University,from August 2014 to January 2017 were enrolled for study and were designated as the control group,and other 73 patients with renal fistula admitted to the same department of the hospital were designated as the intervention group.The control group was given routine care and health instructions,while the intervention group received the same routine care and health instructions combined with the Omaha problem classification system-based continuous nursing.After 12 weeks of nursing intervention,the socio-psychological state,life quality and nursing satisfaction of the 2 groups were investigated.Results There was no statistical significance in the scores of the socio-psychological state indexes in the control group before and after nursing(P>0.05).However,the scores of various indexes in the intervention group all significantly elevated after intervention by Omaha problem classification system,with the fractional value of the intervention group being obviously higher than that of the control group,and statistical significance could be seen when comparisons were made between the 2 groups(P<0.05).There were statistical significances in the scores of the life quality of the patients in the 2 groups before and after nursing(P<0.05).After 12 weeks of nursing intervention,the scores for the life quality of the patients in the intervention group were significantly higher than those of the control group,also with statistical significance(P<0.05).The total satisfaction rate of the intervention group(93.15%)was significantly higher than that of the control group(76.71%),and statistical significance could also be noticed,when comparisons were made between the 2 groups(χ^(2)=34.035,P<0.001).Conclusion Omaha problem classification system-

关 键 词：奥马哈问题分类系统 延续护理干预 肾脏造瘘 儿童 心理状况 

分 类 号：R473.6[医药卫生—护理学]