基于奥马哈系统食管癌术后患者精准延续护理方案的构建及应用  

Construction and application of precise continuation nursing program for postoperative patients with esophageal cancer based on Omaha system

作　　者：张新春[1] 刘丽娟[2] 韩艳[3] 武璇[4] 陈玲[5] ZHANG Xinchun;LIU Lijuan;HAN Yan;WU Xuan;CHEN Ling(Department of Oncology Cardiology,the Affiliated Tumor Hospital of Xinjiang Medical University,Xinjiang Uygur Autonomous Region,Urumqi 830011,China;Department of Breast Surgery,the Affiliated Tumor Hospital of Xinjiang Medical University,Xinjiang Uygur Autonomous Region,Urumqi 830011,China;Department of Thoracic Surgery,the Affiliated Tumor Hospital of Xinjiang Medical University,Xinjiang Uygur Autonomous Region,Urumqi 830011,China;Department of Nutritional,the Affiliated Tumor Hospital of Xinjiang Medical University,Urumqi Uygur Autonomous Region,Xinjiang 830011,China;Department of Nursing,the Affiliated Tumor Hospital of Xinjiang Medical University,Xinjiang Uygur Autonomous Region,Urumqi 830011,China)

机构地区：[1]新疆医科大学附属肿瘤医院肿瘤心脏病科,新疆乌鲁木齐830011 [2]新疆医科大学附属肿瘤医院乳腺外科,新疆乌鲁木齐830011 [3]新疆医科大学附属肿瘤医院胸外科,新疆乌鲁木齐830011 [4]新疆医科大学附属肿瘤医院营养科,新疆乌鲁木齐830011 [5]新疆医科大学附属肿瘤医院护理部,新疆乌鲁木齐830011

出　　处：《中国医药导报》2022年第8期151-155,共5页China Medical Herald

基　　金：新疆维吾尔自治区自然科学基金面上项目(2018D01C279)。

摘　　要：目的探讨基于奥马哈系统食管癌术后患者精准延续护理方案构建及应用效果。方法选取2018年1月至2019年6月新疆医科大学附属肿瘤医院收治的食管癌根治术后患者80例,按照随机数字表法将其分为对照组和研究组,每组各40例。对照组采用常规延续护理,研究组采用基于奥马哈系统的精准化延续护理方案。随访3个月对两组护理结局、生活质量及护理满意度进行评价。结果出院3个月,研究组在环境、心理、生理、健康领域护理结局中认知、行为和状况评分高于对照组,差异有统计学意义(P<0.05);研究组生活质量中功能领域评分高于出院时及对照组,症状领域评分低于出院时及对照组,差异有统计学意义(P<0.05)。研究组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论基于奥马哈系统构建的食管癌术后患者精准延续护理方案全面、有效、科学,从而更有效改善患者护理结局,提升生活质量和护理满意度。Objective To explore the construction and application effect of precise continuing nursing program for postoperative patients with esophageal cancer based on Omaha system.Methods From January 2018 to June 2019,80 patients with esophageal cancer after radical resection in the Affiliated Tumor Hospital of Xinjiang Medical University were selected,according to the random number table method,they were divided into control group and study group,with 40 cases in each group.The control group used conventional continuing care,and the study group used precise continuing nursing based on Omaha system,the nursing outcome,quality of life,and nursing satisfaction of the two groups were evaluated after three months follow-up.Results Followed up for three months,the scores of cognition,behavior,and status in environment,psychology,physiology,and health care outcomes in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).The scores of functional areas of quality of life in the study group were higher than those on discharge and the control group,while the scores of symptom areas were lower than those on discharge and the control group,and the differences were statistically significant(P<0.05).Nursing satisfaction in the study group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The precise continuous nursing program for postoperative patients with esophageal cancer based on Omaha system is comprehensive,effective,and scientific,so as to improve the patient care outcome more effectively,improve the quality of life and nursing satisfaction.

关 键 词：奥马哈系统 精准护理 延续护理 食管癌 

分 类 号：R473[医药卫生—护理学]