奥马哈问题分类系统下的评估护理在炎症性肠病患者中的应用  

Application of Evaluation Nursing Based on Omaha Problem Classification System in Patients with Inflammatory Bowel Disease

作　　者：王守丽[1] 曹慧 王永荣[1] 熊茂明[1] Wang Shouli;Cao Hui;Wang Yongrong(The First Affiliated Hospital of Anhui Medical University,Hefei Anhui 230032,China)

机构地区：[1]安徽医科大学第一附属医院,安徽合肥230032

出　　处：《齐鲁护理杂志》2023年第1期5-9,共5页Journal of Qilu Nursing

基　　金：安徽省重点研究和开发计划项目(编号:201904a07020045)。

摘　　要：目的:探讨奥马哈问题分类系统下的评估护理在炎症性肠病患者中的应用效果。方法:选取2020年1月1日~2021年2月28日住院治疗的炎症性肠病患者102例为研究对象,采用倾向性评分分为对照组和观察组各51例,对照组给予常规护理,观察组在常规护理基础上实施奥马哈问题分类系统下的评估护理;比较两组并发症发生情况、护理前后营养指标[包括血清白蛋白(ALB)、前白蛋白(PA)、转铁蛋白(TF)]、负性情绪[采用汉密顿焦虑量表(HAMA)、汉密顿抑郁量表(HAMD)]、生活质量[常采用生命质量问卷(IBDQ)]。结果:观察组腹痛、腹胀及腹泻、恶心、呕吐、厌食、水样便、黏液性血便、大便失禁并发症发生率低于对照组(P<0.05);护理2周后,两组ALB、PA、TF均高于护理前(P<0.05),观察组高于对照组(P<0.05);护理2周后,两组HAMA、HAMD评分低于护理前(P<0.05),且观察组低于对照组(P<0.05);护理2周后,两组IBDQ中肠道症状、全身症状、情感能力、社会能力评分及总分均高于护理前(P<0.05),且观察组高于对照组(P<0.05)。结论:在炎症性肠病患者中应用奥马哈问题分类系统下的评估护理,可以降低患者治疗中并发症的发生率,改善其心理状态,提升机体营养水平和生活质量。Objective:To explore the effect of evaluation nursing based on Omaha problem classification system in patients with inflammatory bowel disease.Methods:A total of 102 patients with inflammatory bowel disease admitted during January 1,2020 to February 28,2021 were selected as the research objects and divided into the control group and the observation group with 51 cases in each group by propensity scores.The control group was given routine nursing mode.On the basis of the control group,the observation group jointly implemented the evaluation nursing based on Omaha problem classification system,and compared the total incidence of complications between the two groups.Nutrition indexes such as Albumin(ALB),Prealbumin(PA),and transferrin(TF)before and after nursing,negative emotions by Hamilton Anxiey Scale(HAMA)and Hamilton Depression Scale(HAMD),and quality of life(IBDQ).Results:The incidence of total complications such as abdominal pain,abdominal distension,diarrhea,nausea,vomiting,anorexia,watery stool,mucous bloody stool and fecal incontinence in the observation group was lower than that in the control grou(P<0.05).After two weeks of nursing,the levels of ALB,PA,TF and other indicators in the two groups were higher than those before nursing(P<0.05),and higher in the observation group than those in the control group(P<0.05).After two weeks of nursing,the HAMA and HAMD scores in the two groups were lower than those before nursing(P<0.05),and lower in the observation group than those in the control group(P<0.05).After two weeks of nursing,the intestinal symptoms,systemic symptoms,emotional ability,social ability and total scores of IBDQ scale in the two groups were higher than those before nursing(P<0.05),and higher in the observation group than those in the control group(P<0.05).Conclusion:The application of evaluation nursing based on Omaha problem classification system in patients with inflammatory bowel disease can reduce the occurrence of complications in treatment,improve their psychological state,improve the n

关 键 词：奥马哈问题分类系统 评估护理 炎症性肠病 

分 类 号：R473.57[医药卫生—护理学]