Effects of an Omaha System-based follow-up regimen on self-care and quality of life in gastrointestinal surgery patients  

作　　者：Ying-Dong Li Na Qu Jie Yang Chun-Yan Lv Yu Tang Ping Li 

机构地区：[1]Department of Gastroenterology,Yantai Affiliated Hospital of Binzhou Medical University,Yantai 264100,Shandong Province,China [2]Department of Endoscopy Center,Yantai Affiliated Hospital of Binzhou Medical University,Yantai 264100,Shandong Province,China [3]College of Basic Medicine,Binzhou Medical University,Yantai 264000,Shandong Province,China [4]Department of Nursing,Yantai Affiliated Hospital of Binzhou Medical University,Yantai 264100,Shandong Province,China

出　　处：《World Journal of Gastrointestinal Surgery》2023年第10期2179-2190,共12页世界胃肠外科杂志（英文版）（电子版）

基　　金：Yantai Science and Technology Plan Project,No.2019YD061.

摘　　要：BACKGROUND Currently,a variety of new nursing methods and routine nursing have been widely used in the nursing of gastrointestinal surgery patients.AIM To investigate the effect of follow-up protocol based on the Omaha System on self-care ability and quality of life of gastrointestinal surgery patients.METHODS A total of 128 patients with inflammatory bowel disease in gastrointestinal surgery in gastrointestinal surgery from March 2019 to August 2021 were divided into A(n=64)and B(n=64)groups according to different nursing methods.The group A received a follow-up program Omaha System-based intervention of the group B,whereas the group B received the routine nursing intervention.Medical Coping Modes Questionnaire,Crohn’s and Colitis Knowledge Score(CCKNOW),inflammatory bowel disease questionnaire(IBDQ),Exercise of Self-nursing Agency Scale(ESCA),The Modified Mayo Endoscopic Score,and Beliefs about Medicine Questionnaire(BMQ)were compared between the two groups.RESULTS Following the intervention,the group A were facing score significantly increased than group B,while the avoidance and yield scores dropped below of group B(all P<0.05);in group A,the level of health knowledge,personal care abilities,self-perception,self-awareness score and ESCA total score were more outstanding than group B(all P<0.05);in group A the frequency of defecation,hematochezia,endoscopic performance,the total evaluation score by physicians and the disease activity were lower than group B(all P<0.05);in the group A,the total scores of knowledge in general,diet,drug,and complication and CCKNOW were higher than group B(all P<0.05);in group A,the necessity of taking medicine,score of medicine concern and over-all score of BMQ were more significant than group B(all P<0.05);at last in the group A,the scores of systemic and intestinal symptoms,social and emotional function,and IBDQ in the group A were higher than group B(all P<0.05).CONCLUSION For gastrointestinal surgery patients,the Omaha System-based sequel protocol can improve disease awaren

关 键 词：Gastrointestinal surgery Omaha System Follow-up protocol Disease activity Intervention compliance Inflammatory bowel disease questionnaire 

分 类 号：R735.34[医药卫生—肿瘤]