基于奥马哈系统的延续性护理在结直肠癌永久性肠造口患者中的应用  

Application of Continuous Nursing Based on the Omaha System in Pa⁃tients with Permanent Colostomy for Colorectal Cancer

作　　者：高晓琳 孙婷 郑慧芝 GAO Xiaolin;SUN Ting;ZHENG Huizhi(Department of Surgery,Jinan Integrated Traditional Chinese and Western Medicine Hospital,Jinan,Shandong,271100,China;Department of Critical Care Medicine,Yantai Penglai People's Hospital,Yantai,Shandong,265600,China;The Second Department of Orthopedics,Jinan Integrated Traditional Chinese and Western Medicine Hospital,Jinan,Shandong,271100,China)

机构地区：[1]济南市中西医结合医院外科,山东济南271100 [2]烟台市蓬莱人民医院重症医学科,山东烟台265600 [3]济南市中西医结合医院骨二科,山东济南271100

出　　处：《中外医疗》2025年第4期94-98,共5页China & Foreign Medical Treatment

摘　　要：目的基于奥马哈系统的延续性护理应用与结直肠癌永久性肠造口患者的临床效果探讨。方法便利选取2021年7月—2022年7月济南市中西医结合医院收治的78例结直肠癌永久性肠造口患者作为研究对象,按照护理方法的不同分为对照组(n=39,常规护理)和观察组(n=39,基于奥马哈系统的延续性护理)。比较两组生活质量、自我护理能力及护理满意度。结果护理后,观察组生活质量评分分别为(15.78±1.07)分、(16.69±2.61)分、(15.59±1.61)分、(15.56±1.06)分、(15.97±1.03)分,均高于对照组(13.96±2.04)分、(12.28±2.57)分、(12.27±1.53)分、(11.38±3.62)分、(12.28±2.14)分,差异均有统计学意义(t=4.934,7.519,9.335,6.920,9.703;P均<0.05);护理后,观察组护理满意度、自我护理能力评分均高于对照组,差异均有统计学意义(P均<0.05)。结论结直肠癌造口患者采取基于奥马哈系统的延续性护理可有助于提高结直肠癌造口患者护理满意度及自我护理能力,改善患者生活质量。Objective Discussed based on the continuity of the Omaha system application and permanent colorectal cancer patients after colostomy nursing clinical effect.Methods A total of 78 patients with permanent colostomy for colorectal cancer admitted to Jinan Integrated Traditional Chinese and Western Medicine Hospital from July 2021 to July 2022 were conveniently selected as the study objects.Nursing methods in accordance with the different divided into control group(n=39,conventional nursing)and observation group(n=39,based on the continuity of care in Omaha system).Compare two groups of life quality and self nursing ability and nursing satisfaction.Results After nursing,the quality of life scores of the observation group were(15.78±1.07)points,(16.69±2.61)points,(15.59±1.61)points,(15.56±1.06)points,and(15.97±1.03)points respectively,all of which were higher than those of the control group[(13.96±2.04)points,(12.28±2.57)points,(12.27±1.53)points,(11.38±3.62)points,and(12.28±2.14)points],and the differences were statistically significant(t=4.934,7.519,9.335,6.920,9.703;all P<0.05).After nursing,the nursing satisfaction and self-nursing ability scores of the observation group were higher than those of the control group,and the differences were statistically significant (both P<0.05). Conclusion The Omaha system of continuous nursing forpatients with colostomy can help to improve nursing satisfaction and self-care ability of patients with colostomy, andimprove patients' quality of life.

关 键 词：结直肠癌 肠造口 奥马哈系统 延续性护理 康复护理 

分 类 号：R473[医药卫生—护理学]