[1]孙 彤.奥马哈系统在泌尿造口患者延续护理中的应用和效果评价[J].医学信息,2022,35(20):190-192.[doi:10.3969/j.issn.1006-1959.2022.20.053]
　SUN Tong.Application and Effect Evaluation of Omaha System in Continuous Nursing of Patients with Urinary Stoma[J].Journal of Medical Information,2022,35(20):190-192.[doi:10.3969/j.issn.1006-1959.2022.20.053]
点击复制

奥马哈系统在泌尿造口患者延续护理中的应用和效果评价()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年20期
页码:
190-192
栏目:
护理研究
出版日期:
2022-10-15

文章信息/Info

Title:
Application and Effect Evaluation of Omaha System in Continuous Nursing of Patients with Urinary Stoma
文章编号:
1006-1959（2022）20-0190-03
作者:
孙 彤
（天津南开医院泌尿外科，天津 300113）
Author(s):
SUN Tong
(Department of Urology,Tianjin Nankai Hospital,Tianjin 300113,China)
关键词:
泌尿造口; 延续护理; 奥马哈系统; 病耻感; 自护能力
Keywords:
Urinary stoma; Continuing nursing; Omaha system; Stigma; Self-care ability
分类号:
R473.6
DOI:
10.3969/j.issn.1006-1959.2022.20.053
文献标志码:
A
摘要:
目的 评价奥马哈系统在泌尿造口患者延续护理中的应用效果。方法 选取2019年2月-2020年12月于我院泌尿外科接受泌尿造口的60例患者为研究对象，采用随机数字表法分为对照组和观察组，各30例。对照组实施常规延续护理，观察组则以奥马哈系统为理论依据开展延续护理。比较两组并发症情况、自护能力、病耻感、应对能力以及生活质量。结果 观察组造口并发症发生率为6.67%，低于对照组的26.67%（P＜0.05）；出院后3个月，两组泌尿造口自我护理量表评分、医学应对方式问卷（MCMQ）评分均高于出院时，且观察组高于对照组（P＜0.05）；两组社会影响量表（SIS）评分、造口病人生活质量量表（Stoma-QOL）评分均低于出院时，且观察组低于对照组（P＜0.05）。结论 以奥马哈系统为理论依据的延续护理可有效降低泌尿造口患者的并发症概率，同时提升其自护水平与应对能力，减少病耻感，促进院外生活质量的改善。
Abstract:
Objective To evaluate the application effect of Omaha system in continuous nursing of patients with urostomy.Methods A total of 60 patients who underwent urostomy in the Department of Urology of our hospital from February 2019 to December 2020 were selected as the research objects. They were divided into control group and observation group by random number table method, with 30 cases in each group. The control group received routine continuous nursing, while the observation group received continuous nursing based on the Omaha system. The complications, self-care ability, stigma, coping ability and quality of life were compared between the two groups.Results The incidence of stoma complications in the observation group was 6.67%, which was lower than 26.67% in the control group(P<0.05). Three months after discharge, the scores of urinary stoma self-care scale and medical coping style questionnaire (MCMQ) in the two groups were higher than those at discharge, and the observation group was higher than the control group(P<0.05). The scores of social impact scale (SIS) and stoma quality of life scale (Stoma-QOL) in the two groups were lower than those at discharge, and those in the observation group were lower than those in the control group (P<0.05).Conclusion Continuing nursing based on Omaha system can effectively reduce the probability of complications in patients with urostomy, improve their self-care level and coping ability, reduce stigma, and promote the improvement of quality of life outside the hospital.

参考文献/References:

[1]金璐,陈晴峰.叙事护理对全膀胱切除术后尿流改道腹壁造口患者焦虑及抑郁负性情绪的影响[J].现代泌尿生殖肿瘤杂志,2021,13(2):111-113.[2]于春亚,岳引.系统护理对膀胱癌泌尿造口老年患者生活质量及焦虑抑郁情绪的影响分析[J].国际护理学杂志,2019(9):1184-1187.[3]于敬.延续护理在全膀胱切除皮肤造口术后患者中的应用评价[J].继续医学教育,2020,34(5):106-108.[4]何凤连,郑廉珠,张娇霞.以奥马哈系统为基础的延续性护理在结直肠癌造口患者中的应用效果[J].黑龙江医学,2021,45(14):1511-1512,1515.[5]傅素靓,周小波,叶志弘,等.泌尿造口自我护理量表的汉化及信效度检测[J].中国实用护理杂志,2014,30(25):54-55.[6]Bird A,Wilson K,Bertinara A,et al.Educating patients in stoma care[J].British Journal of Nursing (Mark Allen Publishing),2019,28(5):S4-S5.[7]陈益琦,周伟伟,王慧静,等.应对方式在永久性结肠造口患者述情障碍和生活质量间中介作用的研究[J].护理与康复,2020,19(11):5-9.[8]张碧群,古玉华,刘建莉.以奥马哈系统为理论依据的泌尿造口患者延续护理方案的价值[J].齐齐哈尔医学院学报,2017,38(3):367-368.[9]Lim SH,Chan S,Lai JH,et al.A qualitative evaluation of the STOMA psychosocial intervention programme for colorectal cancer patients with stoma[J].Journal of Advanced Nursing,2019,75(1):108-118.[10]郑莉莉,宋英英,宋金蕾,等.延续性护理对泌尿造口患者生活质量的影响[J].中华现代护理杂志,2016,22(27):3954-3957.[11]朱秋华,蔡云霞,肖珍.奥马哈系统在膀胱癌术后尿路造口患者延续护理中的临床应用[J].吉林医学,2020,41(11):2771-2773.[12]苏晓萍,张丽萍,李毅宁.奥马哈系统在泌尿造口患者延续护理中的应用和效果评价[J].中华护理杂志,2016,51(4):389-394.[13]程方方,张欢,李嘉宁,等.结直肠癌造口术后患者病耻感对心理弹性和生活质量及造口并发症的影响[J].中华肿瘤防治杂志,2021,28(11):852-857.[14]张培,蒋静,张瑜,等.基于奥马哈系统的延续护理对泌尿造口患者病耻感的影响[J].现代医学,2019,47(12):1532-1537.[15]杨柳,梁秀凤.以奥马哈系统为理论依据的延续护理在泌尿造口患者中的应用效果[J].中国实用护理杂志,2018,34(12):912-916.

相似文献/References:

[1]娄 玥.延续护理对冠心病PCI患者术后康复的应用效果分析[J].医学信息,2019,32(01):181.[doi:10.3969/j.issn.1006-1959.2019.01.059]
　LOU Yue.Analysis of the Effect of Continuous Nursing on Postoperative Rehabilitation of Patients with Coronary Heart Disease Undergoing PCI[J].Journal of Medical Information,2019,32(20):181.[doi:10.3969/j.issn.1006-1959.2019.01.059]
[2]傅小毅.延续护理模式对角膜屈光术后用药依从性的研究[J].医学信息,2019,32(06):182.[doi:10.3969/j.issn.1006-1959.2019.06.060]
　FU Xiao-yi.Study on the Compliance of Medication in Postoperative Corneal Refractive Surgery with Continuous Nursing Mode[J].Journal of Medical Information,2019,32(20):182.[doi:10.3969/j.issn.1006-1959.2019.06.060]
[3]姚 薇,倪慧珏.应用“康复助手”在PICC置管患者延续护理中 自我管理能力的影响[J].医学信息,2019,32(16):178.[doi:10.3969/j.issn.1006-1959.2019.16.061]
　YAO Wei,NI Hui-jue.Application of "Rehabilitation Assistant" in PICC to Manage the Influence of Self-management Ability in Patients' Continuous Care[J].Journal of Medical Information,2019,32(20):178.[doi:10.3969/j.issn.1006-1959.2019.16.061]
[4]张志英,冯欢欢,杨利中.基于微信平台的延续护理模式在术后患者中应用的文献计量学研究[J].医学信息,2019,32(24):3.[doi:10.3969/j.issn.1006-1959.2019.24.002]
　ZHANG Zhi-ying,FENG Huan-huan,YANG Li-zhong.Bibliometric Study of the Application of Continuous Nursing Mode Based on WeChat Platform in Postoperative Patients[J].Journal of Medical Information,2019,32(20):3.[doi:10.3969/j.issn.1006-1959.2019.24.002]
[5]于 洋.“5E”康复模式在冠心病患者延续性护理中的应用[J].医学信息,2020,33(07):186.[doi:10.3969/j.issn.1006-1959.2020.07.063]
　YU Yang.Application of "5E" Rehabilitation Model in Continuous Nursing of Patients with Coronary Heart Disease[J].Journal of Medical Information,2020,33(20):186.[doi:10.3969/j.issn.1006-1959.2020.07.063]
[6]李杰萍,顾桂芹.延续护理改善门诊2型糖尿病患者对疾病正确认知的质性研究[J].医学信息,2020,33(22):179.[doi:10.3969/j.issn.1006-1959.2020.22.053]
　LI Jie-ping,GU Gui-qin.Qualitative Study on Continuous Nursing for Improving the Correct Cognition of Disease in Type 2 Diabetes Mellitus Patients in Outpatient Clinic[J].Journal of Medical Information,2020,33(20):179.[doi:10.3969/j.issn.1006-1959.2020.22.053]
[7]杨钰芹,寇红艳,花 霞,等.以医护一体化为基础的延续护理在永久性肠造口患者中的应用[J].医学信息,2021,34(02):180.[doi:10.3969/j.issn.1006-1959.2021.02.051]
　YANG Yu-qin,KOU Hong-yan,HUA Xia,et al.Application of Continuous Nursing Based on the Integration of Medical Care in Patients with Permanent Enterostomy[J].Journal of Medical Information,2021,34(20):180.[doi:10.3969/j.issn.1006-1959.2021.02.051]
[8]孙维禧,王艳梅,李 萍,等.“医院-社区-家庭”联动的糖尿病延续护理开展现状及存在问题的质性研究[J].医学信息,2021,34(10):179.[doi:10.3969/j.issn.1006-1959.2021.10.053]
　SUN Wei-xi,WANG Yan-mei,LI Ping,et al.A Qualitative Study on the Current Status and Problems of the Implementation of "Hospital-community-family" Linkage Continuing Care for Diabetes Mellitus[J].Journal of Medical Information,2021,34(20):179.[doi:10.3969/j.issn.1006-1959.2021.10.053]
[9]姬 卿.医养结合模式下延续护理在老年前列腺增生患者中的应用效果[J].医学信息,2022,35(08):178.[doi:10.3969/j.issn.1006-1959.2022.08.047]
　JI Qing.Application Effect of Continuous Nursing in Elderly Patients with Benign Prostatic Hyperplasia Under Hospital-pension Service Model[J].Journal of Medical Information,2022,35(20):178.[doi:10.3969/j.issn.1006-1959.2022.08.047]
[10]李 彤.远程网络多学科合作团队延续护理对慢性心力衰竭患者心功能和生活质量的影响[J].医学信息,2024,37(04):156.[doi:10.3969/j.issn.1006-1959.2024.04.030]
　LI Tong.Effect of Continuous Nursing of Remote Network Multidisciplinary Cooperation Team on Cardiac Function and Quality of Life in Patients with Chronic Heart Failure[J].Journal of Medical Information,2024,37(20):156.[doi:10.3969/j.issn.1006-1959.2024.04.030]

更新日期/Last Update: 1900-01-01