基于奥马哈系统的延续护理在结直肠癌造口患者中的应用效果观察

The Application Effect Observation of Continuous Care Based on Omaha System in Colorectal Cancer Patients with Colostomy

目的观察基于奥马哈系统的延续护理在结直肠癌造口患者中的应用效果。方法选择化州市人民医院普外科2016年2月至2020年2月收治行手术治疗的110例结直肠癌患者作为研究对象,根据院外实施的护理模式不同分为两组,每组55例,对照组患者术后予以常规护理措施干预,观察组患者术后予以基于奥马哈系统的延续护理干预。采用造口患者生活质量量表评估两组患者护理干预前后生活质量;比较两组患者护理干预后自护能力评分;采用奥马哈系统结局的评估方式从认知、行为、状况等方面对两组患者护理问题改善情况进行评估。结果观察组护理干预后生活质量评分低于护理干预前及对照组护理干预后,差异有统计学意义(P<0.05);观察组护理干预后技能、责任感、概念、健康认知等自护能力评分及总分均高于对照组护理干预后,差异有统计学意义(P<0.05);观察组疼痛、性功能、休息状态、精神健康等护理问题改善情况优于对照组,差异有统计学意义(P<0.05)。结论结直肠癌造口患者实施基于奥马哈系统的延续性护理干预效果良好,生活质量、自护能力及护理问题改善情况均得到显著性改善。

Objective To observe the effect of continuous care based on Omaha system in colorectal cancer patients with colostomy.Methods A total of 110 patients with colorectal cancer treated by surgery in the department of general surgery of People’s hospital of Huzhou from February 2016 to February 2020 were selected as the research objects.They were divided into two groups according to the different nursing modes implemented outside the hospital,55 cases in each group.The control group was given conventional nursing intervention after surgery,and the observation group was given continuous nursing intervention based on Omaha system after surgery.The ostomy patients’quality of life scale was used to evaluate the life quality before and after nursing intervention in two groups.The self-care ability scores of two groups after nursing intervention were compared.The Omaha system outcome was used to evaluate the improvement of nursing problems in the two groups from the aspects of cognition,behavior and condition.Results The life quality score of observation group after nursing intervention was lower than that of before nursing intervention and the control group after nursing intervention,the difference was statistically significant(P<0.05).After nursing intervention,the self-care ability score and total score of the observation group were higher than those of the control group,the difference was statistically significant(P<0.05).The improvement of pain,sexual function,resting state,mental health and other nursing problems in the observation group was better than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Omaha system continuous care intervention for colorectal cancer patients undergoing colostomy has a good effect,and the quality of life,self-care ability and improvement of nursing problems have been significantly improved.