基于奥马哈问题分类系统对肠造口患者出院后护理问题的评估

Assessment of Colostomy Patient's Nursing Query after Discharge based on Qmaha Question Classification System

目的探索基于奥马哈问题分类系统对肠造口患者出院后1个月存在的护理问题评估。方法便利抽样选取2013年7-12月哈尔滨医科大学第二附属医院结乙直肠外科造口患者40例,以奥马哈问题分类系统为依据,对出院后1个月的40例肠造口患者进行电话随访,对患者存在的护理问题进行分析、归类,为临床护理提供依据。结果出院后1个月肠造口患者的护理问题主要是精神健康、身体活动、个人照顾、排便功能、造口黏膜水肿、社交、营养、睡眠和休息型态、皮肤,其发生率均超过70%。结论在对肠造口患者的评估中应用奥马哈系统,能够从生理、心理和社会等方面全面评估患者,从而制定相应的护理干预方案,有利于整体护理和医院-社区-家庭一体化的全程护理干预模式的形成。

Objective To explore the assessment of colostomy patient＇s nursing problems of 1 month after discharge based on Omaha question classification system. Methods By convenience sampling, 40 patients were selected and had telephone followed-up 1 month after discharge based on Omaha classification sys tern, and the nursing problems were analyzed and classified to provide evidences for clinical nursing.Results The main nursing problems of patients 1 month after discharge were mental health, physical activities, personal care, defecation function, stoma mucosal edema, social activities, nutrition, sleep and rest, skin type,and the incidence rates were more than 70 ~ .Conclusion The application of Omaha classification sys- tern in assessment of colostomy patients can assess the patient from physical, thus to set corresponding nursing intervention strategies, which are good for mental and social the formulation aspects, of whole process nursing intervention model of hospital-community-family.