奥马哈系统护理模式对宫颈癌术后患者生存质量的影响

The influence of Omaha systematic nursing model on life quality of postoperative patients suffered from cervical carcinoma

目的探讨以奥马哈系统为框架的护理模式干预对宫颈癌术后患者生存质量的影响作用。方法将120例宫颈癌术后患者按入院顺序先后随机分为研究组60例和对照组60例,研究组患者以奥马哈系统为框架的护理模式干预,对照组患者给予常规护理,应用90项症状自评表(SCL-90)测定两组宫颈癌术后患者的心理状况,同时采用生存质量核心量表(QOL-C30)评价两组患者的生存质量,并进行对照比较。结果研究组SCL-90评定总分、总均分、阳性项目数、躯体化、强迫、抑郁、焦虑、敌对、恐怖和偏执等因子分均低于对照组;研究组QOL-C30评分明显高于对照组,两组比较,差异均有统计学意义(P<0.01)。结论对宫颈癌术后患者实施以奥马哈系统为框架的护理模式干预,可明显消除宫颈癌术后患者焦虑、抑郁的心理障碍,能增强患者治疗的信心,从而促进其康复,最大限度地提高宫颈癌术后患者生存质量。

Objective To explore the impact of Omaha Systematic Nursing Model on the life quality of postoperative patients suffered from cervical carcinoma.Methods 120 cases of the postoperative patients suffered from the cervical carcinoma were divided into research group（ n = 60） and control group（ n = 60） randomly in order. The research group used Omaha Systematic Nursing Model and the control group used normal nursing only.Two groups separately used SCL-90 to test the psychological situation of the patients suffered from the cervical carcinoma and also used QOL-C30 to assess the life quality of the patients,and compared the results. Results The total assessment mark of SCL-90,total average mark,positive items,somatization,force,depressed,dysphoria,hostile,horrible and stubborn factors of the research group were lower than those of the control group.The QOL-C30 assessment mark of the research group was higher than that of the control group（ P 0. 01）.Conclusions The use of Omaha Systematic Nursing Model could evidently eliminate the psychological barrier of depressed and dysphoria of the patients,intensify the confidence of the patients,so as to improve their recovery and reach maximum degree of the life quality.