奥马哈问题分类系统及干预类别在导管相关性尿路感染护理中的应用

Application of classification system and intervention classes of Omaha problem in nursing catheter-associated urinary tract infections

目的:探讨奥马哈问题分类系统及干预类别在导管相关性尿路感染居家护理患者中应用情况。方法:以奥马哈系统为框架制定导管相关性尿路感染患者护理问题评估表,评估45例患者的居家护理问题情况及选择实施相应的干预类别情况。结果:45例患者现存的护理问题共551个,平均每例12.2个,发生率较多的有皮肤、尿路刺激症状、个人照顾、悲伤、卫生等,潜在的并发症28个,平均0.6个;患者延续护理干预共705个,平均每例15.7个,干预类别中教育、指导咨询共353个,治疗和程序共16个,个案管理共29个,检测共307个。结论:奥马哈系统能够有效全面评估导管相关性尿路感染患者延续护理问题,并根据护理问题制定切实可行的干预措施,以改善患者生活质量,促进院外康复。

Objective： To explore the application of classification system and intervention classes of Omaha problem in nursing catheter-associated urinary tract infections. Methods： Nursing assessment form of catheter-associated urinary tract infections was made by the Omaha system as the framework. Nursing problems at home of 45 patients were assessed and the appropriate intervention category was selected. Results： There were 551 nursing problems in 45 patients, 12.2 problems in each patient. The incidence of skin, urinary tract irritation symptoms, personal care, sadness, health and so on was high. 28 problems were the potential complications, 0.6 problem in each case. There were 705 problems in continued nursing intervention, 15.7 problems in each case. 353 problems were treaed by education, guidance and counseling. 16 problems were treated by treatment and procedures. 29 problems were treated by case management. 307 problems were treated by detection. Conclusion： The Omaha system can comprehensively evaluate the continuous nursing problems in patients with catheter-related urinary tract infection, and make practical intervention measures according to the nursing problems, in order to improve the quality of life and the rehabilitation outside the hospital.