摘要
[目的]探索基于奥马哈系统心力衰竭病人的延续护理方案的构建与应用。[方法]以奥马哈系统为理论框架,结合文献分析、质性研究等结果,制定心力衰竭病人延续护理方案。采用便利抽样法抽取63例心力衰竭出院病人进行延续护理方案干预,对其认知、行为等方面进行评估。[结果]出院后1个月与2个月,心力衰竭病人在生理、心理、环境、健康相关行为4大领域的活动耐力、呼吸、社交及社会支持、心理健康、睡眠、饮食与饮水、医疗及护理方案、医疗护理费用支出、生活环境及习惯9个方面均得到改善,差异有统计学意义(P<0.05)。[结论]基于奥马哈系统构建的心力衰竭病人延续护理方案科学、全面、有效,可为心力衰竭病人延续护理方案的构建与个体化制定提供参考。
Objective:To explore the construction and application of Omaha System in continuous nursing for patients with heart failure.Method:Taking the Omaha system as the theoretical framework,combined with literature analysis and qualitative research,a continuous nursing plan for patients with heart failure were developed.Totally 63 patients with heart failure,who were selected by convenience sampling,received continuous nursing.And knowledge,behavior and other aspects among patients were evaluated.Results:One month and two months after hospital discharge,nine problems,involving stamina,breathing,sociability and perceived social support,mental health,sleep,diet and drinking water,medical care and nursing scheme,medical care expenditure,living environment and habits in heart failure patients,in the four fields of physical,psychological,environmental,and health related activities,were improved.The differences were statistically significant(P<0.05).Conclusion:The constructed continuous nursing program for patients with heart failure based on Omaha system-based was scientific,comprehensive and effective,which could provide reference for the construction and individual formulation of continuous nursing program of patients with heart failure.
作者
曹程秀
尹琴
CAO Chengxiu;YIN Qin(People's Hospital of Putuo District in Shanghai,Shanghai 200442 China)
出处
《护理研究》
北大核心
2020年第17期3055-3059,共5页
Chinese Nursing Research
基金
上海市残疾人康复科研项目,编号:K2016010。
关键词
心力衰竭
延续护理
奥马哈系统
生理
心理
环境
健康相关行为
heart failure
continuious nursing
Omaha System
physiology
psychology
environment
health-related behavior