基于奥马哈系统的延续护理在全子宫切除患者中的应用

Application of Omaha System-Based Continuous Nursing in Patients Undergoing Total Hysterectomy

目的观察以奥马哈系统为基础的延续护理模式对全子宫切除患者自我感受负担的影响。方法随机数表法将2016年1月至2019年1月在本院行全子宫切除术的40例患者分为观察组和对照组,各20例。出院时给予对照组患者健康知识手册,出院3个月内完成常规回访。观察组在此基础上接受以奥马哈系统为基础的延续护理模式干预。干预3个月后,对两组患者进行自我感受负担、生活质量评价,并记录护理满意度。结果干预3月后,观察组患者无明显自我感受负担率、生活质量量表(SF-36)评分以及护理满意度分别为75.00%、(81.83±10.27)分、85.00%,对照组分别为35.00%、(72.19±11.58)分、50%,两组比较存在显著差异(P<0.05)。结论以奥马哈系统为基础的延续护理模式可显著减轻全子宫切除术后患者的自我感受负担,提高其生活质量、对护理的满意度,值得临床推广应用。

Objective To observe effects of Omaha system-based continuous nursing on self-perceived burden of patients undergoing total hysterectomy.Methods A total of 40 patients who underwent total hysterectomy in the hospital between January 2016 and January 2019 were divided into observation group and control group by random number table method,20 cases in each group.Patients in the control group were given health knowledge manuals on discharge,and all of them completed 3 months of follow-up after discharge.On this basis,patients in the observation group were given Omaha system-based continuous nursing.Self-perceived burden and quality of life of both groups were assessed,and nursing satisfaction was recorded after 3 months of intervention.Results After 3 months of intervention,the rate of no apparent self-perceived burden,the short form 36 health survey(SF-36)score and nursing satisfaction of the observation group were 75.00%,(81.83±10.27)points and 85.00%,which of the control group were 35.00%,(72.19±11.58)points and 50%,showing significant differences between the 2 groups(P<0.05).Conclusion Omaha system-based continuous nursing can significantly reduce the self-perceived burden of patients undergoing total hysterectomy,improve their quality of life and satisfaction with nursing.