以奥马哈系统为基础的延续性护理在结直肠癌造口患者中的应用效果

Application Effect of Continuous Nursing Based on Omaha System in Patients with Colorectal Cancer Stoma

目的:探讨以奥马哈系统为基础的延续性护理在结直肠癌造口患者中的应用效果。方法:选择廉江市人民医院2017年7月—2020年7月收治的82例结直肠癌患者,按随机数字表法分为两组。对照组(41例)采取常规护理,观察组(41例)实施以奥马哈系统为基础的延续性护理。比较两组干预30 d时疾病护理知识和技能掌握情况,干预前和干预30 d时自我管理能力[自我护理能力测定量表(ESCA)]评分,观察并统计并发症发生率。结果:干预前两组ESCA评分比较差异无统计学意义(P>0.05)。观察组干预30 d后ESCA评分和疾病护理知识和技能掌握度高于对照组(P<0.05);并发症总发生率为2.44%,低于对照组的19.51%(P<0.05)。结论:结直肠癌造口患者经以奥马哈系统为基础的延续性护理干预后,能够促进患者对疾病护理知识掌握度和自我管理能力的提高,降低并发症发生率。

Objective: To explore the application effect of continuous care based on Omaha system in patients with colorectal cancer stoma. Methods: A total of 82 patients with colorectal cancer admitted to the hospital from July 2017 to July 2020 were selected and divided into two groups according to a random number table. The control group(41 cases) took routine care, and the observation group(41 cases) performed continuation care based on the Omaha system. The two groups’ disease nursing knowledge and skills at 30 days of intervention, self-management ability [Self-Care Ability Measurement Scale(ESCA)] scores before and 30 days after intervention were compared, the incidence of complications was observed and counted. Results: There was no statistically significant difference in ESCA scores between the two groups before intervention(P>0.05). The ESCA score and disease care knowledge and skills mastery of the observation group after 30 days of intervention were higher than those of the control group(P<0.05). The total incidence of complications was 2.44%, which was lower than 19.51% in the control group(P<0.05). Conclusion:Continual nursing intervention based on the Omaha system for colorectal cancer patients with stoma can improve the patients’ knowledge of disease care and self-management ability, and reduce the incidence of complications.