奥马哈系统对类风湿关节炎患者延续性护理的效果研究

EFfect study of Omaha system on continuous nursing for patients with rheumatoid arthritis

目的探讨基于奥马哈系统的延续性护理在类风湿关节炎(RA)患者的应用效果。方法选择2018年10月至2020年10月江西省萍乡市人民医院收治的60例RA患者,按随机数字表法分为对照组和观察组,每组各30例。对照组采取常规延续护理,观察组采用以奥马哈系统构建的延续性护理模式干预。比较两组的临床疗效和护理满意度,干预前和干预3个月的自我护理能力[自我护理能力量表(ESCA)]、健康行为依从性、功能状态[健康评估问卷(HAQ)]和生活质量评分。结果观察组的治疗总有效率为93.33%,高于对照组的73.33%,观察组干预后的ESCA为(96.85±6.05)分、健康行为依从性为(70.95±3.37)分、HAQ为(34.72±3.26)分、生活质量为(68.98±5.13)分,高于对照组的(76.63±6.02)、(56.69±3.42)、(25.67±3.24)、(53.74±5.01)分;观察组的护理总满意度为93.33%,高于对照组的70.00%,差异均有统计学意义(P<0.05)。结论基于奥马哈系统的延续性护理能提高RA患者临床效果,提升患者自我护理能力和健康行为依从性,促进功能状态和生活质量改善,有助于提高护理满意度。

Objective To explore the application effect of continuation care based on Omaha system in patients with rheumatoid arthritis(RA).Methods From October 2018 to October 2020,60 patients with RA admitted to Pingxiang People′s Hospital,Jiangxi Province were selected and divided into the control group and the observation group according to random number table method,30 cases in each group.The control group took routine continuation care,and the observation group used the continuation care model constructed by the Omaha system.The clinical efficacy and nursing satisfaction of the two groups were compared,self-care ability,health behavior compliance,functional status,and quality of life before and at 3 months of intervention.Results The total effective rate of treatment in the observation group was 93.33%,which was higher than that of(73.33%)in the control group.After the intervention,ESCA was(96.85±6.05)points,health behavior compliance was(70.95±3.37)points,HAQ was(34.72±3.26)points,quality of life was(68.98±5.13)points,which were higher than those of the control group′s(76.63±6.02),(56.69±3.42),(25.67±3.24),(53.74±5.01)points,and the total nursing satisfaction was 93.33%,which was higher than that of the control group 70.00%,there were astatistical difference(P<0.05).Conclusion Continuing care based on the Omaha system can improve the clinical efficacy of RA patients,enhance the patients′self-care ability and health behavior compliance,promote the improvement of functional status and quality of life,and help improve nursing satisfaction.