基于奥马哈系统的延续性护理在结直肠癌患者护理中的应用效果

Efficacy of Omaha system-based continuing care in the care of colorectal cancer patients

目的探讨基于奥马哈系统的延续性护理在结直肠癌患者护理中的应用效果。方法选取2019年10月—2020年10月河南省某医院收治的结直肠癌患者280例为研究对象。采用随机数字表法将患者分为对照组与研究组,每组140例。对照组患者采用常规延续性护理。研究组患者在对照组基础上进行基于奥马哈系统的延续性护理。比较2组患者出院时及出院1个月时抑郁自评量表(SDS)、焦虑自评量表(SAS)评分;比较2组患者出院时及出院1个月时健康促进生活方式量表(HPLP)评分。结果出院时,2组患者SDS及SAS评分比较,差异无统计学意义(P>0.05)。出院2个月时,2组患者SDS及SAS评分均低于出院时,且研究组低于对照组,差异具有统计学意义(P<0.05)。出院时,2组患者HPLP中心理健康、营养、躯体活动、健康责任、人际关系、压力管理维度评分比较,差异无统计学意义(P>0.05)。出院1个月时,2组患者HPLP中心理健康、营养、躯体活动、健康责任、人际关系、压力管理维度评分均高于出院时,且研究组高于对照组,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在结直肠癌患者护理中的应用效果显著,可以改善患者的不良情绪,促进患者健康行为的养成,值得临床推广应用。

Objective To explore the efficacy of continuing care based on the Omaha system in the care of patients with colorectal cancer.Methods Two hundred and eighty colorectal cancer patients admitted to a hospital in Henan from October 2019 to October 2020 were selected for the study.A random number table was used to divide the patients into the control group and the study group,with 140 cases in each group.Patients in the control group received conventional continuing care,and patients in the study group underwent continuing care based on the Omaha system in addition.The scores of self-rating depression scale(SDS)and self-rating anxiety scale(SAS)at the time of discharge and 1 month after discharge were compared between the 2 groups;the scores of health promoting lifestyle profile(HPLP)at the time of discharge and 1 month after discharge were compared between the 2 groups.Results At discharge,there was no statistically significant difference between the SDS and SAS scores of the 2 groups(P>0.05).At 1 month after discharge,the SDS and SAS scores of the 2 groups were lower than those at discharge and lower in the study group than in the control group,with statistically significant differences(P<0.05).At discharge,there was no statistically significant difference between the scores for mental health,nutrition,physical activity,health responsibility,interpersonal relationship and stress management in the HPLP of the 2 groups(P>0.05).At 1 month of discharge,the scores for mental health,nutrition,physical activity,health responsibility,interpersonal relationship and stress management in HPLP were higher in both groups than at discharge and higher in the study group than in the control group,with statistically significant differences(P<0.05).Conclusion The application of continuing care based on the Omaha system in the care of colorectal cancer patients is effective.It improves patients'bad mood,promotes the development of healthy behaviors,and is worthy of clinical promotion and application.