奥马哈系统在乳房再造术后患者精准护理中的应用

Application of Omaha system in precise care after the breast reconstruction

目的探讨在乳房再造术后患者精准护理中奥马哈系统的应用及其效果。方法以江苏省人民医院收治的乳腺癌术后行延期乳房再造术患者为研究对象。将2022年1月至11月收治并实施常规护理干预的35例列为对照组;将2022年12月至2023年10月收治并改进护理方案,采用奥马哈系统、实施精准护理的35例列为研究组。通过干预前后相关指标变化的比较,评估两组实际护理效果差异。结果干预前,两组在自我护理能力、性调节和身体意向评分方面差异无统计学意义(P>0.05)。干预后,研究组的自我护理能力和身体意向评分高于对照组,性调节评分低于对照组,差异有统计学意义(P<0.05)。研究组术后并发症发生率(11.43%)低于对照组(22.86%),但差异无统计学意义(χ^(2)=1.541,P=0.215)。干预后研究组的生活质量各维度评分高于对照组(P<0.05)。结论基于奥马哈系统开展精准护理,能够有效解决乳房再造术后护理问题,提高患者的自我管理能力和依从性,改善其情感生活状态,提高患者自信及生活质量,使患者康复更佳。

Objective To discuss the application value of Omaha system based precise care after breast reconstruction.Methods The patients with delayed breast reconstruction after breast cancer surgery in Jiangsu Province Hospital were selected as the study subjects.Thirty-five cases who received routine nursing interventions from January to November 2022 were selected as the control group;the study group adopted the Omaha system and precise nursing improvement nursing plan for 35 cases between December 2022 and October 2023.The changes in relevant indexes before and after intervention were compared between the two groups to evaluate the actual nursing effect.Results Before the intervention,there was no statistically significant difference in self-care ability,sexual adaptation ability and physical intention scores between the two groups(P>0.05).After the intervention,the self-care ability and physical intention scores of study group were higher than those of control group,while the sexual adaptation ability score was lower than that of control group,and the differences were statistically significant(P<0.05).Compared with control group,the incidence of postoperative complications in study group decreased,but the difference was not statistically significant(11.43%vs 22.86%,χ^(2)=1.541,P=0.215).After the intervention,the life quality scores in study group were significantly higher than control group(P<0.05).Conclusion Omaha system-based precise care can effectively solve the postoperative nursing problems,improve the patient s self-care ability,treatment compliance,emotional life status,living confidence and life quality,promote fast rehabilitation after breast reconstruction.