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奥马哈系统在结直肠癌患者延续性护理中的应用 被引量:17

Application of continuity nursing intervention based on Omaha system in patients with colorectal cancer
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摘要 目的评价奥马哈系统在结直肠癌患者延续性护理中的应用效果。方法选取2015年1月~2016年6月成都市第五人民医院行结直肠癌根治术的患者62例,采用随机数字法分为观察组和对照组,每组各31例。对照组实施常规出院指导和随访,观察组实施以奥马哈系统为理论依据构建的延续性护理干预。比较出院前后两组患者护理结局各领域认知、行为和状况评分情况。结果干预后3、6个月,观察组患者的社交、精神健康、消化、异位排便、造口周围皮肤、感染、营养、自我照护能力和居住环境的认知、行为、状况评分均明显高于出院前及对照组,差异有统计学意义(P<0.05)。结论基于奥马哈系统理论制订的结直肠癌患者延续性护理随访干预模式可以明显改善患者的护理结局。 Objective To evaluate the effects of continuity nursing intervention based on Omaha system in patients with colorectal cancer. Methods From January 2015 to June 2016, in Chengdu Fiflh People's Hospital, 62 patients with colorectal cancer underwent surgery were enrolled, and they were divided into observation group and control group by randora number table method, with 31 cases in each group. The control group was given routine discharge instruction and follow-up, the observation group was given continuity nursing intervention based on Omaha system. The knowledgebehavior-status scores in two groups were compared. Results The knowledge-behavior-status scores of social and men- tal health, digestive, ectopic defecation, skin, irLfection, self-care and living condition 3, 6 months after the intervention in observation group were significantly higher than before discharge and control group, the differences were statistically significant (P 〈 0.05). Conclusion The application of continuity nursing intervention based on Omaha system can significantly strengthen the rehabilitation prognosis of patients with colorectal cancer.
作者 杨佳艺 全大祥 王万里 邹剑 YANG Jiayi;QUAN Daxicang;WANG Wanli;ZOU Jican(Department of Anorectal,Chengdu Fifth People's Hospital,Sichuan Province,Chengdu 611130,China)
出处 《中国医药导报》 CAS 2018年第26期137-141,共5页 China Medical Herald
基金 四川省教育厅人文社会科学重点研究基地--四川医院管理和发展研究中心资助项目(SCYG2017-06)
关键词 奥马哈系统 结直肠癌 延续性护理 Omaha system Colorectal cancer Continuity nursing intervention
作者简介 通讯作者:邹剑
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