基于奥马哈系统的延续护理对腹膜透析腹膜炎致肠梗阻病人自我护理能力的改善作用
The improving effect of the continuous nursing based on Omaha system on self-care ability in patients with intestinal obstruction caused by peritoneal dialysis peritonitis
-
摘要: 目的：探讨基于奥马哈系统的延续护理对腹膜透析腹膜炎致肠梗阻病人自我护理能力的改善作用。方法：选取腹膜透析腹膜炎致肠梗阻病人68例，随机分为对照组和观察组，各34例。对照组采用常规护理，观察组在对照组基础上采用基于奥马哈系统延续护理。比较2组疾病知识掌握程度、自我护理能力量表（ESCA）评分、健康行为量表（HPLP）评分与简明健康测量量表（SF-36）评分。结果：出院时，2组病人疾病知识掌握程度、ESCA评分、HPLP评分以及SF-36评分差异均无统计学意义（P>0.05），出院后3个月，所有病人上述指标均高于出院时（P<0.05~P<0.01），观察组上述指标均高于对照组（P<0.05~P<0.01）。结论：基于奥马哈系统的延续护理有助于显著改善腹膜透析腹膜炎致肠梗阻病人疾病知识掌握程度、自我护理能力、健康行为与生活质量。Abstract: Objective:To investigate the improving effects of the continuous nursing based on Omaha system on self-care ability in patients with intestinal obstruction caused by peritoneal dialysis peritonitis.Methods:Sixty-eight patients with intestinal obstruction caused by peritoneal dialysis peritonitis were randomly divided into the control group and observation group(34 cases each group).The control group and observation group were nursed with routine care and continuous nursing based on Omaha system,respectively.The disease knowledge,and scores of exercise of self-care agency scale(ESCA),health promoting lifestyle profile(HPLP) and short form 36 health survey questionnaire(SF-36) between two groups were compared.Results:At discharge,the differences of the disease knowledge,and scores of ESCA,HPLP and SF-36 between two groups were not statistically significant(P>0.05).After 3 months of discharge,the indicators of patients were significantly higher than those at discharge(P<0.05 to P<0.01),and the indicators in observation group were significantly higher than those in control group(P<0.05 to P<0.01).Conclusions:The continuous nursing based on Omaha system can significantly improve the disease knowledge and self-care ability,behavioral health and life quality of patients with intestinal obstruction caused by peritoneal dialysis peritonitis.
-
Key words:
- peritoneal dialysis /
- Omaha system /
- continuous nursing /
- peritonitis /
- intestinal obstruction /
- self-care ability
-
[1] BERQIAN M,SCHAEPE C.Educational strategies and challenges in peritoneal dialysis:a qualitative study of renal nurses' experiences[J].J Clin Nurs,2016,25(11/12):1729. [2] 朱雪.系统护理对肠梗阻患者心理负担的影响[J].中国卫生标准管理,2016,25(1):244. [3] 毕春晖,刘素莲,谭霞,等.延续护理对经皮冠状动脉支架植入术后患者自我护理能力和健康行为的影响[J].中华护理杂志,2013,48(6):503. [4] PERL J,BARGMAN JM.Peritoneal dialysis:from bench to bedside and bedside to bench[J].Am J Physiol Renal Physiol,2016,311(5):F999. [5] DIAS DB,BANIN V,MENDES ML,et al.Peritoneal dialysis can be an option for unplanned chronic dialysis:initial results from a developing country[J].Int Urol Nephrol,2016,48(6):901. [6] 丁飚,张妮娜,卢逢娣,等.2型高危糖尿病足病人糖尿病知识的认知状况及其影响因素[J].护理研究,2016,30(13):1595. [7] ABASI MH,ESLAMI AA,RAKHSHANI F,et al.Development and psychometric properties of a self-regulation scale about leisure time physical activity in Iranian male adolescents[J].Iran J Nurs Midwifery Res,2016,21(2):183. [8] THACKER K,STAVARSKI DH,BRANCATO V,et al.CE:An Investigation into the Health-Promoting Lifestyle Practices of RNs[J].Am J Nurs,2016,116(4):24. [9] 左晶晶,任红,徐天,等.低GDPs腹膜透析液及其对腹膜透析的影响[J].中国血液净化,2016,15(4):196. [10] 钟月明,陈慧,张柳华,等.奥马哈系统在层级护士个案管理中的应用[J].全科护理,2016,14(7):737. [11] 周文娟,高莹,尹月娥,等.基于奥马哈系统在产科出院患者随访模式的应用研究[J].中国医药科学,2016,35(2):91. [12] 刘丽红,丁静,阎爽,等.延续护理对Ⅱ型糖尿病患者自我护理能力和健康行为的影响[J].护士进修杂志,2015,34(14):1336. [13] 李淑霞,李亚洁.延续性护理对老年高血压患者健康行为的影响[J].中华现代护理杂志,2013,19(1):16. [14] 高晓洁,季梅丽,杨阳,等.延续护理对经皮冠状动脉支架植入术后患者自我护理能力及健康行为的影响[J].蚌埠医学院学报,2014,41(12):1714. [15] 岳爱学,王小芳,陈波.基于网络干预的延续护理对冠脉搭桥术后患者健康相关行为的影响[J].护士进修杂志,2015,34(12):1129. [16] 周博,杨玉洁.延续性护理干预对脑卒中病人健康行为的影响[J].全科护理,2015,13(29):2914. [17] 崔建蓉.联动式健康教育模式在糖尿病延续护理中的应用[J].护理研究,2015,19(33):4197. -
点击查看大图
计量
- 文章访问数: 3687
- HTML全文浏览量: 492
- PDF下载量: 98
- 被引次数: 0
下载:
