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
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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.
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Key words:
- peritoneal dialysis /
- Omaha system /
- continuous nursing /
- peritonitis /
- intestinal obstruction /
- self-care ability
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