摘要
目的 探索奥马哈系统应用于护养中心老年慢性病的方法及前景.方法 采取立意抽样法选择2013年5～8月入住青杠老年护养中心的老年慢性病患者护理记录107份,对描述症状体征、干预措施及护理结局的语句按照奥马哈系统框架进行内容分析.结果 从护养中心老年慢性病患者护理记录中提取描述症状体征、干预措施及护理结局的分析单元4 530个,与奥马哈系统概念完全吻合2 227条,占总数的49.16%;护理问题集中在生理领域（68.92%）,护理措施集中在对患者安全、服用药物的教育、指导和咨询以及护理照顾（8.79%、8.09%、8.04%）.结论 奥马哈系统问题分类和干预方案涵盖护养中心老年慢性病护理记录的大部分内容,可用于指导临床护理实践和研究.
Objective To explore the application and prospect of the Omaha System in care of elderly chronic disease in a senior care center. Methods The nursing records of 107 elderly people with chronic diseases admitted to the Chongqing Qinggang Senior Care Center from May to Aug. 9013 were seletcted by iudgment sampling method. The sentences depicting symptoms, signs, interven- tion measures, and nursing outcomes were analyzed according to the Omaha framework. Results From the nursing records, 4 530 a- nalysis units involving symptoms, signs, intervention measures, and nursing outcomes were selected, 2 227 （49. 16 %） of which completely coincided with the Omaha System concepts. Nursing problems were focussed on physiological domain （68.92 %）. Nur- sing interventions were focussed on teaching, guidance, and counseling of safety and drug use, and nursing care （8.79 %, 8.09 %, 8.04 % ）. Conclusion The problem classification scheme and the intervention scheme of the Omaha System cover most of the con- tents of nursing records of elderly chronic diseases in senior care center, and can be used to guide clinical nursing practice and re- search.
关键词
护养中心
老年人
慢性病
护理记录
奥马哈系统
比对分析
enior care center
the elderly
chronic disease
nursing records
the Omaha system
comparative analysis
