摘要
目的:探讨奥马哈系统在社区脑卒中溶栓患者康复护理中的应用。方法:收集2012年3月-2014年5月因脑卒中在本社区附近三甲医院进行溶栓治疗的本社区患者95例,患者出院后1个月内在本社区医院社康中心进行康复护理干预,均行3次社区家庭访视,采用奥马哈系统评估护理问题,并在实施针对性干预后对患者从认知方面进行结局评价。结果:脑卒中溶栓患者经家庭访视得知,在认知结局中,住宅、排便功、营养以及药物治疗方面,首次家访和第三次家访差异并不显著,在其他项目方面差异均比较显著(P<0.05)。结论:通过对出院后1个月内的脑卒中溶栓患者采取社区康复护理干预后,应用奥马哈系统从认知方面进行结局评价,可明确干预效果,为评价社区康复护理干预效果提供依据。
Objective： To explore the application of the Omaha system to rehabilitation nursing for patients with stroke thrombolysis in community.Method： 95 patients who were treated in thrombolysis treatment in community near by the 3A hospital were chosen as objects from March 2012 to May 2014.Patients adopted rehabilitation nursing intervention in the community hospital within one month after discharge from our hospital social health center.Three times family visits were paid to every patient. And then Omaha system was used to evaluate the nursing problems, and outcome evaluations of the patient＇s cognitive was made after the implementation of targeted interventions for patiants.Result： With the results of family visits to stroke thrombolysis patients, it could be known that, about the cognitive outcome, the difference was not significant between the first and the last home visit in patients＇ residential （ P〉0.05 ）, while the differences were relatively significant in other projects （ P〈0.05 ） .Conclusion： After the rehabilitation nursing intervention is performed in stroke thromboysis patients within one month after the discharge, the Omaha system makes evaluations of patient＇s cognition. This method can clearly definite the intervention effect and provide a basis for evaluating the rehabilitation nursing intervention.
出处
《中国医学创新》
CAS
2015年第22期85-88,共4页
Medical Innovation of China
基金
国家医学教育发展中心(2011-058-04-022)
关键词
奥马哈系统
脑卒中
康复护理
The Omaha system
Stroke
Rehabilitation nursing
