摘要
目的：探讨基于奥马哈系统的延续护理在高血压性脑出血患者术后康复中的应用效果。方法采用便利抽样法选择2015年7月—2016年2月嘉兴市第一医院神经外科的高血压性脑出血术后患者37例作为干预组，2014年11月—2015年6月收治的34例患者作为对照组，对照组接受高血压性脑出血患者术后常规护理，干预组在常规护理的基础上实施以奥马哈系统为框架的延续护理，干预时间从出院前到出院后8周。从行为、认知和状态方面分别比较两组的护理效果。结果奥马哈系统内的环境、心理和社会、生理、健康相关行为4个领域，干预组患者术后存在的护理问题均有涉及，共整理出21个问题。在行为、认知和状态方面，出院8周后干预组患者评分分别为（2.86±0.23）、（2.51±0.53）、（3.39±0.41）分，均高于对照组（2.17±0.54）、（1.62±0.49）、（2.44±0.37）分，差异均有统计学意义（P＜0.05）。结论基于奥马哈系统的延续护理能反映高血压性脑出血患者术后康复中常见的问题，同时提供了有标准可循的康复护理方案，从而取得了较好的护理成效。
ObjectiveTo explore the application effect of continuing nursing based on Omaha system in postoperative rehabilitation of patients with hypertensive cerebral hemorrhage.Methods A total of 37 patients with hypertensive cerebral hemorrhage in neurosurgery department of the First Hospital of Jiaxing from July 2015 to February 2016 were recruited as the intervention group,while 34 patients with hypertensive cerebral hemorrhage from November 2014 to June 2015 were selected as the control group. Patients in the control group received postoperative general nursing for patients with hypertensive cerebral heorrhage. Patients in the intervention group received continuing nursing based on Omaha system beside general nursing which lasted 8 weeks until after discharge. Patients′ behavior,cognition and status were compared between two groups to evaluate the nursing effects.Results Omaha system contains four aspects including environment,psychology and society,physiology and health-related behavior. Nursing problems found in the intervention group were related to previous four aspects. A total of 21 problems were sorted out. The scores of behavior,cognition and status in the intervention group were （2.86±0.23）,（2.51±0.53） and （3.39±0.41）,which were higher than those in the control group [（2.17±0.54）,（1.62±0.49） and （2.44±0.37）] （P〈0.05）.Conclusions Continuing nursing based on Omaha system shows the common problems in postoperative rehabilitation of patients with hypertensive cerebral hemorrhage and provides standardized proposal for rehabilitation nursing to achieve better nursing effects.
出处
《中华现代护理杂志》
2017年第1期95-98,共4页
Chinese Journal of Modern Nursing
基金
浙江省中医药科学研究基金项目（2016ZA190）
浙江省自然科学基金项目（LY17H090019,LY16H090016）
浙江省浙北区域麻醉学专病中心建设
嘉兴市神经与疼痛医学重点实验室建设
关键词
康复护理
高血压性脑出血
延续护理
奥马哈系统
Rehabilitation nursing
Hypertensive cerebral hemorrhage
Continuing nursing
Omaha System
