摘要
目的探讨基于Omaha系统的个案管理模式应用于重症监护病房(ICU)重症呼吸衰竭(SRF)患者中的干预效果。方法选取入住我院ICU的106例SRF患者为受试对象,按照随机数字表分为观察组与对照组各53例。对照组患者实施常规ICU护理干预,观察组则在其基础上应用Omaha系统的个案管理模式进行干预。比较干预前及干预1周后,两组患者肺功能[呼气峰值流速(PEF)、第1秒呼气容积(FEV1)]、生活质量[St.George’s呼吸调查问卷(SGRQ)]变化,分析两组患者呼吸机脱机时间及住ICU时间差异。结果干预1周后,两组患者PEF、FEV1水平均较干预前有显著提升,且观察组明显高于同期对照组(P均<0.05);两组患者SGRQ各项目评分及总分均较干预前有显著下降,且观察组明显低于同期对照组(P均<0.05)。观察组患者呼吸机脱机时间及住ICU时间均明显短于对照组(P均<0.05)。结论基于Omaha系统的个案管理模式应用于ICU中SRF患者的干预效果较为理想,对患者预后恢复有利。
Objective To explore the intervention effects of case management model based on Omaha system in patients with severe respiratory failure（SRF）in intensive care unit（ICU）. Methods One hundred and six patients with SRF admitted to ICU in our hospital were selected as subjects and divided into the observation group and the control group with 53 cases in each group by the random number table method.Patients in the control group were given the conventional ICU nursing intervention, while patients in the observation group were applied the case management mode of Omaha system to intervene on the basis of routine ICU nursing intervention.Changes in pulmonary function [peak expiratory flow rate（PEF）,forced expiratory volume in 1 second（FEV 1）] and quality of life[St.George＇s respiratory questionnaire （SGRQ）] before the intervention and after 1 week of intervention were compared between the two groups. Differences of weaning time of ventilator and the length of ICU stay between the two groups were analyzed. Results After 1 week of intervention,levels of PEF and FEV1 in two groups were significantly higher than those before the intervention,and they were significantly higher in the observation group than in the control group（P 〈0.05）.Scores and total score of SGRQ in two groups were significantly lower than those before the intervention,and they were significantly lower in the observation group than in the control group（P 〈0.05）.The weaning time of ventilator and the length of ICU stay of the observation group were significantly shorter than those of the control group（P 〈 0.05）. Conclusion The intervention effects of case management model based on Omaha system in patients with SRF in ICU are relatively ideal,and it is beneficial to the prognosis of patients.
出处
《中国医药科学》
2018年第1期181-183,190,共4页
China Medicine And Pharmacy
