摘要
目的探讨应用奥马哈系统对肺结核患者实施护理的成效。方法选择2016年11—12月在广州市胸科医院一分所就诊的肺结核患者137例为研究对象。以奥马哈系统为框架建立肺结核患者护理问题评估表,归纳患者的护理问题及干预措施,在患者服药7 d、服药1个月、服药3个月时评估和分析,从患者的认知、行为和状态的变化来动态评价护理结局改善成效。结果心理社会领域中的社交和心理健康问题在认知、行为和状况方面评分逐步提高,差异具有统计学意义(P<0.05),生理领域中的认知和传染/感染情况的问题在认知、行为和状况方面评分有改善,差异具有统计学意义(P<0.05),健康相关领域中的健康照顾督导和遵从医嘱用药问题在认知和行为方面评分均提高,差异具有统计学意义(P<0.05),在环境领域中的住所环境问题在认知和行为方面评分逐步提高,差异具有统计学意义(P<0.05),但在状况方面评分较低,改善不明显,差异无统计学意义(P>0.05)。结论应用奥马哈系统可动态监测患者的护理结局,有效提高肺结核患者管治质量。
Objective To discuss the application effect of the Omaha system in the nursing care of tuberculosis patients. Methods Choose 137 cases of tuberculosis patients who had received treatment in the first division of Guangzhou Municipal Hospital of Chest Medicine during November to December 2016 as the research subjects,take Omaha system as the framework to establish the assessment table for nursing problems of tuberculosis patients,summarize the nursing problems and intervention measures of the patients,evaluate and analyze the patients when taking medicine at 7 days,1 month and 3 months,and evaluate the improvement effect of nursing outcome dynamically from the changes of cognition,behavior and status of the patients. Results The scores of social and mental health problems in the psychosocial field were gradually improved in cognition,behavior and status,and the differences were statistically significant（ P〈0.05）; the scores of cognition and infection problems in the physiological field were improved in cognition,behavior and status,and the differences were statistically significant（ P〈0.05）; the scores of health care supervision and medication compliance problems in the health-related field were improved in cognition and behavior,and the differences were statistically significant（ P〈0.05）; the scores of domicile environment problems in the environmental field were gradually improved in cognition and behavior,and the differences were statistically significant（ P〈0.05）,but the score at the aspect of status was low,and the improvement was not obvious,so the differences were not statistically significant（ P〉0.05）. Conclusion The application of the Omaha system could dynamically monitor the nursing outcomes of patients and effectively improve the governance quality of tuberculosis patients.
作者
宋涛
梁志强
林莹
林晓珊
龚芳
刘玉美
何凯立
SONG Tao;LIANG Zhi-qiang;LIN Ying;LIN Xiao-shan;GONG Fang;LIU Yu-mei;HE Kai-li
出处
《护理实践与研究》
2018年第11期4-7,共4页
Nursing Practice and Research
关键词
奥马哈系统
结核病
护理
Omaha system
Tuberculosis
Nursing
