【摘要】 目的探讨奥马哈系统护理模式在持续不卧床腹膜透析患者中的应用。方法选取2016年6月至2017年10月我科就诊的持续不卧床腹膜透析患者70例,随机等分为对照组和观察组,对照组患者接受常规护理模式,观察组在对照组基础上实施奥马哈系统护理。治疗1个月后比较两组患者焦虑评分和生活质量评分。结果对照组焦虑程度明显高于观察组,差异有统计学意义(P <0.05);观察组生活质量得分明显高于对照组,差异有统计学意义(P <0.05);观察组护理不良事件发生率明显低于对照组,差异有统计学意义(P <0.05)。结论奥马哈系统护理模式从健康咨询、治疗、个案管理和监督四个方面改善患者对疾病和自身的认识,患者焦虑程度明显降低、生活质量评分明显提高、护理相关不良事件发生率明显降低,值得在临床工作中推广应用。更多还原

【Abstract】 Objective To explore the application of Omaha system nursing mode in patients with continuous ambulatory peritoneal dialysis.Methods To select 70 cases of patients with continuous ambulatory peritoneal dialysis who were treated in our department from June 2016 to October 2017.They were randomly divided into a control group and an observation group.The patients in the control group received routine nursing,the patients of the observation group implemented Omaha system nursing on the basis of the control group.After 1 month of treatment,the anxiety score and quality of life score were compared between the two groups.Results The degree of anxiety in the control group was obviously higher than that in the observation group,and the difference was statistically significant( P < 0.05).The quality of life score in the observation group was obviously higher than that in the control group,and the difference was statistically significant( P < 0.05).The incidence of nursing adverse events in the observation group was significantly lower than that in the control group,and the difference was statistically significant( P < 0.05).Conclusion The application of Omaha system nursing model improved the patient’s understanding of the disease and self from four aspects such as health consultation,treatment,case management and supervision.The patient’s anxiety was significantly reduced,the quality of life score was significantly improved,and the incidence rate of nursing-related adverse events was also significantly reduced.It was worthy of clinical promotion and application.更多还原