奥马哈系统护理对肝癌患者胃肠功能、HAMD及WHOQOL-100评分的影响

摘要

目的 探讨奥马哈系统护理模式对肝癌患者术后胃肠功能恢复情况、HAMD及WHOQOL-100评分的影响.方法 选择2015年1月至2018年1月在本院接受治疗的100例肝癌患者作为本次研究对象.根据随机数字表法将其分为对照组和观察组,每组50例.对照组患者采取常规护理;观察组患者基于奥马哈系统理论的护理模式.观察两组患者的术后胃肠功能、HAMD评分及WHOQOL-100评分.结果 观察组患者的肠鸣音恢复时间为(25.31±7.63)h、肛门首次排气时间为(49.32±7.20)h、肛门首次排便时间为(64.24±6.62)h,明显快于对照组[分别为(36.36±5.23)h、(58.21±6.96)h、(80.93±8.98)h],差异均有统计学意义(均P＜0.05).住院时HAMD评分观察组为(24.36±5.23)分、对照组为(25.02±4.93)分,出院时的HAMD评分观察组为(6.74±3.55)分、对照组为(11.14±2.51)分,前后比较差异均有统计学意义(均P＜0.05);与对照组出院时相比,观察组的HAMD评分明显更低,差异有统计学意义(P＜0.05).与住院时相比,观察组患者在在生理领域、心理领域、独立性领域、社会关系领域、环境领域、信仰领域的评分明显更高,差异均有统计学意义(均P＜ 0.05);与对照组相比,观察组患者在生理领域、心理领域、独立性领域、社会关系领域、环境领域、信仰领域的评分明显更高,差异均有统计学意义(均P＜ 0.05).结论 基于奥马哈系统理论的护理模式可有效改善肝癌患者术后的胃肠功能,提高了患者的心理健康与生存质量,值得临床推广.%Objective To observe the effect of nursing mode based on Omaha system theory on the recovery of gastrointestinal function,HAMD score,and WHOQOL-100 score in postoperative liver cancer patients.Methods 100 patients with Liver cancer treated at our hospital from January,2015 to January,2018 were selected.According to the principle of complete randomization,the patients were divided into an observation group and a control group,50 cases for each group.The control group received routine care,and the observation group nursing care based on Omaha system theory.The postoperative gastrointestinal function,HAMD score,and WHOQOL-100 score were observed in the two groups.Results The recovery time of bowel sounds,the first anal exhaust time,and the first anal defecation time were (25.31±7.63) h,(49.32±7.20) h,and (64.24±6.62) h in the observation group,and were (36.36±5.23) h,(58.21±6.96) h,and (80.93±8.98) h in the control group,with statistical differences (all P ＜ 0.05).The HAMD scores were (24.36±5.23) and (25.02±4.93) during hospitalization and were (6.74±3.55) and (11.14±2.51) when discharge in the observation group and the control group,respectively,with statistical differences between before and after the nursing care in both groups and between these two groups after the nursing care (all P ＜ 0.05).The scores in the physiological field,the psychological field,the independence field,the social relationship field,the environmental field,and the belief field in the observation group were higher when discharge than during hospitalization,and were higher than those in the control group,with statistical differences (all P ＜ 0.05).Conclusions Nursing mode based on Omaha system theory for patients with liver cancer can effectively improve their gastrointestinal function,mental health,and quality of life,so it is worth for clinical promotion.