基于奥马哈系统的延续护理对腹膜透析腹膜炎致肠梗阻病人自我护理能力的改善作用

摘要

Objective:To investigate the improving effects of the continuous nursing based on Omaha system on self-care ability in patients with intestinal obstruction caused by peritoneal dialysis peritonitis. Methods:Sixty-eight patients with intestinal obstruction caused by peritoneal dialysis peritonitis were randomly divided into the control group and observation group(34 cases each group). The control group and observation group were nursed with routine care and continuous nursing based on Omaha system,respectively. The disease knowledge,and scores of exercise of self-care agency scale( ESCA) ,health promoting lifestyle profile( HPLP) and short form 36 health survey questionnaire ( SF-36 ) between two groups were compared. Results:At discharge, the differences of the disease knowledge,and scores of ESCA,HPLP and SF-36 between two groups were not statistically significant(P>0. 05). After 3 months of discharge,the indicators of patients were significantly higher than those at discharge(P0.05),出院后3个月,所有病人上述指标均高于出院时(P<0.05～P<0.01),观察组上述指标均高于对照组(P<0.05～P<0.01).结论:基于奥马哈系统的延续护理有助于显著改善腹膜透析腹膜炎致肠梗阻病人疾病知识掌握程度、自我护理能力、健康行为与生活质量.