Application of Omaha system-based continuing care in patients with retained double J tube after urinary calculus surgery

摘要

Objective: To explore the effect of Omaha system-based continuing care in patients with retained double J tube after urinary calculus surgery. Methods: A total of 124 patients hospitalized with retained double J ureteral stent after urinary calculus surgery were selected as the research subjects. According to the random number table method, they were divided into observation group (n=62) and control group (n=62). The control group was given regular continuing care, while the observation group was given the Omaha system-based continuing care. Awareness of knowledge regarding retained double J tube, anxiety, depression, sleep quality, quality of life, incidence of complications, and patient satisfaction were compared between the two groups. Results: Compared with the control group, patients in observation group did better in the knowledge awareness concerning the purpose of retained double J ureteral stent, daily water consumption, exercise, urination, and extubation time; the observation group was also significantly higher in Self-Rating Anxiety Scale (SAS) scores and lower in Self-Rating Depression Scale (SDS) scores and PSQI scores (all P0.05). The quality of life (QOL) scores in all aspects of patients in observation group were significantly higher than those of the control group (P0.05). The incidence of infection, bleeding, fever, back pain, displacement, bladder irritation or other complications in the observation group was significantly lower than that of the control group. Satisfaction rate of patients in the observation group with out-of-hospital continuing care was significantly higher than that of patients in the control group (all P0.05). Conclusion: The Omaha system-based continuing care has a better nursing effect on patients with retained double J tube after urinary calculus surgery. It can improve patients’ compliance with treatment, relieve their anxiety and depression, improve their quality of life, reduce overall complications incidence rate and ultimately improve patients’ satisfaction with clinical care.