基于奥马哈系统的延续护理对维持性血液透析患者自我管理能力与生存质量的影响
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摘要
目的探讨基于奥马哈系统(Omaha system,OS)的延续护理模式对维持性血液透析(maintenance hemodialysis,MHD)患者自我管理能力与生存质量的影响。方法选取2016年9月～2017年3月MHD患者120例,随机分为A组和B组,每组60例,A组给予常规的护理,B组此基础上给予基于OS护理模式的延续护理。结果 B组患者疾病知识掌握率明显高于A组(P=0.043),B组干预后3、6月自我护理能力量表(exercise of self-care agency,ESCA)、肾病相关生存质量量表(kidney disease quality of life short form,KDQOL-SFTM)得分明显高于A组(P值均<0.001)。结论基于OS的延续护理可提高MHD患者疾病知识掌握度和自我管理能力,有利于改善患者的生存质量。
Objective To discuss the effect of continued nursing based on Omaha system(OS) on self-management capability and quality of life in maintenance hemodialysis(MHD) patients.Methods A total of 120 MHD patients treated in the period from September 2016 to March 2017 were recruited and randomly divided into group A(n=60) and group B(n=60).Patients in group A were given conventional nursing,and those in group B were treated with continued nursing based on OS.Results The rate of disease knowledge was significantly higher in group B than in group A(P=0.043).After the intervention for 3 and 6 months,exercise of selfcare agency(ESCA) score and kidney disease quality of life short from(KDQOL-SFTM) score were significantly higher in group B than in group A(P<0.001).Conclusions Continued nursing based on OS can improve the disease knowledge degree and self-management ability in MHD patients and help improve quality of life in these patients.
Objective To discuss the effect of continued nursing based on Omaha system(OS) on self-management capability and quality of life in maintenance hemodialysis(MHD) patients.Methods A total of 120 MHD patients treated in the period from September 2016 to March 2017 were recruited and randomly divided into group A(n=60) and group B(n=60).Patients in group A were given conventional nursing,and those in group B were treated with continued nursing based on OS.Results The rate of disease knowledge was significantly higher in group B than in group A(P=0.043).After the intervention for 3 and 6 months,exercise of selfcare agency(ESCA) score and kidney disease quality of life short from(KDQOL-SFTM) score were significantly higher in group B than in group A(P<0.001).Conclusions Continued nursing based on OS can improve the disease knowledge degree and self-management ability in MHD patients and help improve quality of life in these patients.
引文
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[2]罗怡欣,黄燕林,刘玲玲,等.奥马哈系统个案管理对腹膜透析患者透析相关性腹膜炎的影响[J].中国血液净化,2018,17(1):25-29.
[3]Jurkovich MW,Ophaug M,Salberg S,et al.Investigation of the Omaha System for Dentistry[J].Appl Clin Inform,2014,5(2):491-502.
[4]Ikeda Y.Current Status of home medical care waste collection by nurses in Japan[J].J Air Waste Manag Assoc,2017,67(2):139-143.
[5]李晓微,刘丽秀.延续护理对老年血液透析患者自我管理能力的影响[J].中国护理管理,2016,16(2):239-241.
[6]翁敏,曹杰贤,李红梅,等.采用KDQOL-SF^TM 1.2量表对终末期肾病患者生存质量的研究[J].昆明医科大学学报,2013,34(12):53-55.
[7]罗怡欣,黄燕林.奥马哈问题分类系统在居家腹膜透析患者门诊随访中的应用[J].中华现代护理杂志,2017,23(8):1079-1082.
[8]Topaz M,Golfenshtein N,Bowles KH.The Omaha System:a systematic review of the recent literature[J].J Am Med Inform Assoc,2014,21(1):163-170.