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目的探索奥马哈系统对留置尿管居家护理患者生活质量的影响。方法 90例留置尿管居家护理患者,随机分为对照组和试验组,每组45例。试验组以奥马哈系统为指导,制定不同领域的干预措施实施延续护理;对照组给予传统出院指导。3个月后对两组患者生活质量各因子进行评价,并作比较。结果试验组患者的生理领域(身体不适感、生理功能、排便功能、进食功能、运动与感觉)、社会心理领域(社交、自尊、负性情绪、正性情绪、认知功能)、健康行为领域(营养、身体活动、生活自理、药物治疗、睡眠和休息形态)和环境领域(卫生、经济支持、生活环境、社区支持、生活质量总体评价)的分值均优于对照组,差异具有统计学意义(t=51.336、7.033、6.955、9.642、7.058、8.148、8.485、9.352、6.989、8.979、6.207、7.033、6.955、6.420、51.336、10.798、2.463、2.051、8.758、10.030,P<0.05)。结论奥马哈系统能够有效促进留置尿管居家护理患者院外康复,改善患者生活质量。
Objective To explore the impact of the Omaha system on the quality of life of home care patients with indwelling catheters. Methods Ninety cases of home-stay ureteral catheterization were randomly divided into control group and trial group, with 45 cases in each group. The experimental group under the guidance of the Omaha system, the development of different areas of interventions to implement the continuity of care; control group given traditional discharge guidance. After 3 months, the quality of life of two groups of patients were evaluated and compared. Results In the experimental group, the patients’ physical areas (physical discomfort, physiological function, defecation function, eating function, motor and sensory), social psychology (social, self-esteem, negative emotions, positive emotions, cognitive function) (Nutrition, physical activity, self-care, medication, sleep and rest) and the environmental field (health, economic support, living environment, community support, quality of life overall evaluation) scores were better than the control group, the difference was statistically Significance (t = 51.336,7.033,6.955,9.642,7.058,8.148,8.485,9.352,6.989,8.979,6.207,7.033,6.955,6.420,51.336,10.798,2.463,2.051,8.758,10.030, P <0.05). Conclusion The Omaha system can effectively promote home rehabilitation of patients with home-stay ureteral catheterization and improve the quality of life of patients.