中国当代医药2024,Vol.31Issue(12) :162-166.

以奥马哈系统为理论依据的延续性护理在膀胱癌尿路造口患者中的应用效果

Application effect of continuous nursing based on Omaha system in pa-tients with bladder cancer undergoing urostomy

巫冬梅 黄丽芳 陆岁花 黄美秋 黄欢 农丽榕
中国当代医药2024,Vol.31Issue(12) :162-166.

以奥马哈系统为理论依据的延续性护理在膀胱癌尿路造口患者中的应用效果

Application effect of continuous nursing based on Omaha system in pa-tients with bladder cancer undergoing urostomy

巫冬梅 1黄丽芳 2陆岁花 2黄美秋 1黄欢 1农丽榕1
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作者信息

  • 1. 右江民族医学院附属医院百东院区泌尿外科,广西百色 533000
  • 2. 右江民族医学院附属医院泌尿外科一病区,广西百色 533000
  • 折叠

摘要

目的 探讨在膀胱癌尿路造口患者中采取以奥马哈系统为理论依据的延续性护理的应用效果.方法 选取2022年9月至2023年6月右江民族医学院附属医院收治的48例膀胱癌患者作为研究对象,采用随机数字表法将其分为对照组(24例)和观察组(24例).对照组患者接受常规护理,观察组患者接受以奥马哈系统为理论依据的延续性护理,两组均持续护理观察3个月.比较两组患者心理状态、支持性照顾需求、并发症发生率以及生活质量.结果 观察组护理后的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均低于对照组,差异有统计学意义(P<0.05);观察组护理后的支持性照顾需求量表(SCNS-SF34)评分、生活质量评分均高于对照组,差异有统计学意义(P<0.05);观察组并发症总发生率(8.33%)低于对照组(33.33%),差异有统计学意义(P<0.05).结论 以奥马哈系统为理论依据的延续性护理可为膀胱癌尿路造口患者提供相应的照顾需求,有效减轻患者消极情绪,降低并发症发生率,从而提升患者生活质量.

Abstract

Objective To explore the application effect of continuous nursing based on Omaha system in patients with blad-der cancer undergoing urostomy.Methods From September 2022 to June 2023,a total of 48 patients with bladder cancer who were admitted to the Affiliated Hospital of Youjiang Medical University for Nationalities were selected as the study sub-jects.They were divided into the control group(24 cases)and the observation group(24 cases)according to random number table method.The patients in the control group received routine care,while the patients in the observation group received continuous nursing based on the Omaha system.Both groups received continuous nursing observation for 3 months.The psychological status,supportive care needs,incidence of complications,and quality of life between two groups of patients were compared.Results The scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)of the observa-tion group after nursing were lower than those of the control group,and the differences were statistically significant(P<0.05).The supportive care needs survey short-form-34(SCNS-SF34)score and quality of life score of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).The total incidence of complications in the observation group(8.33%)was lower than that in the control group(33.33%),and the difference was statistically significant(P<0.05).Conclusion Continuous nursing based on Omaha system can provide the corresponding care needs for bladder cancer patients with urostomy,effectively reduce the negative emotions of patients,reduce the inci-dence of complications,and improve the quality of life of patients.

关键词

膀胱癌/尿路造口/奥马哈系统/延续性护理/心理状态/支持性照顾需求/并发症/生活质量

Key words

Bladder cancer/Urinary tract stoma/Omaha system/Continuing nursing/Mental state/Supportive care needs/Complications/Quality of life

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基金项目

广西卫生健康委自筹经费科研课题(Z-L20220891)

出版年

2024
中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
参考文献量22
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