Construct of nutrition management model of stroke patients with nasal feeding based on Omaha system and its application effect
10.3760/cma.j.issn.1674-2907.2019.26.005
- VernacularTitle:基于奥马哈系统的脑卒中鼻饲患者营养管理模式的构建与应用效果
- Author:
Ruili WANG
1
;
Runlian HE
;
Xinglei WANG
Author Information
1. 山西医科大学护理学院
- Keywords:
Stroke;
Nasal feeding;
Omaha system;
Nutrition management
- From:
Chinese Journal of Modern Nursing
2019;25(26):3317-3323
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To construct a multidisciplinary nutrition management model of stroke patients with nasal feeding based on Omaha system and to evaluate its effects. Methods? With the core of nutrition management of stroke patients with nasal feeding and based on patients' needs in hospitals, communities and families, we constructed a comprehensive assessment scale which included Omaha nursing problems of patients, intervention and outcome evaluation. And then, we carried out standardized intervention under the guide of the scale. From December 2017 to February 2018, we selected 65 stroke patients with nasal feeding from Taiyuan City Centre Hospital in control group (routine intervention) by convenience sampling. From March to May 2018, we selected 65 patients from Taiyuan City Centre Hospital in intervention group (nutrition management model intervention based on Omaha system). We compared the nutrition condition two weeks after catheterization and incidence of nasal feeding related complications one month after catheterization of patients between two groups respectively. We also evaluated the scores of Omaha cognition, behavior and condition of patients at catheterization, two weeks and one month after catheterization. Results? The serum albumin and nutritional status scores of the two groups of stroke patients were significantly different two weeks after intubation (P＜0.05). One month after intubation, the intervention group had diarrhea, aspiration pneumonia, constipation and accident. The incidence of extubation was significantly lower than that of the control group, and the difference was statistically significant (P＜0.05), but the improvement of vomiting and occlusion was not obvious, and the difference was not statistically significant (P＞0.05). In intervention group, patients' scores of Omaha cognition, behavior and condition of patients two weeks and one month after catheterization all increased with statistical differences (P＜0.05). Conclusions? Problems classification system of Omaha system can systematically and comprehensively evaluate the nursing problems among stroke patients with nasal feeding which helps assessors to find the neglected problems in traditional nursing and provides direction for formulating targeted intervention. Assessment for nursing outcomes promotes nurses to dynamically master patients' needs and improves patients' nutrition condition and incidence of complications. Therefore, nutrition management model of stroke patients with nasal feeding based on Omaha system is suitable for whole process management of stroke patients with nasal feeding which is worthy of being explored and popularized.
