A comparative analysis of the Omaha system applied to the nursing description of patients with coronary heart disease
10.3760/cma.j.issn.1672-7088.2019.25.007
- VernacularTitle: 奥马哈系统应用于冠心病患者护理描述的对比分析
- Author:
Jieqiong LI
1
;
Mi ZHANG
2
;
Zhaozhao HUI
3
;
Mi ZHANG
4
;
Meili LIU
1
;
Juan HAN
1
;
Jingwen HU
1
;
Xiaomei LI
5
Author Information
1. Nursing Department, the First Affiliated Hospital of Xi′an Jiaotong University, Xi′an 710061, China
2. Department of Nursing, Shanxi University of Chinese Medicine, Xian Yang 712046, China
3. The Nethersole School of Nursing, the Chinese University of Hong Kong, Hong Kong 999077, China
4. Department of Nursing, Yan′An University, Yan′An 716000, China
5. Department of Nursing, Health Science Center, Xi′an Jiaotong University, Xi′an 710061, China
- Publication Type:Clinical Trail
- Keywords:
Omaha system;
Coronary heart disease;
Nursing record;
Degree of coincidence
- From:
Chinese Journal of Practical Nursing
2019;35(25):1956-1960
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the feasibility of applying Omaha system theory to patients with coronary heart disease (CHD) through comparative analysis of nursing description.
Methods:Using content extraction analysis method, the nursing records, nursing plans and nursing measures of discharged patients with CHD were retrieved from the medical records, and then the conceptual consistency of the extracted records and the problem classification system and intervention measures in the Omaha system were evaluated by cross mapping method.
Results:A total of 2 609 nursing problems and intervention measures were extracted from the medical records of 68 patients with CHD. Among them, 1 844 (70.68%) records were labeled as "perfect fit", 608 records (23.30%) as "partial fit", and 157 (6.02%) recordsas "not fit at all". The total fit rate was 93.98% (perfect fit and partial fit). The most frequently reported problems were in physiological domain, followed by health-related behaviors domain, psychosocial domain and environmental domain. The nursing interventions extracted accounted for 26.67% (1 968 sentences) of directions and l00.00% (4 kinds) of categories in the intervention scheme of Omaha system.
Conclusions:The conceptual congruence between the medical records of patients with CHD and the Omaha System is quite high. It can help to improve nursing problems of patients of CHD in health-related behavioral domain, psychosocial domain and environmental domain, and can be applied to such patients after appropriate adjustment, so as to help clinical nursing staff to provide specialized and all-round guidance for patients with CHD.
