A study of the home care model based on the Omaha system for elderly maintenance hemodialysis patients
10.3760/cma.j.issn.0254-9026.2020.08.015
- VernacularTitle:以奥马哈系统为框架的老年维持性血液透析患者居家照护模式的研究
- Author:
Haina YU
1
;
Xianxiu WEN
;
Jing LAI
;
Qian YUAN
;
Xiaofei HU
Author Information
1. 西南医科大学护理学院，泸州 646000；成都市龙泉驿区第一人民医院肾内科，成都 610100
- From:
Chinese Journal of Geriatrics
2020;39(8):919-922
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the application effect of the home care model based on the Omaha system for elderly maintenance hemodialysis patients.Methods:A total of 73 elderly patients undergoing maintenance hemodialysis in the First People's Hospital of Longquanyi District, Chengdu city from December 2018 to December 2019 were enrolled.According to the randomization and double-blind principle, they were divided into the control group receiving the clinical routine care mode(n=32)and the intervention group undergoing the home care mode based on Omaha system(n=41). The Quality of Life Score, care satisfaction and awareness rate of health knowledge of patients were compared between the two groups before and after the care intervention.Results:Compared with before intervention, the quality of life scores was increased after caring in both two groups.And the scores in all dimensions were better in the intervention group than in the control group( t=3.173, 3.833, 3.514 and 4.593, P=0.001, 0.000, 0.000 and 0.000). The awareness rates of nutrition knowledge, water-intaking knowledge, iron supplementation knowledge, potassium and phosphorus limitation and dialysis mode were better in the intervention group than in the control group( χ2=7.592, 5.423, 8.494, 6.161 and 6.962, P=0.011, 0.011, 0.000, 0.010 and 0.011). The total satisfaction rate was 97.6%(40/41)in the intervention group, which was superior to that in the control group(75.0% or 24/32)( χ2 =8.460, P=0.000). Conclusions:The extended home care model based on the Omaha system can effectively improve patients' awareness of health knowledge, improve patients' quality of life and improve the satisfaction with care in elderly maintenance hemodialysis patients with a low education level, and it is worthy of clinical promotion.
