Effect of continuous care mode based on Omaha system in the care of child patients who underwent nephrostomy
10.3969/j.issn.1009-0754.2018.01.023
- VernacularTitle:基于奥马哈系统构建肾造瘘患儿延续护理模式效果分析
- Author:
Yi CHEN
1
;
Minghua WU
;
Xiaohua GE
;
Qun YU
;
Wen ZONG
;
Ying WANG
;
Yuling LI
;
Hongquan GENG
;
Lei HE
Author Information
1. 上海交通大学医学院附属新华医院小儿泌尿外科
- Keywords:
Omaha system;
Child patient with nephrostomy;
Continuous nursing care;
Nursing problem
- From:
Journal of Navy Medicine
2018;39(1):79-84
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of the continuous care mode based on Omaha system in child patients who under -went nephrostomy.Methods A total of 42 child patients with congenital hydronephrosis who underwent nephrostomy in the hospital from July to December in 2016 were enrolled as the experimental group that received continuous care mode based on Omaha system in addition to routine care.From January to June,2016,a total of 48 child patients,who were initially confirmed to have congenital hy-dronephrosis and underwent nephrostomy,were recruited as the control group that received routine nursing and medical follow -ups in ac-cordance with clinical treatment path.Intervention effects and management ability of patient home care were compared between the 2 groups.In the 42 child patients with nephrostomy,nursing intervention by using Omaha system was given from the perspectives of envi-ronment,social psychology,physical and health-related behaviors to assess common nursing problems.The scores both before and after intervention were obtained and analyzed by using SPSS 19.0 statistical software.Results There was statistical significance in the scores of recognition and behavior,except interpersonal relationship for the experimental group,when comparisons were made between pre and post intervention(P<0.05).SAS scores of the experimental group(39.35 ±7.18)3 months after discharge from hospital were lower than those of the control group(44.80 ±8.16),and statistical significance could be found,when comparisons were made between them(P<0.05).For the experimental group,incidence of urinary tract infection was lower and the management ability of patient home care was obviously superior as compared with those of the control group,also with statistical significance(P<0.05).Conclusion In child patients with congenital hydronephrosis after nephrostomy,comprehensive assessment could be made from the perspectives of physiolo-gy,psychology and social relationship,thus facilitating the development of related continuous nursing intervention protocol.In short,it was beneficial to the integration, analysis and utilization of information concerning nursing and the continuous patient home care and could be an effective tool for continuous management of the disease.
