奥马哈系统延续护理对肿瘤患者PICC结局的影响

doi:10.19739/j.cnki.issn1001-9510.2019.02.012

Abstract
Figure/Table
References
Related Citation (2)

Download: PDF (1060 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To explore the inflence of continuous care based on the Omaha system on PICC care outcomes in tumor patients.Methods From February to December 2017,46 patients with PICC catheters were selected as the control group and adopted the routine nursing model.Fifty patients were selected as experimental group and carried out the continuation of nursing based on the Omaha system.The cognition, behavior, and status of patients'nursing problems were evaluated,and the improvement of nursing outcomes in the two groups was compared at the first time the catheters placed in, the first time of chemotherapy, second chemotherapy and the third of chemotherapy.Results Seventeen nursing issues of two groups of patients in the cognition, behavior, status in the field of environmental, psychosocial, physiological, health-related behavioral are growing with the evaluation time and time effect between the difference had statistical significance (P＜0.05) Patients in the experimental group have higher scores than that in the control group in the area of cognition,behavior,status in the fields of community resources,social,mental health,neglect,cognition,pain,skin, neuromuscular,circulation,infection,personal care,health care supervision,compliance issues and Income,health problem cognition,role change,physical activity problem cognition,behavioral dimension.There was a statistically significant difference between the groups (P＜0.05).However, the scores of income,health problems,status,role changes and physical activity problems were higher than those in the control group,but the difference between the groups was not statistically significant (P＞0.05).Conclusion The continuing nursing based on Omaha system can improve the cognition,behavior and status of PICC environment,psychosocial,physiological and health-related behaviors of tumor patients,improve nursing outcomes comprehensively,and achieve better nursing results.

Key words： Omaha system tumor patients PICC continuing care nursing outcomes

Received: 25 September 2018

PACS:

R473.5

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	MA Zhenzhen
	WANG Yujie
	ZHOU Jing
	WANG Xiaoxiao
	ZHANG Min
	LUAN Shunlian
	XU Hongmei

Cite this article:

MA Zhenzhen,WANG Yujie,ZHOU Jing, et al. The effect of continuing nursing based on Omaha system on PICC outcomes in tumor patients[J]. 滨州医学院学报, 2019, 42(2): 123-129.

URL:

http://manu58.magtech.com.cn/Jwk_bzyxy/EN/10.19739/j.cnki.issn1001-9510.2019.02.012 OR http://manu58.magtech.com.cn/Jwk_bzyxy/EN/Y2019/V42/I2/123

[1] Huffam S,Jacups S P,Kittler P,et al.Out of hospital treatment of patients with melioidosis using ceftazidime in 24 h elastomeric infusors,via pefiphemily inserted central catheters[J].Trop Med Int Health,2004,9(6):715-717.
[2] 刘春丽,颜美琼,陆箴琦,等.肿瘤患者PICC自我管理能力及影响因素调查[J].中华护理教育,2011,8(7):294-297.
[3] Turner J,Zapart S,Pedersen K,et al.Clinical practice guidelines for the psychosocial care of adults withcancer[J].Psychooncology,2005,14(3):159-173.
[4] 周燕,汤晓敏,程晓微,等.PICC导管维护标准流程降低导管相关性感染的效果[J].解放军护理杂志,2012,29(4):51-53.
[5] Martin K S,Monsen K A,Bowles K H.The Omaha system and meaningful use:applications for practice,eduction,and research[J].Comput Inform Nurs,2011,29(1):52-58.
[6] 黄金月,王少玲,周家仪,等.奥马哈系统在社区护理和延续护理中的应用[J].中华护理杂志,2010,45(4):320-323.
[7] Anttila S K,Huhtala H S,Pekurinen M J,et al.Cost-effectiveness of an innovative four-year post-discharge programme for elderly patients-prospective follow-up of hospital and nursing home use in project elderly and randomized controls[J].Scand J Public Health,2008,28(1):41-46.
[8] 陈飞,张咏梅,韦秀碧,等.奥马哈系统应用于肠造口患者的可行性研究[J].护理管理杂志,2015,15(11):815-817.
[9] 苏晓萍,张丽萍,李毅宁,等.奥马哈系统在泌尿造口患者延续护理中的应用和效果评价[J].中华护理杂志,2016,51(4):389-394.
[10] Martin K S,Norris J.Leak GK.Psychometric analysis of the problem rating scale for outcomes[J].Outcomes Manag Nurs Pract,1999,3(1):20-25.
[11] 张明,高伟,孙媛媛,等.肿瘤患者PICC带管期间自我护理能力与心理一致感及社会支持的相关性研究[J].护理学杂志,2014,29(8):78-80.
[12] 闻曲,成芳,鲍爱琴,等.多维度关怀措施在肿瘤患者PICC置管中的实践与体会[J].护理管理杂志,2015,15(2):120-122.
[13] 郭丽明,上官志毅,纪红梅,等.1770例肿瘤患者PICC置管术后并发症的分析[J].护理管理杂志,2010,10(6):436-437.
[14] 蒋国琴.59例放化疗患者PICC置管的护理问题及对策[J].齐齐哈尔医学院学报,2012,33(8):1085-1086.
[15] 陆松琴.PICC穿刺置管中存在问题的原因分析及对策[J].中国实用护理杂志,2011,27(12):54-55.
[16] 刘远玲,潘玉琴,张秋荣.癌症患者 PICC 带管出院后并发症的原因分析及对策[J].护理学报,2008,15(10):80-82.