中国血液净化

中国血液净化 ›› 2019, Vol. 18 ›› Issue (04): 281-283.doi: 10.3969/j.issn.1671-4091.2019.04.019

• 护理研究 • 上一篇    下一篇

基于奥马哈系统的延续护理对维持性血液透析患者自我管理能力与生存质量的影响

赵静1,薛淑枝2,罗红梅1,赵小红1,吴红娟3   

  1. 陕西省人民医院1肾病血液透析中心2肿瘤内科3护理部
  • 收稿日期:2019-01-08 修回日期:2019-01-11 出版日期:2019-04-12 发布日期:2019-04-12
  • 通讯作者: 罗红梅 luohongmei1969@126.com E-mail:luohongmei1969@126.com
  • 基金资助:

    陕西省科技厅软科学研究计划-面上项目(2017KRM182)；陕西省科技厅社会发展科技攻关项目(2016SF-142)；中华护理学会2016-2017 年度立项科研课题(ZHKY201607)

Effects of continuous care based on Omaha system on self-management ability and quality of life in maintenance hemodialysis patients

  • Received:2019-01-08 Revised:2019-01-11 Online:2019-04-12 Published:2019-04-12

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摘要： 【摘要】目的探讨基于奥马哈系统(Omaha system，OS)的延续护理模式对维持性血液透析(maintenance hemodialysis，MHD)患者自我管理能力与生存质量的影响。方法选取2016 年9 月～2017 年3 月MHD 患者120 例，随机分为A 组和B 组，每组60 例，A 组给予常规的护理，B 组此基础上给予基于OS 护理模式的延续护理。结果B 组患者疾病知识掌握率明显高于A 组(P=0.043)，B 组干预后3、6 月自我护理能力量表(exercise of self-care agency，ESCA)、肾病相关生存质量量表(kidney disease quality of life short form，KDQOL-SFTM)得分明显高于A 组(P 值均＜0.001)。结论基于OS 的延续护理可提高MHD 患者疾病知识掌握度和自我管理能力，有利于改善患者的生存质量。

关键词: 奥马哈系统, 延续护理, 维持性血液透析, 自我管理能力, 生存质量

Abstract: 【Abstract】Objective To discuss the effect of continued nursing based on Omaha system (OS) on self-management capability and quality of life in maintenance hemodialysis (MHD) patients. Methods A total of 120 MHD patients treated in the period from September 2016 to March 2017 were recruited and randomly divided into group A (n=60) and group B (n=60). Patients in group A were given conventional nursing, and those in group B were treated with continued nursing based on OS. Results The rate of disease knowledge was significantly higher in group B than in group A (P=0.043). After the intervention for 3 and 6 months, exercise of selfcare agency (ESCA) score and kidney disease quality of life short from (KDQOL-SFTM) score were significantly higher in group B than in group A (P＜0.001). Conclusions Continued nursing based on OS can improve the disease knowledge degree and self-management ability in MHD patients and help improve quality of life in these patients.

Key words: Omaha system, Continued nursing, Maintenance hemodialysis, Self-management capability, Survival quality