Abstract:Objective To evaluate the effects of continuity nursing intervention based on Omaha system in patients with colorectal cancer. Methods From January 2015 to June 2016, in Chengdu Fifth People′s Hospital, 62 patients with colorectal cancer underwent surgery were enrolled, and they were divided into observation group and control group by random number table method, with 31 cases in each group. The control group was given routine discharge instruction and follow-up, the observation group was given continuity nursing intervention based on Omaha system. The knowledge-behavior-status scores in two groups were compared. Results The knowledge-behavior-status scores of social and mental health, digestive, ectopic defecation, skin, infection, self-care and living condition 3, 6 months after the intervention in observation group were significantly higher than before discharge and control group, the differences were statistically significant (P < 0.05). Conclusion The application of continuity nursing intervention based on Omaha system can significantly strengthen the rehabilitation prognosis of patients with colorectal cancer.
杨佳艺 全大祥 王万里 邹剑▲. 奥马哈系统在结直肠癌患者延续性护理中的应用[J]. 中国医药导报, 2018, 15(26): 137-141.
YANG Jiayi QUAN Daxiang WANG Wanli ZOU Jian▲. Application of continuity nursing intervention based on Omaha system in patients with colorectal cancer. 中国医药导报, 2018, 15(26): 137-141.
[1] Sigel RL,Miller KD,Jemal A. Cancer statistics,2016 [J]. CA Cancer J Clin,2016,66(1):7-30.
[2] 邓立春,盛华明,奚蕾,等.贝伐珠单抗联合化疗对转移性结直肠癌患者血清EGFR及HER表达的影响研究[J].重庆医学,2017,46(33):4659-4661.
[3] Chen W,Zheng R,Baade PD,et al. Cancer statistics in China,2015 [J]. CA Cancer J Clin,2016,66(2):115-132.
[4] 侯鸿发,苏永辉,卜巨源,等.EZH2表达与结直肠癌肿瘤细胞增殖和血管生成及预后的关系[J].中山大学学报:医学科学版,2017,38(6):866-872.
[5] 杨小峰,苏文斌,邓子清,等.腹腔镜下腹部无切口结直肠癌切除对比传统腹腔镜下结直肠癌切除可行性和安全性的Meta分析[J].中南大学学报:医学版,2017,42(1):88-97.
[6] Martel G,Crawford A,Barkun JS,et al. Expert opinion on laparoscopic surgery for colorectal cancer parallels evidence from a cumulative Meta analysis of randomized controlled trials [J]. PLoS One,2012,7(4):e35292.
[7] Leung AL,Cheung HY,Fok BK,et al. Prospective randomized trial of hybrid NOTES colectomy versus conventional laparoscopic colectomy for left-sided colonic tumors [J]. World J Surg,2013,37(11):2678-2682.
[8] Awad ZT,Griffin R. Laparoscopic right hemicolectomy:a comparison of natural orifice versus transabdominal specimen extraction [J]. Surg Endosc,2014,28(10):2871-2876.
[9] 袁静静,葛蓓,杜敏,等.舒适护理干预对结肠癌患者术后康复效果的影响研究[J].中国肿瘤临床与康复,2018, 25(1):102-104.
[10] 姜妍,殷红专,杨东辉,等.循证护理对老年结肠癌术后化疗患者护理满意度及生活质量的影响[J].中国医药导报,2017,14(32):145-147.
[11] 张铁玲,胡爱玲,徐洪莲,等.结肠造口患者残障接受度与社会关系质量的相关性研究[J].中华护理杂志,2013, 48(3):241-244.
[12] Martin K,Scheet N. The Omaha System:applications for community health nursing [M]. New York:NLN Publications,1985:197-206.
[13] Martin KS,Monsen KA,Bowles KH. The Omaha system and meaningful use:applications for practice,education,and research [J]. Comput Inform Nurs,2011,29(1):52-58.
[14] 苏晓萍,张丽萍,李毅宁.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.
[15] 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.
[16] Topaz M,Golfenshtein N,Bowles KH. The Omaha System:a systematic review of the recent literature [J]. J Am Med Inform Assoc,2014,21(1):163-170.
[17] 王双艳,吕静,公双双.奥马哈系统在我国护理领域中的应用进展[J].全科护理,2017,15(1):23-25.
[18] 邹丽玲,陈碧芳,欧旋雅.护理干预对结直肠癌术后肠造口患者自我管理能力及生活质量的影响[J].中国卫生标准管理,2017,8(17):164-166.
[19] 唐永艳,张福英,吴晓琼,等.基于奥马哈系统的家庭医生团队在糖尿病延续性护理中的应用[J].护理管理杂志,2018,18(1):67-71.
[20] 周文娟,高莹.基于奥马哈系统在产科出院患者随访模式的应用研究[J].中国医药科学,2016,6(2):91-94.
[21] 王莺.护理干预对结直肠癌患者术后生活质量的影响[J].临床医学研究与实践,2017,2(6):183-184.