Effectiveness of comprehensive nursing care based on Omaha theory for traumatic paraplegic patients
XIANG Rui1 XU Fengqin2 JI Lili1 YIN Zhaoyang3 XU Qin4▲
1.Spine Surgery, Lianyungang Clinical Medical College, Nanjing Medical University, Jiangsu Province, Lianyungang 222000, China;
2.Department of Nursing, Lianyungang Clinical Medical College, Nanjing Medical University, Jiangsu Province, Lianyungang 222000, China;
3.Department of Traumatology, Lianyungang Clinical Medical College, Nanjing Medical University, Jiangsu Province, Lianyungang 222000, China;
4.College of Nursing, Nanjing Medical University, Jiangsu Province, Nanjing 211166, China
Abstract：Objective To explore the analysis of the effectiveness of comprehensive care based on the Omaha system for patients with traumatic paraplegia. Methods Eighty-four patients with traumatic paraplegia treated at Lianyungang Clinical Medical College, Nanjing Medical University from January 2020 to June 2021 were selected and divided into basic group and combined group by the random number table method, with 42 cases in each group. The basic group was given conventional care, while the combined group was given comprehensive care under the guidance of Omaha system theory during hospitalization and after discharge, and negative emotions, sleep quality and recovery of limb function were assessed before and after care in both groups. The adverse reactions were recorded. Results After comprehensive care, the independence rating scale and Fugl-Meyer scores were higher in both groups than before care, while those of the combined group were higher than those of the control group, with statistically significant differences (P ＜ 0.05). After care, the dimensions of Nottingham health questionnaire scores were lower in both groups than before care, while the combined group had lower energy, pain, sleep, social, and physical scores than the base group, with statistically significant differences (P ＜ 0.05). After care, the scores on the self-rating sleep status scale, the self-rating anxiety scale, and the self-rating depression scale in both groups were lower than before care, while in those the combined group were lower than those in the basic group, with statistically significant differences (P ＜ 0.05). The incidences of muscle atrophy and joint stiffness during care were lower in the combined group than in the basic group, and the differences were statistically significant (P ＜ 0.05). Conclusion Comprehensive care based on the Omaha system can significantly improve somatic and motor functions, increase quality of life, and reduce psychological stress in patients with traumatic paraplegia.
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