|
|
Application analysis of Omaha system language in the continued care of patients undergoing radical masterctomy |
CHEN Yuqing1,2 ZHANG Lili1 LI Guoji3 HE Yanying3 |
1.School of Nursing, Southern Medical University, Guangdong Province, Guangzhou 510515, China;
2.Department of Nursing, Zhaoqing Medical College, Guangdong Province, Zhaoqing 526020, China;
3.Breast Surgery Ward, the First People’s Hosptial of Zhaoqing, Guangdong Province, Zhaoqing 526000, China |
|
|
Abstract Objective To explore the applicability of the Omaha system language in the continued care of patients undergoing radical mastectomy, and to provide a basis for advancing the standardization of the language of nursing records. Methods Content analysis and cross-mapping methods were used to retrospectively analyze nursing file records of 62 patients who underwent radical mastectomy and adjuvant chemotherapy in the First People’s Hosptial of Zhaoqing, Guangdong Province from September 2018 to March 2019. The degree of agreement with the Omaha system terminology was compared. Results A total of 501 pieces of language describing the problems and interventions of patients with underwent radical mastectomy were extracted from the nursing documents as the analysis unit, of which 406 (81.0%) were completely consistent with the Omaha system term description, 81 (16.2%) were partially matched, and 14 items (2.8%) were not consistent. Conclusion The Omaha system language is suitable for the whole process of continued care for patients undergoing radical mastectomy and provides practical guidance for them, but it needs to be modified and adjusted appropriately before application.
|
|
|
|
|
[1] 郑荣寿,孙可欣,张思维,等.2015年中国恶性肿瘤流行情况分析[J].中华肿瘤杂志,2019,41(1):19-28.
[2] 中国抗癌协会乳腺癌专业委员会.中国抗癌协会乳腺癌诊治指南与规范(2019年版)[J].中国癌症杂志,2019,29(8):609-680.
[3] 谢红.“互联网+护理服务”的创新发展路径研究[J].中国护理管理,2019,19(7):961-964.
[4] Slipka AF,Monsen KA. Toward Improving Quality of End-of-Life Care:Encoding Clinical Guidelines and Standing Orders Using the Omaha System [J]. Worldviews Evid Based Nurs,2018,15(1):26-37.
[5] 魏婷婷,李霞,李国媛,等.乳腺癌患者延续护理评价体系的构建及应用[J].中华护理杂志,2019,54(1):47-51.
[6] 金艾香,陈肖敏,章小飞,等.基于奥马哈系统的乳腺癌患者康复管理虚拟现实技术平台构建与应用[J].中国全科医学,2018,21(24):2987-2992.
[7] 石维红,李双凤,朱林波,等.以奥马哈系统为理论框架的微信群平台在乳腺癌患者术后延续护理中的应用[J].护理与康复,2020,19(3):88-90.
[8] 国务院.《“健康中国2030”规划纲要》[EB/OL].http//www.gov.cn/zhengce/2016-10/25/content_5124174.htm.[2016-10-25].
[9] 杜佳敏,谢红.标准化护理语言的应用进展及其应用于养老护理的可行性分析[J].中华护理杂志,2017,52(7):874-878.
[10] Martin KS. The Omaha System:A Key to Practice,Documentation,and information Management [M]. 2nd ed. Omaha,NE:Health Connections Press,2005.
[11] 郭赫,沈军,邓敏.奥马哈系统用于老年痴呆患者护理描述对比分析[J].重庆医学,2017,46(32):4599-4601.
[12] Burkhart L,Konicek R,Moorhead S,et al. Mapping parish nurse documentation into the nursing interventions classification:a research method [J]. Comput Inform Nurs,2005,23(4):220-229.
[13] Austin RR,Monsen KA,Schulz C. An Informatics Approach to Interprofessional Management of Low Back Pain:A Feasibility Study using the Omaha System [J]. J Innov Health Inform,2017,24(3):268-274.
[14] 李洁琼,张蜜,惠沼沼,等.奥马哈系统应用于冠心病患者护理描述的对比分析[J].中国实用护理杂志,2019(25):1956-1960.
[15] 林秀芝,杨栋梁,刘岩岩,等.奥马哈系统在哮喘患儿临床护理中应用的可行性研究[J].护理学杂志,2019,34(14):25-27.
[16] Bowles KH. Application of the Omaha System in acute care [J]. Res Nurs Health,2000,23(2):93-105.
[17] 苏娅丽,王丕琳,刘均娥,等.治疗初期乳腺癌患者的心理痛苦及其相关因素分析[J].中国医药导报,2017,14(26):134-137,141.
[18] 马忠平,杨虹.奥马哈系统护理干预人工流产后关爱项目的应用研究[J].中外医学研究,2019,17(4):97-99.
[19] 赵玉桃,成雪芹,朱健,等.心理干预在乳腺癌患者中的应用[J].中华现代护理杂志,2020,26(4):534-536.
[20] 朱雪娇,牛丹,蔡冰琳.奥马哈系统在社区慢性病健康档案记录中的应用[J].中国全科医学,2018,21(9):1080-1084.
[21] 欧阳靓.以奥马哈系统指导的延续护理在维持性血液透析患者中的应用效果研究[J].中国当代医药,2020,27(28):213-215.
[22] 马志杰,王帆,赵亚双.乳腺癌化疗患者生存质量及影响因素分析[J].实用肿瘤学杂志,2019,33(2):149-154.
[23] 魏春莲,刘少琴,冼绮云,等.改良性奥马哈系统在糖尿病患者自我血糖监测行为管理中的应用[J].中国医学创新,2020,17(32):90-95.
[24] 黄金月,王少玲,周家仪.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.
[25] 顾娟,姚炯,申飞,等.奥马哈系统在宫颈癌患者围术期护理中应用的可行性研究[J].中国现代医生,2021,59(5):165-168.
[26] 王平,杨晓芳.基于奥马哈系统的延续性护理对小儿哮喘的干预效果及生活质量的影响[J].中国医药科学,2020,10(19):159-161,176.
[27] 戚军,于克玲,王翠,等.基于奥马哈系统的护理干预在全髋关节置换术患者下肢深静脉血栓预防中的应用[J].中国医药导报,2020,17(34):173-176.
[28] 武佩佩,强万敏.以多学科团队为主导的乳腺癌生存者护理模式研究进展[J].护士进修杂志,2018,33(22):2060-2062.
[29] 崔璀,郑显兰,李双子.奥马哈系统在癫痫患儿护理中应用的可行性研究[J].中华护理杂志,2016,51(7):804-807.
[30] 谭晓青,刘雪琴,温清霞,等.奥马哈系统在我国社区护理应用的可行性探讨[J].中国护理管理,2011,11(3):30-33.
[31] Zhao X,Dong Q,Zhao G,et al. Effects of an Omaha system-based continuing nursing program on nutritional status in patients undergoing peritoneal dialysis:a randomized controlled trial [J]. Int Urol Nephrol,2020,52(5):981-989. |
|
|
|