Application of continuous nursing based on Omaha system in patients with intestinal obstruction causedby peritonitis on peritoneal dialysis
基于奥马哈系统的延续护理在腹膜透析腹膜炎致肠梗阻患者中的应用

摘要

目的 对腹膜透析腹膜炎致肠梗阻患者经奥马哈系统延续护理的应用效果进行探究分析。方法选取于我院接受腹膜透析治疗腹膜炎致肠梗阻患者94例，入组时间2021年5月至2022年5月，随机将患者分为47例常规组与47例延续组，分别予以常规干预与奥马哈系统延续护理，对比分析护理效果。结果 对比分析护理前常规组与延续组HPLPⅡ、SF-36及ESCA评分发现，组间对比，无统计学差异，P＞0.05，延续组干预后HPLPⅡ、SF-36及ESCA评分显著高于常规组，有统计学差异，P＜0.05；延续组满意度为95.74%，与常规组的76.60%相比，延续组显著较高，有统计学差异，P＜0.05。结论 临床护理腹膜透析腹膜炎致肠梗阻患者时，采取奥马哈系统延续护理可促进患者自我护理能力及生活质量提升，帮助患者养成良好健康行为，获得患者一致认可，具有较高的临床应用价值。

Abstract

Objective To explore and analyze the application effect of Omaha System continuous nursing for patients with intestinal obstruction caused by peritoneal dialysis peritonitis.
Methods 94 patients with intestinal obstruction caused by peritonitis who received peritoneal dialysis in our hospital were randomly divided into 47 cases of routine group and 47 cases of continuous group from May 2021 to may 2022. They were given routine intervention and Omaha System continuous nursing respectively, and the nursing effects were compared and analyzed。
Results comparing and analyzing the scores of hplp Ⅱ, SF-36 and ESCA between the routine group and the continuation group before nursing, it was found that there was no statistical difference between the groups, P > 0.05. After intervention, the scores of hplp Ⅱ, SF-36 and ESCA in the continuation group were significantly higher than those in the routine group, P < 0.05; The satisfaction of the continuation group was 95.74%, which was significantly higher than that of the conventional group (76.60%, P < 0.05).
Conclusion   in clinical nursing of patients with intestinal obstruction caused by peritoneal dialysis peritonitis, Omaha System continuous nursing can promote the self-care ability and quality of life of patients, help patients develop good health behavior, obtain the unanimous recognition of patients, and have high clinical application value.