奥马哈系统在女性压力性尿失禁患者护理中的应用效果

目的：探讨奥马哈系统在女性压力性尿失禁患者中的应用效果。方法：选取84例女性压力性尿失禁患者,随机分为观察组和对照组各42例。两组患者均在硬膜外麻醉下行经闭孔经阴道无张力尿道中段悬吊术（TVT-O）。对照组患者给予常规护理，观察组患者在对照组基础上给予基于奥马哈系统的护理。观察两组患者术后早期并发症，并采用尿失禁生活质量问卷（I-QOL）和焦虑自评量表（SAS）对患者生活质量及焦虑程度进行评估。结果：观察组患者术后并发症发生率低于对照组，差异具有统计学意义（P＜0.05）；观察组患者I-QOL 得分高于对照组，焦虑程度（SAS）得分低于对照组,差异均有统计学意义（P＜0.05）。结论：基于奥马哈系统的护理用于行经闭孔经阴道无张力尿道中段悬吊术治疗的女性尿失禁患者中，可降低术后并发症的发生率，提高患者的生活质量，降低尿失禁患者的焦虑程度。

Application effect of Omaha System in nursing care of female patients with stress urinary incontinence

Objective: To explore the application effect of Omaha System in female patients with stress urinary incontinence. Methods: A total of 84 cases of the patients with stress urinary incontinence were selected and were divided into control group(42 cases) and observation group(42 cases) randomly. Both groups were treated with tension-free vaginal tape-obturator(TVT-O) under epidural anesthesia. Patients in the control group received routine nursing care, and the observation group received nursing care based on Omaha System in addition to routine nursing. The early postoperative complications of the two groups were observed and the quality of life and anxiety of the patients were evaluated by incontinence quality of life questionnaire(I-QOL)and self-rating anxiety scale(SAS). Results: The incidence of postoperative complications in the observation group was significantly lower than that in the control group (P<0.05); I-QOL score in the observation group was higher than that in control group , SAS score was significantly lower than that in control group(P<0.05). Conclusion: Nursing care based on Omaha System can reduce the incidence of postoperative complications in female patients with stress urinary incontinence underwent TVT-O and improve the quality of life of patients, meanwhile, reduce the degree of anxiety of patients effectively.