基于奥马哈系统的连续性护理模式在脊柱结核手术患者中的应用

目的:探讨基于奥马哈系统的连续性护理模式在脊柱结核手术患者中的应用效果。方法:将2017年1月1日~12月31日80例脊柱结核手术患者随机分为干预组和对照组各40例,对照组患者采用脊柱结核手术常规护理措施,干预组在对照组基础上采用基于奥马哈系统的连续性护理模式。比较两组手术后第7天、出院后12个月时的视觉模拟评分法(VAS)评分、功能锻炼依从性,Barthel指数评分。结果:干预组术后第7天、出院后12个月时的VAS评分低于对照组,功能锻炼依从性及Barthel指数评分均高于对照组(P<0.05)。结论:基于奥马哈系统的连续性护理模式可以缓解脊柱结核手术患者的疼痛,提高其功能锻炼依从性及日常生活活动能力。

Application of Continuous Care Model Based on Omaha System in Patients Undergoing Spinal Tuberculosis Surgery

Objective:To investigate the effect of continuous care based on Omaha system in patients with spinal tuberculosis surgery.Methods:From January 1,2017 to December 31,2017,80 patients undergoing spinal tuberculosis surgery were randomly divided into the intervention group and the control group with 40 patients each.The control group received routine nursing measures for spinal tuberculosis surgery,and the intervention group received continuous nursing mode based on the Omaha system on the basis of the control group.Visual analogue scale(VAS)score,functional exercise compliance and Barthel index score were compared between the two groups at 7 days after surgery and 12 months after discharge.Results:VAS score of the intervention group on the 7th day after surgery and 12 months after discharge was lower than that of the control group,while compliance of functional exercise and Barthel index score were higher than that of the control group(P<0.05).Conclusion:The continuous care model based on the Omaha system can alleviate the pain of patients undergoing spinal tuberculosis surgery and improve their functional exercise compliance and daily activity.