奥马哈系统护理在重症病毒性脑炎患儿中的应用

目的 研究奥马哈系统护理对重症病毒性脑炎患儿PedsQLTM4.0评分(儿童生活质量普适性核心量表)及家属满意度的影响。方法 以2017年10月—2019年5月某儿童医院收治的重症病毒性脑炎患儿110例为研究对象,依据随机数表法分为对照组和观察组,每组55例。对照组进行常规出院计划,观察组实施以奥马哈系统为基础的延续护理。对比并分析两组患者的PedsQLTM 4.0评分以及家属满意度。结果 出院后3个月,两组患儿PedsQLTM 4.0评分均升高,观察组患儿生理评分、情感评分、社会评分、角色评分、总评分分别为(54.62±7.06)分、(67.75±6.65)分、(66.23±9.91)分、(63.23±10.15)分、(63.27±8.81)分,均高于对照组的(49.45±5.92)分、(63.82±6.06)分、(62.03±7.85)分、(49.03±12.15)分、(56.08±7.25)分,差异具有统计学意义( P值均<0.05);对照组患者的护理总满意度亦低于观察组的96.36%(53/55),差异具有统计学意义(χ2=3.960, P<0.05)。结论 在采用奥马哈系统 护理重症病毒性脑炎患儿,可明显改善PedsQLTM 4.0评分,提高其生活质量,提高患者满意度。

Application of Omaha system nursing in children with severe viral encephalitis

Objective To study the effect of Omaha system nursing on the PedsQLTM4.0 score and family satisfaction in children with severe viral meningitis. Methods From October 2017 to May 2019, 110 children with severe viral meningitis were randomly divided into a control group (n=55) and a trial group (n=55). The control group was given the routine discharge plan, and the trial group was given the continuous nursing based on Omaha system. The PedsQLTM4.0 score and family satisfaction of the two groups were investigated, analyzed and compared. Results The PedsQLTM4 scores of the two groups both increased 3 months after discharge. The scores of physiology, emotion, society, role, and total in the trial group were (54.62±7.06), (67.75±6.65), (66.23±9.91), (63.23±10.15), and (63.27±8.81) points, respectively, which were higher than those in the control group , and the differences were statistically significant (all P<0.05). The total nursing satisfaction of the control group was 85.45% (47/55), which was significantly lower than that of the trial group (96.36%, 53/55) (χ2=3.960, P<0.05). Conclusion The use of Omaha system in the continuous nursing care of children with severe viral meningitis can significantly improve the PedsQLTM4.0 score, and at the same time, improve the quality of life of them and improve the nursing satisfaction of patients' families.