Application effect of continuous nursing based on Omah system in urology patients

Abstract

Objective To study the effect of application of continued nursing based on Omaha system to the patients with urinary artificial orifice. Methods Review 80 cases of patient who was performed with total cystectomy and permanent urinary artificial orifice at abdominal wall in our hospital from Jun, 2015 to Nov, 2016 were selected as object of study, they were divided into observation group and control group according to different nursing methods with 40 cases for each group. The control group was administrated with conventional nursing, the observation group was additionally administrated with continued nursing theoretically based on Omaha system. The quality of life, the nursing evaluation of the Omaha system and the satisfaction score of the 2 groups were compared. Results The patients in observation group evidently had higher scores 88.4±4.4, 91.2±2.8, 89.7±3.6, 87.1±4.4, 87.3±3.4 in terms of social function, cognitive function, emotional function, role function, physical function and overall health,than 81.3±2.5, 81.2±3.4, 80.1±4.1, 81.2±3.5, 80.2±2.6 in the control group, the differences were statistically significant (t=8.378 0-15.028 2, P<0.01); the patients in observation group had evidently a higher autonomous nursing score 92.11±4.64 and patient satisfaction 97.50% (39/40) than 75.09±6.93 and 82.50% (33/40) in control group did, the differences were statistically significant (t=7.281, χ2=6.504, P<0.01). Conclusion The nursing program theoretically based on Omaha system and designed for the patients with urinary artificial orifice can effectively improve the patient′s life quality and autonomous nursing ability, and the patients are highly satisfied by the nursing, which has a clinical significance. Key words: Cystectomy; Urinary diversion; Omaha system; Continuous care