Application of continuing nursing based on Omaha system in postoperative rehabilitation of patients with hypertensive cerebral hemorrhage

Abstract

Objective To explore the application effect of continuing nursing based on Omaha system in postoperative rehabilitation of patients with hypertensive cerebral hemorrhage. Methods A total of 37 patients with hypertensive cerebral hemorrhage in neurosurgery department of the First Hospital of Jiaxing from July 2015 to February 2016 were recruited as the intervention group, while 34 patients with hypertensive cerebral hemorrhage from November 2014 to June 2015 were selected as the control group. Patients in the control group received postoperative general nursing for patients with hypertensive cerebral heorrhage. Patients in the intervention group received continuing nursing based on Omaha system beside general nursing which lasted 8 weeks until after discharge. Patients′ behavior, cognition and status were compared between two groups to evaluate the nursing effects. Results Omaha system contains four aspects including environment, psychology and society, physiology and health-related behavior. Nursing problems found in the intervention group were related to previous four aspects. A total of 21 problems were sorted out. The scores of behavior, cognition and status in the intervention group were (2.86±0.23) , (2.51±0.53) and (3.39±0.41) , which were higher than those in the control group [ (2.17±0.54) , (1.62±0.49) and (2.44±0.37) ] (P<0.05) . Conclusions Continuing nursing based on Omaha system shows the common problems in postoperative rehabilitation of patients with hypertensive cerebral hemorrhage and provides standardized proposal for rehabilitation nursing to achieve better nursing effects. Key words: Rehabilitation nursing; Hypertensive cerebral hemorrhage; Continuing nursing; Omaha System