Application of nursing case management mode framed by Omaha system in patients with hepatocirrhosis complicated with gastrointestinal bleeding

Abstract

Objective To explore the application of nursing case management mode framed by Omaha system in patients with hepatocirrhosis complicated with gastrointestinal bleeding, so as to provide evidence-based basis for clinical nursing. Methods A total of 72 hepatocirrhosis complicated with gastrointestinal bleeding patients were collected from July 2014 to July 2016 in our hospital. All the patients were randomized divided into observation group (36 cases) and experimental group (36 cases). The patients of observation group were given case management mode framed by Omaha system, while the patients of control group were given conventional case management model. Analysis and evaluation of scores were implemented before and after the nursing intervention in observation group. The quality of life, hospitalization days and number of hospitalizations after discharge were compared between two groups. Results The nursing problems of observation group during hospitalization were mainly distributed in the environment, social psychology, physiology and health related behaviors. After nursing intervention, there were significant differences in all nursing outcomes for nursing problems (t=12.470, 10.720, 17.520, 7.600, 7.549, 12.146, 16.857, 5.607, 14.683, 7.085, 11.66, 11.024, 12.723; P<0.05) . After intervention in observation group, the activity of daily living was (19.18±5.67), social activity (13.96±3.89), depression symptom (11.69±3.97), anxiety symptom (9.34±2.88), and survival quality (54.17±5.45), which were less than (27.21±3.84) , (18.53±3.58) , (17.64±2.75) , (15.72±2.93) , (79.10±8.63) (t=7.036, 5.187, 7.392, 9.317, 14.654; P<0.05). After intervention, the length of hospitalization was (8.7±3.9) d, the cost (5 419.5±2 539.2)Yuan and the revisit times (0.4±0.2), which were less than (10.8±3.4)d, (7 312.4±4 280.1)Yuan and (0.7±0.3) of control group (t=2.435, 2.282, 4.992; P<0.05). Conclusions Compared with conventional methods, the case management framed by Omaha system can effectively improve the quality of life, reduce hospitalization days, hospitalization cost and number of re-hospitalizations after discharge. Key words: Liver cirrhosis; Omaha system; Case management; Gastrointestinal bleeding