摘要
目的探讨奥马哈问题分类系统在青光眼患者术后康复期护理评估中的应用效果。方法以奥马哈问题分类系统为评估工具,对150例青光眼术后康复期患者通过系统观察、访谈、护理查体、查阅实验室和辅助检查资料等方式收集、分析、归类护理问题。结果 150例青光眼患者术后康复期共存在1 779个护理问题,平均11.86个/例,其中生理领域占36.8%、健康相关行为领域占34.7%,心理社会领域占21.9%,环境领域占6.6%。患者出院时存在的10个主要护理问题依次为视觉(100%)、心理健康(94.7%)、神经-肌肉-骨胳功能(92.0%)、身体活动(88.7%)、自我照顾(76.7%)、社交(69.3%)、疼痛(65.3%)、收入(57.3%)、睡眠和休息形态(53.3%)、药物治疗方案(51.3%)。结论奥马哈问题分类系统能全面分类评估出青光眼患者术后康复期护理问题,有利于针对性护理,从而促进患者康复。
Objective To investigate the effect of applying Omaha Problem Classification Scheme (Omaha PCS) in nursing assessment of patients recovering from glaucoma surgery.Methods The Omaha PCS was used to guide the caring of 150 patients recovering from glaucoma surgery by nurses′systematic observation,interviews with the patients,performing physical examination,reviewing laboratory and auxiliary examination data.Then the patients′ nursing problems were fully collected,analyzed and classified for holistic nursing care.Results A total of 1,779 nursing problems were recorded,with an average of 11.86 problems per patient.The problems in physiological domain accounted for 36.8%,health-related behaviors domain for 34.7%,psychosocial domain for 21.9%,and environmental domain for 6.6%.The top 10 nursing problems found at discharge lay in vision (100%),mental health (94.7%),neuro-musculo-skeletal function(92.0%),physical activity (88.7%),personal care (76.7%),social contact (69.3%),pain (65.3%),income (57.3%),sleep and rest patterns(53.3%),and medication regimen (51.3%).Conclusion Application of Omaha PCS could help nurses fully identify nursing problems of patients recovering from glaucoma surgery,and direct precise and personalized nursing interventions,which boost patient recovery.
作者
薛朝华
邢育珍
鲁才红
谭璇
刘红
Xue Chaohua;Xing Yuzhen;Lu Caihong;Tan Xuan;Liu Hong(Ophthalmology Department,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China)
出处
《护理学杂志》
CSCD
北大核心
2018年第22期17-21,共5页
Journal of Nursing Science
基金
2017年湖北省卫生计生委面上项目(WJ2017M113)
2017年华中科技大学同济医学院附属协和医院"药技护"专项基金项目(02.03.2017-255)
关键词
青光眼
康复期
奥马哈问题分类系统
护理评估
护理问题
视觉
心理健康
身体活力
glaucoma
recovery stage
Omaha Problem Classification Scheme
nursing assessment
nursing problems
vision
mental health
physical activity
