摘要
目的探讨以奥马哈系统为基础的护理实践在重症病毒性脑炎儿童出院随访中的影响。方法选取2015年1—12月出院的SVE患儿42例。按随机数字表法随机分为对照组和观察组各21例，对照组采取常规的出院计划，观察组依据奥马哈系统进行全面的护理评估、系统分析、制定护理干预措施并予以实施。比较两组患儿干预前、干预后1个月儿童生活质量普适性核心量表（PedsQL^TM4．0）评分的差异。结果观察组患儿出院后1个月护理问题中精神健康6例、神经一肌肉一骨骼3例、睡眠与休息5例、健康照顾督导2例，问题发生率低于干预前，差异有统计学意义（Х^2值分别为14．000，18．709，4．842，16．701；P〈0．05）。干预后观察组患儿PedsQL^TM～4．0评分（65．35±15．47）分，对照组（60．95±12．01）分，差异有统计学意义（t=2．410，P〈0．05）。结论以奥马哈系统为基础的护理实践反映了SVE患儿干预前后常见的护理问题和干预方向，可提高患儿生活质量，在临床工作中值得推广。
Objective To explore the effects of nursing practice which based on Omaha system in follow-up of children with severe viral encephalitis （ SVE ）. Methods A total of 42 SVE children who were discharged from January to December 2015 were selected and assigned to the control group （ n = 21 ） and the observation group （n = 21 ） randomly. Patients in the control group received routine discharge plan, while patients in the observation group were given comprehensive nursing evaluation, systematic analysis and nursing intervention based on Omaha system. PedsQLTM 4.0 score of patients in two groups were compared before intervention and 1 month after intervention. Results One month after intervention, in the observation group, there were 6 cases of mental health among all cases with nursing problems, 3 cases of nerve-muscle-bone, 5 cases of sleep and rest and 2 cases of health care supervision, and the incidence rate of problems was significantly different from the data before intervention （ X2 = 14.000, 18. 709, 4. 842, 16.701 ; P 〈 0. 05 ） ; PedsQLTM4.0 score in the observation group after intervention was （65.35± 15.47） , and the score in the control group was （60.95±12.01） （t=2.410,P〈0.05）.Condusions Nursing practice based on Omaha system reflects the common nursing problems and interventions of SVE children before intervention and after intervention, which can improve the quality of life of SVE children and be worth popularizing in clinical work.
出处
《中华现代护理杂志》
2016年第29期4238-4241,共4页
Chinese Journal of Modern Nursing
关键词
脑炎
病毒性
儿童
随访研究
奥马哈系统
生活质量
Encephalitis, viral
Children
Follow-up study
Omaha system
Quality of life
