Application of Omaha system-based continuous nursing care in rehabilitation for patients with hypertensive intracerebral hemorrhage

doi:10.3760/cma.j.cn441417-20241106-16032

Abstract

Abstract:

Objective　To investigate the efficacy of Omaha system-based continuous nursing care in the rehabilitation for patients with hypertensive intracerebral hemorrhage (HICH). Methods　A total of 76 patients with HICH treated at the 73rd Group Army Hospital of PLA from May 2021 to May 2023 were selected for the randomized controlled trial, and were divided into an observation group and a control group by the random number table method, with 38 cases in each group. The control group included 25 males and 13 females; they were 41-80 (66.08±11.89) years old. The observation group included 22 males and 16 females; they were 39-77 (65.69±11.32) years old. The control group received routine post-discharge rehabilitation guidance; in addition, the observation group took Omaha system-based continuous nursing care. The rehabilitation outcomes were compared between the two groups by t test. Results　The scores of status, behaviors, and cognition in the observation group were 3.55±0.48, 3.02±0.44, and 2.63±0.54, which were higher than those in the control group, with statistical differences (all P<0.05). The scores of Functional Independence Measure (FIM) and Quality of Life Index (QLI) in the observation group were 95.06±20.55 and 7.99±2.01, which were higher than those in the control group, with statistical differences (both P<0.05). Conclusion　Omaha system-based continuous nursing care for patients with HICH can effectively improve their cognitive function, behavioral outcomes, clinical status, self-care ability, and quality of life.

Key words:

Hypertensive intracerebral hemorrhage, Omaha system, Continuous nursing care, Rehabilitation, Application effect

摘要：

目的　探讨基于奥马哈系统的延续护理在高血压脑出血（HICH）患者康复中的应用效果。方法　选取2021年5月至2023年5月陆军第七十三集团军医院收治的76例HICH患者进行随机对照试验。采用随机数字表法将其分为观察组和对照组，各38例。对照组男25例，女13例，年龄41～80（66.08±11.89）岁；观察组男22例，女16例，年龄39～77（65.69±11.32）岁。对照组出院后进行常规康复指导，观察组在此基础上进行基于奥马哈系统的延续护理。比较两组干预后康复效果。采用t检验进行统计分析。结果　观察组状态、行为、认知评分分别为（3.55±0.48）分、（3.02±0.44）分、（2.63±0.54）分，均高于对照组，差异均有统计学意义（均P<0.05）。观察组独立性评价量表（Functional Independence Measure，FIM）和生活质量指数（Quality of Life Index，QLI）评分分别为（95.06±20.55）分、（7.99±2.01）分，均高于对照组，差异均有统计学意义（均P<0.05）。结论　基于奥马哈系统的延续护理能有效改善HICH患者的认知、状态和行为，提高患者的自理能力和生活质量。

关键词:

高血压脑出血, 奥马哈系统, 延续护理, 康复, 应用效果

Ouyang Ling, Lian Pinghong, Peng Hong, Huang Rong, Liu Changhua, Chen Gang, Zhang Shangming.

Application of Omaha system-based continuous nursing care in rehabilitation for patients with hypertensive intracerebral hemorrhage [J]. International Medicine and Health Guidance News, 2025, 31(16): 2798-2801.

欧阳玲连萍红彭红黄榕刘昌华陈岗张尚明.

基于奥马哈系统的延续护理在高血压脑出血患者康复中的应用效果 [J]. 国际医药卫生导报, 2025, 31(16): 2798-2801.

References

[1] 王清波.DSA激光导航和水密闭合硬脑膜技术在高血压脑出血手术中的应用研究[D].济南:山东大学,2024.DOI:10.27272/d.cnki.gshdu.2024.000652.
[2] 黄刚,田晓莹. 破血逐瘀汤在老年高血压脑出血患者中的临床疗效及对血液流变学和证候积分的影响研究[J]. 山西医药杂志, 2022, 51(14): 1635-1638. DOI:10.3969/j.issn.0253-9926.2022.14.023.
[3] 张利,张于,王彦,等. 多模态3D-Slicer颅内血肿重建技术辅助神经内镜微创手术联合早期康复治疗高血压脑出血伴偏瘫患者的疗效研究[J]. 实用心脑肺血管病杂志, 2021, 29(5): 118-123. DOI: 10.12114/j.issn.1008-5971.2021.00.103.
[4] 石鹏程,李积荣,赵媛,等. 高海拔地区硬通道穿刺引流与非手术治疗基底节区中小量高血压性脑出血疗效比较[J]. 武警医学, 2022, 33(10): 866-868,872. DOI:10.3969/j.issn.1004-3594.2022.10.009.
[5] 周佳英,张兰,苗增利. 激励护理对高血压脑出血术后康复患者不良情绪、生活质量及自我效能的影响[J]. 国际护理学杂志, 2023, 42(1): 43-46. DOI: 10.3760/cma.j.cn221370-20200911-00011.
[6] 文喆卿,郭珊,文雯,等. 基于奥马哈系统的护理模式在老年脑卒中病人中的应用[J]. 护理研究, 2023, 37(5): 938-940. DOI:10.12102/j.issn.1009-6493.2023.05.034.
[7] 刘励璇,江玉意,郑惠芳,等. 基于奥马哈系统的家庭-社区-医院联动护理在老年痴呆患者中的应用及对患者生活质量的影响[J]. 国际护理学杂志, 2021, 40(15): 2877-2880. DOI: 10.3760/cma.j.cn221370-20200401-00817.
[8] 刘巧兰,杨燕凤,谢秀娟,等. 奥马哈系统在老年髋部骨折患者出院后延续性护理中的应用[J]. 齐鲁护理杂志, 2021, 27(12): 90-92. DOI:10.3969/j.issn.1006-7256.2021.12.035.
[9] 高志恒,张晓红,何芳,等. 基于奥马哈问题分类系统的第二受害者伤害评价指标构建[J]. 护理学杂志, 2023, 38(19): 58-62. DOI: 10.3870/j.issn.1001-4152.2023.19.058.
[10] 冼雪齐,陆家恩,李韵婷. 短语线索导引式康复处方在支气管扩张患者延续护理中的应用[J]. 齐鲁护理杂志, 2021, 27(5): 146-147. DOI:10.3969/j.issn.1006-7256.2021.05.053.
[11] 陈红梅. 超早期康复护理对高血压脑出血病人预后的影响[J]. 安徽医药, 2019, 23(9): 1789-1792. DOI: 10.3969/j.issn.1009-6469.2019.09.022.
[12] 周雪迎,张雪芳,冯静宜,等. 基于奥马哈系统框架的延续护理对高血压脑出血术后病人康复效果影响的系统评价[J]. 循证护理, 2023, 9(3): 394-401. DOI: 10.12102/j.issn.2095-8668.2023.03.003.
[13] 吕霞.基于"互联网+医院-社区-家庭"三元联动的炎症性肠病延续护理模式构建与初步应用[D].南京: 东南大学, 2021. DOI: 10.27014/d.cnki.gdnau.2021.004186.
[14] 苏亚平.老年髋关节置换护理敏感质量指标体系的构建与应用[D].郑州: 河南大学, 2023. DOI:10.27114/d.cnki.ghnau.2023.001471.
[15] 邵丹青. 中文版青少年癫痫患者病耻感量表的编译及临床应用[D].济南: 山东第一医科大学, 2020.
[16] 沈沉,齐燕,苌凤水,等. 脊髓损伤患者日常生活活动自评问卷的研制与信效度检验[J]. 中国脊柱脊髓杂志, 2022, 32(8): 729-734. DOI:10.3969/j.issn.1004-406X.2022.08.08.
[17] 韩凯月,李江毅,陈宝迪,等. 移动智能认知训练对社区卒中后认知功能障碍者康复效果的影响[J]. 中国康复医学杂志, 2024, 39(11): 1651-1655,1661. DOI:10.3969/j.issn.1001-1242.2024.11.014.
[18] 杜敏,陈安强,党娜,等. 行为生活方式对泌尿系结石密度的影响及体外冲击波碎石治疗效果分析[J]. 中华行为医学与脑科学杂志, 2024, 33(9): 833-837. DOI:10.3760/cma.j.cn371468-20240711-00324.
[19] 宋云梅,陈琳,康丽钦,等. 奥马哈系统延续护理干预对高血压脑出血术后患者自理能力及生活质量的影响[J]. 基层医学论坛, 2021, 25(33): 4881-4882. DOI:10.19435/j.1672-1721.2021.33.066.
[20] 端木艳艳,谢芳芳,陈玉,等. 奥马哈系统框架下开展延续护理干预在重症新生儿出院随访中的应用[J]. 国际医药卫生导报, 2023, 29(9): 1294-1299. DOI:10.3760/cma.j.issn.1007-1245.2023.09.025.
[21] 黄丽,杨燕妮,李洁,等. 脑健康教育对伴主观记忆障碍高血压患者治疗依从性的影响[J]. 中国实用护理杂志, 2019, 35(8): 587-592. DOI:10.3760/cma.j.issn.1672-7088.2019.08.006.
[22] 侯春慧. 基于奥马哈系统的延续护理在急性脑卒中偏瘫患者中的应用[J]. 国际医药卫生导报, 2020, 26(1): 142-146. DOI:10.3760/cma.j.issn.1007-1245.2020.01.046.
[23] 宋媛媛. 奥马哈式延续护理对高血压性脑出血术后康复的影响[J]. 安徽医药, 2019, 23(5): 910-913. DOI:10.3969/j.issn.1009-6469.2019.05.018.
[24] 李够雄.基于奥马哈系统的延续性护理在主动脉夹层术后出院患者中的应用[D].衡阳: 南华大学, 2019. DOI: 10.27234/d.cnki.gnhuu.2019.000970.