| ObjectiveTo construct a nursing plan for patients with dangerous placenta previa combined with pre-balloon surgery based on the Omaha system,and explore the nursing plan for patients with dangerous placenta previa undergoing cesarean section combined with pre-balloon surgery(hereinafter referred to as The clinical effect of patients)provides new methods for the care of such patients.Methods1.Based on the Omaha system,we retrospectively analyze the medical records of a total of 180 patients who underwent cesarean section combined with pre-balloon surgery from January 1,2017 to October 31,2018 in a third-class general hospital in Chenzhou,and extract such data The main nursing problems of the patients,summarize the nursing measures taken in the clinic.2.On the basis of retrospective research and literature review,and based on the Omaha system,we compiled the"Evaluation Form for Nursing Care of Patients with Dangerous Placenta Previa and Caesarean Section Combined with Preloading Balloon"and"Dangerous Placenta Previa The Nursing Outcome Scoring For m for Patients with Uterine Delivery and Preloading Balloon Surgery,to construct the"Career Delivery and Preloading Balloon Surgery Patient Care Framework for Dangerous Placenta Previa",and conduct 2 rounds of expert consultation and pre-tests.3.From December 2018 to September 2019,80 patients with dangerous placenta previa who underwent cesarean section combined with pre-balloon surgery from the obstetrics department of a tertiary general hospital in Chenzhou City were conveniently sampled and divided into intervention groups by random number table method And the control group,40 cases in each group.The control group was given routine care;the intervention group was given the Omaha system nursing program on the basis of routine care.On the day of admission,the day before the operation,and the first day after the operation,the"Evaluation Form for Nursing Care of Patients with Dangerous Placenta Previa and Caesarean Section Combined with Preload Balloon Surgery"was used to assess the nursing problems of the two groups of patients.On the same day,the"Nursing Placenta Previa and Caesarean Section Combined with Balloon Preloading Patient Care Outcome Scale"was used to observe the changes in the intervention group’s cognition,behavior,and condition;the"Visual Analog Volume"was used on the third day after surgery Table to evaluate the pain status of the two groups of patients;observe the incidence of postoperative complications of the two groups on the day of discharge;use the"World Health Organization Quality of Life Assessment Table"to evaluate the survival of the two groups on the day of admission and discharge Quality score.4.SPSS 19.0 statistical software to was used perform descriptive analysis,t test andχ~2 test on the data.Result1.A retrospective analysis of the patient’s medical records showed that the nursing problems of patients with dangerous placenta previa undergoing cesarean section combined with pre-balloon surgery mainly focused on physiology,social psychology,health-related behaviors and social environment,The most commonly used Nursing intervention methods included monitoring,education,guidance,consultation,treatment and nursing.2.Expert consultation and pre-test results:"Evaluation Form for Nursing Care of Patients with Dangerous Placenta Previa underwent Cesarean Section Combined with Preloading Balloon","Nursing Care of Patients with Dangerous Placenta Previa underwent Cesarean Section and Preloading Balloon Operation"The content validity(mean CVI)of the expert consultations in the"Outcome Score Sheet"and"The Nursing Framework for Patients with Dangerous Placenta Previa undergoing Cesarean Section Combined with Preloading Balloon Surgery"were 0.79,0.83,and 0.85,pre-test results:the above three The Cronbach’sαcoefficients of the research tools were 0.82,0.78,and0.76,respectively.3.On the day of admission,the two groups of patients differed in scoring results in terms of cognition,behavior,and status of nursing problems in physiological,socio-psychological,health-related behaviors and environmental fields.No statistical significance(P>0.05).After the intervention during the hospitalization,the KBS score of nursing problems on the day of discharge of the two groups of patients showed:mental health,defecation function and self-care status and care,nurturing,sleep and There was no statistically significant difference in the scores of behavior and conditionz in rest patterns(P>0.05),and the differences in KBS scores in other aspects were statistically significant(P<0.05),in the first stage of hospitalization(From admission to preoperative),the intervention group had no significant improvement in cognitive and behavior,defecation function,sleep and rest patterns,except mental health In addition,the difference was not statistically significant(P>0.05),in terms of hospitalization environment,contact with community resources,social aspects,role changes,physical activity,self-care and other aspects of nursing problems,behavior and status The scores have improved to varying degrees,and the difference is statistically significant(P<0.05);in the second stage of hospitalization(postoperative to before discharge),the main nursing problems of patients in the intervention group,except for mental health,behavior and status in care/nurture,and status in defecation function.The difference was not statistically significant(P>0.05).In terms of hygiene,hospitalization environment,hospitalization safety,Cognition,behavior and status scores for nursing problems in social aspects,role changes,interpersonal,relationships,care/nurture,pain,neuromuscular-sk eletal function,circulation,physical activity,self-care,etc.There are different degrees of improvement,and the difference is statistically significant(P<0.05).4.The incidence of postoperative complications(catheter shift/drop off,subcutaneous hematoma,thrombotic disease,puerperal infection)in the intervention group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).5.The scores of the two groups of patients in terms of total quality of life,physical health,mental health,social relations and surrounding environmental dimensions after the intervention were higher than those before the intervention,and the difference was statistically significant(P<0.05).The total score of quality of life,physical health,mental health,social relations and surrounding environment dimensions were significantly higher than the control group,the difference was statistically significant(P<0.05).ConclusionThe Omaha System Nursing Program can more comprehensively evaluate patient’s nursing problems and provide more accurate guidelines for formulating nursing plans.It is beneficial to reducing postoperative complications of patients and improve the quality of life of patients.Improve patients’health-related cognition,behavior,and the level of condition,promotes its implementation of health-friendly behaviors,and improves health. |
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