The Application Of Omaha System In The Nursing Of Stroke

1 Research purposeThe Omaha system introduced to stroke care in our country, to have clinical nursing staff to provide a set of standardized language, simplifies the nursing process, in order to standardization, standardization of clinical nursing work, improve the quality of nursing.2 The research methods.2.1 To explore the Omaha system in our country the feasibility of the application in nursing patients with cerebral apoplexyUses the convenience sampling method to select chong YiFuYuan neurology on June 1,2014 to September 30,2014 hospitalized patients nursing record 169 were retrospectively analyzed.Adopts content analysis method, the content analysis) to extract the nursing records described in patients with signs and symptoms and intervention measures of language as analysis unit, and then cross comparison method is applied to the mapping (cross) inspects each entry with the Omaha system of the concept, discusses the Omaha system in our country, the feasibility of the application in nursing patients with cerebral apoplexy.2.2 The Omaha system application research in nursing patients with cerebral apoplexySelected by convenience sampling chong YiFuYuan neurology of 56 patients with cerebral apoplexy (including 48 cases of hypertension, hyperlipidemia,41 cases of diabetes 23 cases,33 cases of coronary heart disease,56 patients completed studies), according to.the first part of research results, the Omaha system applied to the patients with nursing intervention, the use of question classification system, the problems of the patients using intervention system to guide the nurse intervention, use effect evaluation system for patients with scores before and after the intervention, the problems in evaluation 3 times in a row. Cognition, behavior, and the status of the score data using SPSS 17.0 statistical software package for processing and analysis, using the descriptive statistics analysis of patients with cerebral apoplexy baseline information, existing problems and take the intervention of the direction;Repetitive measure analysis of variance was used to ealuate patients at different time points of cognition, behavior, grading, evaluation of the effect of nursing intervention.3 The results of the study3.1 To explore the Omaha system in our country the feasibility of the application in nursing patients with cerebral apoplexyin Omaha problem items described in patients with retrospective data on the classification of signs and symptoms of language comparison, in concept perfectly accounted for 88.2%, part of the anastomosis is 11.6%, no anastomosis was 0.2%.intervention of Omaha intervention system in direction and retrospective data described in the intervention measures of language comparison, in concept perfectly accounted for 86.2%, part anastomosis is 13.5%, no anastomosis was 0.3%.3.2 The Omaha system application research in nursing patients with cerebral apoplexy56 patients with cerebral apoplexy were a total of 631 problems, among them the most physical field more see 327 (51.82%), the other in sequence Health-related behavior field is 137 (21.71%), social psychology,129 (20.44%), environmental 38 (6.03%).Patients with common health problems in turn is circular (100.00%), pain (100.00%), nerve-muscles-bone function (82.70%)And so on.The Omaha system four intervention plans were used by the research, education, guidance and counseling (100%),Treatment and procedures (100%), monitoring (100%), case management (17.8%).This research USES the 44 intervention guide, the rootAccording to their usage in 56 patients with proportional sorting, mourn specimen, disease, trauma care, drugBuy and care skills, etc.3.3 environmental problems nursing effect assessmentPatients with cognitive and behavioral problems of income grading at three time points are gradually increase, and the score difference was statistically significant (P < 0.05), the status of scores declined, and there was no statistically significant difference ((P ?0.05).3.4 social psychological health care effect assessmentContact patients to community resources, role change, cognition, behavior, mental health status of grading at threePoint between all have gradually increase, and the score difference statistically significant (P< 0.05).3.5 physical health care in the field of performance evaluationhi addition to patients on breathing, the status of the defecation function score decreased, speech and language, vision, pain, nerve-muscles-bone function, circulation gradually improve cognition, behavior, status, and the problems in the aspect of cognition, behavior, state score were statistically significant (P< 0.05).3.6 health related behavior health care effect assessmentPatients with nutrition, personal care, substance abuse, and drug therapy problems in cognition, behavior and status score withIncrease with the increase of the number of nursing intervention, and the difference was statistically significant (P< 0.05).