Based On The Omaha System Of Continuous Care Model Study On The Application Of Stroke Patients

Research purposesfirst is building a pattern for post-discharge nursing which is based on Omaha System and suitable for the state of stroke patients in China.Second assemble professionals as a team and trained them the way to carry out post-discharge nursing.Third is to evaluate the result of post-discharge nursing,so that we can know whether this new treating method meets the request of stroke patient.Research strategyIn this study,the Omaha problem classification system as the theoretical framework,combined with the characteristics of disease,the preparation of "stroke patients discharged care needs table",and standardize the use of standards.Establish a continuation of the nursing group and to receive professional medical staff to complete the continuing care group training and education.Based on Omaha System to Construct Stroke Patients.A total of 60 hospitalized patients were randomly divided into intervention group and control group.The patients were discharged from each group of 30 patients discharged from April 2017 to May 2017.3 months.The patients in the control group received routine neurological care.The intervention group received routine nursing care from three days before discharge to three months after discharge,under the routine nursing of neurology.The patients were discharged from hospital for 1 month and discharged for 3 months.The validity of the extended nursing was verified by collecting the patient's feedback data using the Omaha system K-B-S score,self-care ability,health service utilization and nursing satisfaction questionnaire.Research resultsIn the intervention group and the control group,the results of the KBS score showed that there were nursing problems in the presence of stroke patients:mental health,physical activity,health care supervision,drug treatment programs,visual,neuromuscular-skeletal function,circulation,defecation(P<0.05),and the intervention group was higher than the control group(P<0.05).The problems were concentrated in the field of physiological field and health behavior.(P<0.05),but there was a significant difference between the three groups(P<0.05),but there was no significant difference between the three groups(P<0.05),but the status of the community,the role of the community,the role of the community,the role of change,language expression,cognitive,skin,urinary function,nutrition and self-(P>0.05).There was no significant difference between the intervention group and the control group in different nursing indexes(P>0.05).(P<0.05)(100%).There was a significant difference between the intervention group and the control group(P<0.05)(P<0.05),and there were significant differences in the nursing problems between the three groups(P<0.05)<0.05).There were no significant differences in nursing(11)(P>0.05).Among the four areas of nursing,the problem is more addressed in the field of physiology(23.5%),followed by health(11.7)and psychosocial(11.7%).The data show that extended care services are effective in reducing patient care problems and patient intervention.BI index was used to evaluate the self-care ability of the patients.There was significant difference between the intervention group and the control group(P<0.05).There was significant difference between the intervention group and the control group(P<0.05)There was no significant difference in the self-care ability between the patients before and 1 month after discharge(P>0.05).There was significant difference(P<0.05)between the three months after discharge and 3 months after discharge.Data show that continuous care services to improve patient self-care ability is effective.There were statistically significant differences(P<0.05)between the control group and the intervention group in the number of community visits,the number of outpatient visits and the number of emergency visits,and the number of visits in the control group and the intervention group at 1 month and 3 months after discharge There was no significant difference in admission rate(P>0.05).The data show that extended care services are effective in reducing health system utilization.There were no significant differences in nursing satisfaction index between the intervention group and the control group.After 3 months of continuous care,the nursing group satisfaction score was significantly higher than that of the control group,the difference was statistically significant(P<0.05)The The data show that extended care is effective for improving satisfaction.Research conclusionsThrough data analysis,there were significant differences in the scores of discharge care,BI index,number of health service use and nursing satisfaction score(P>5%)in the intervention group.Therefore,it can be concluded that the continuous nursing program based on Omaha system has a positive effect on the recovery of stroke patients,and proves the effectiveness of this study.