| Objective:1.Apply scientific Omaha system to guide clinical nursing practice.2.Based on the theoretical framework of Omaha system,standardized follow-up intervention was conducted for elderly patients discharged from hospital with hip fracture,with a view to accelerating the recovery of hip function;Improving care outcomes;Reduce the burden of care for their day-to-day caregivers.Methods:1.Sampling and random grouping: elderly patients who underwent hip surgery in the department of joint orthopedics of a third-grade hospital in dongguan were selected by convenient sampling method,and numbered from 1 according to the order of admission,and grouped by random number table.56 patients in the observation group were included.Control group: 53 cases.2.Intervention methods: the observation group was followed up with a continuous nursing model based on the Omaha system.The control group was followed up with the traditional follow-up mode,and the hip function and nursing outcomes of the patients in the two groups were compared on the 7th,30 th and 90 th days after discharge.3.Statistical methods: Epidata 3.0 was used for double-entry processing of survey data,and SPSS 17.0 software was used for data analysis.The measurement data were expressed as s,and the scores of the observation group and the control group were compared by t test with the mean of two independent samples.P < 0.05 was considered statistically significant.Results:1.General data of patients in the two groups were not statistically significant(P > 0.05)and were comparable.2.Ere was no statistically significant difference in hip function between the two groups on day 7 after discharge(P > 0.05).At 30 days and 90 days after discharge,the difference inhip function was statistically significant(P < 0.05),and the observation group was superior to the control group.3.There was no statistically significant difference between the two groups in nursing outcome on day 7(P > 0.05).At day 30 after discharge,there was no statistically significant difference in residence in the social and environmental fields in the psychological field(P > 0.05),while there was statistically significant difference in other fields(P< 0.05),and the observation group was superior to the control group.5.At the 90 th day after discharge,There was statistically significant difference between the two groups in nursing outcome(P <0.05),and the observation group was superior to the control group.4.There was no statistically significant difference in the nursing burden between the two groups of patients at 7 days after discharge(P > 0.05),while there was statistically significant difference in the nursing burden between the two groups of patients at 30 days and 90 days after discharge(P < 0.05),and the nursing burden of the observation group was lower than that of the control group.Conclusion:1.The continuous nursing model with discharge follow-up table of elderly patients with hip fracture as the core and Omaha system as the theoretical framework can effectively guide the follow-up practice of follow-up personnel.2.The continuous nursing mode of elderly patients with hip fracture based on the Omaha system after discharge can accelerate the recovery of hip function;Improve the outcome of care and reduce the burden of care. |
