基于奥马哈系统延续护理在脊髓损伤神经源性膀胱患者的应用观察OA

Objective To explore the effect of Omaha system-based continuous care intervention in pa-tients with neurogenic bladder with spinal cord injury.Methods A total of 72 patients with neurogenic blad-der due to spinal cord injury were selected from June 2019 to June 2022 in the No.908th Hospital of Joint Lo-gistic Support Force.The patients were randomly divided into the control group(36 cases)and the observation group(36 cases)by random number table method.The control group received routine nursing care,while the observation group received Omaha system-based continuous care on the basis of routine nursing care.The cog-nition,behavior and status of the patients in the observation group were scored by the effect/outcome evalua-tion system at three and six months after discharge.Simple residual urine volume and volume of bladder were used to compare the bladder function of the two groups at six months after discharge.Urinary tract infection six months after discharge was compared between the two groups by urine laboratory examination.The quali-ty of life in six months after discharge of the two groups was compared by using the comprehensive assess-ment questionnaire-74.The nursing satisfaction of the two groups was compared with the nursing satisfaction questionnaire made by the hospital.Results After half a year follow-up,the scores of cognition,behavior and condition in the observation group were significantly improved compared with those before intervention,with statistical significance(P<0.01).The bladder function,quality of life score and satisfaction in observation group were higher than those in control group,but the incidence of urinary tract infection was lower than that in control group,with statistical significance(P<0.05).Conclusion Omaha system-based continuous care model can effectively improve the bladder function,quality of life and nursing satisfaction of patients,reduce urinary tract infection and improve the outcome of nursing care.