摘要目的 探讨以奥马哈系统为基础的延续护理管理对脑卒中患者日常生活活动能力、生活质量及脑卒中复发率影响的应用效果.方法 选取在该院神经内科住院的脑卒中患者82例,采用随机数字表法分为干预组和对照组,各40例,对照组实施常规住院护理、出院指导及电话随访,干预组实施由延续护理管理小组成员主导的基于奥马哈系统的延续护理管理,使用Barthd指数、简明健康状况问卷及生理生化指标分别于纳入时、干预后6个月对研究对象进行测量并与随访终点时比较两组患者的脑卒中复发率.结果 经独立样本t检验,干预后6个月两组组间比较:干预组患者的日常生活活动能力高于对照组,生活质量量表中除躯体疼痛其余各维度均优于对照组,差异有统计学意义(均P<0.05) .生理生化指标中除舒张压、高密度脂蛋白外,其余指标均优于对照组,差异有统计学意义(均P<0.05);采用χ2 检验对两组患者的脑卒中复发率进行比较,结果显示差异无统计学意义(P>0.05).结论 以奥马哈系统为基础的延续护理管理能够明显提升脑卒中患者的日常生活活动能力及生活质量,是脑卒中一种有效的延续护理管理模式.

abstractsObjective To explore the effect of Omaha system-based transitional care on stroke patients'ability of daily life activities, quality of life and stroke recurrence rate. Methods A total of 82 stroke patients hospitalized in the department of neurology of this hospital were selected and divided into intervention group and control group by ran-dom number table method, 40 cases of each group. The control group received routine inpatient care, discharge instruc-tion and telephone follow-up, while the intervention group received continued care management based on the Omaha sys-tem, led by members of the continuing care management group. Barthd index, concise health status questionnaire and physiological and biochemical indicators were used to measure the subjects at the time of inclusion and 6 months after in-tervention, and the recurrence rate of stroke in the two groups was compared with the end point of follow-up. Results According to the independent sample t test, the comparison between the two groups 6 months after the intervention: the patients in the intervention group had higher daily living activity ability than the control group, and the other dimensions of life quality scale except physical pain were better than the control group, the difference was statistically significant ( P<0.05). In addition to diastolic blood pressure and high-density lipoprotein, the other physiological and biochemical indicators were better than the control group, and the difference was statistically significant (P<0.05) . The χ2 test was used to compare the recurrence rate of stroke in the two groups, and the results showed no statistically significant differ-ence ( P>0.05) . Conclusion Omaha system-based transitional care can significantly improve the ability of daily life activities and quality of life of stroke patients, is an effective mode of transitional care of stroke.