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引用本文:高擎擎 万巧琴 尚少梅.应用奥马哈系统进行糖尿病患者家庭访视健康问题评估的实践[J].中国护理管理,2017,17(5):672-675 本文二维码信息
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应用奥马哈系统进行糖尿病患者家庭访视健康问题评估的实践
The practice of applying Omaha System to evaluate health problems at home visit for Diabetes Mellitus patients
  
DOI:10.3969/j.issn.1672-1756.2017.05.023
中文关键词:  奥马哈系统  糖尿病  健康问题  评估
English Keywords:Omaha System  Diabetes Mellitus  health problem  evaluation
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作者单位
高擎擎 万巧琴 尚少梅 天津中医药大学护理学院300193 (高擎擎)北京大学护理学院(万巧琴尚少梅) 
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中文摘要:
      目的:应用奥马哈系统评估糖尿病患者的健康问题及现状。方法:便利抽样法选取北京市某社区50例糖尿病患者进行家庭访视,应用奥马哈系统中问题分类系统和结局评价系统评估健康问题及现状。结果:糖尿病患者健康问题主要分布在生理和健康相关行为领域,其比例分别为50.3%和30.0%;常见的健康问题依次为营养、住宅、身体活动、处方药物治疗方案等。结局评价系统Likert 5级评分中,82.6%的认知评分为2~3分,提示少许认知;82.6%的行为评分为3~4分,提示经常恰当的行为;95.7%的状况评分为3~4分,提示不太严重的症状/体征。结论:糖尿病患者生理领域和健康相关行为领域问题较多,且认知程度较低,社区护士可采取讲座、座谈会等形式进行健康教育,以期提高糖尿病患者健康认知水平。
English Summary:
      Objective: Using Omaha System to evaluate the health problems and current status for Diabetes Mellitus (DM) patients. Methods: A total of 50 DM patients were enrolled by convenience sampling. Problem classification system and outcome evaluation system of Omaha System were used to evaluate health problem and current status. Results: Health problems of DM patients were distributed in the physical and health-related behaviors and the ratio were 50.3% and 30.0%; the common health problems were nutrition, residence, physical activity, medication regimen, and so on. At the Likert 5 grade score of outcome evaluation system, 82.6% patients in cognition score was 2 to 3 and it indicated minimal cognition; 82.6% patients in behavior score were 3 to 4 and it indicated appropriate behavior usually; 95.7% patients in condition score were 3 to 4 and it indicated minimal signs/ symptoms. Conclusion: There were some problems at physical and health-related behaviors of DM patients and their cognition level were low. In order to improve patients' cognition, the community nurses should carry out health education by taking lectures, seminars and other methods.
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