The effect of continuous nursing on the self management ability of glaucoma patients in Omaha / 中国实用护理杂志

ABSTRACT

Objective To investigate the effect of Omaha system on the self-management ability of patients with glaucoma after discharge, so as to provide evidence for the further development of glaucoma. Methods A total of 86 cases of glaucoma patients were divided into control group and observation group, each group of 43 cases, the control group was given routine discharge guidance and follow-up,the observation group was given continuous nursing care based on the Omaha system.The two groups of patients before and after the discharge of the last 3 days and the end of the 2 months of self-management ability score. Results There was no statistical significance in the life adjustment, functional health care,medical management of diseases level of 3 d before discharge from the hospital(P>0.05).The life adjustment,medical management of diseases level was(8.73±2.51),(20.86±1.55)points at 2 months after discharge in control group,which was higher than that at 3 d before discharge(6.07±1.62), (16.11 ± 3.35) points,there was significant difference(t=2.127, 2.867,P<0.05). The life adjustment, functional health care,medical management of diseases level was(11.25±1.48),(20.78±2.61),(26.74±1.26) points at 2 months after discharge in observation group,which was higher than that at 3 d before discharge (6.12±1.71),(13.62±3.22),(16.04±2.78)points,there was significant difference(t=4.215,3.544,5.328,P<0.05).There was significant difference in the life adjustment,functional health care,medical management of diseases level of 2 months after discharge between two groups (t=2.074, 4.064, 4.878, P<0.05). Conclusions Continuous care based on the Omaha system can improve the life management,functional health care,medical management and general self-management ability of patients with glaucoma.