基于奥马哈问题分类系统的城市社区老年慢性病患者常见护理问题调查研究

发布时间：2019-02-13 02:57

【摘要】：目的应用奥马哈问题分类系统探讨城市社区老年慢性病患者常见护理问题。方法以奥马哈问题分类系统为依据,对4个社区卫生服务中心2014年8月—2015年3月就诊的400例老年慢性病患者进行问卷调查,了解其存在的护理问题。结果 400例城市社区老年慢性病患者共存在护理问题3 013个,平均每例患者存在7.5个。发生率超过50.0%的护理问题是神经—肌肉—骨骼功能(71.0%)、消化水合(67.8%)、视力(57.8%)、口腔卫生(56.3%)、循环(51.0%),均属于生理领域;发生率为后4位的是哀伤(1.3%)、灵性(0.5%)、性(0.5%)、虐待(0.3%),均属于社会心理领域。结论城市社区老年慢性病患者存在的护理问题复杂、症状/征象多样,反映了老年慢性病患者护理问题存在的共性,社区护士可针对老年慢性病患者护理问题的发生规律进行针对性干预,提高社区护理的质量和效率。
[Abstract]:Objective to explore the common nursing problems of elderly patients with chronic diseases in urban community by using Omaha problem classification system. Methods based on the Omaha classification system, 400 elderly patients with chronic diseases from August 2014 to March 2015 in four community health service centers were investigated with questionnaires to find out their nursing problems. Results there were 3 013 nursing problems in 400 elderly patients with chronic diseases in urban community, with an average of 7.5 per patient. More than 50.0% of nursing problems were neuromusculoskeletal function (71.0%), digestive hydration (67.8%), visual acuity (57.8%), oral hygiene (56.3%), circulation (51.0%). All belong to physiological field; The last four were grief (1.3%), spirituality (0.5%), sex (0.5%) and abuse (0.3%). Conclusion the nursing problems of the elderly patients with chronic diseases in urban community are complicated, and the symptoms / signs are various, which reflects the commonness of the nursing problems of the elderly patients with chronic diseases. Community nurses can intervene the occurrence of nursing problems in elderly patients with chronic diseases and improve the quality and efficiency of community nursing.
【作者单位】：青岛大学护理学院;
【基金】：国家级大学生创新创业训练项目(201411065069) 山东省科技厅发展计划项目(2011YD18051)
【分类号】：R473.2

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