Case analysis of applying omaha system to community rehabilitation nursing for stroke patients

Abstract

目的: 介绍社区康复护士依据奥马哈系统对1例脑卒中患者实施社区康复护理的方法及效果。 方法:社区康复护士为脑卒中患者提供社区康复护理,依据奥马哈系统实施全面的护理评估;针对性护理干预包括健康教育、指导和咨询,治疗和程序,个案管理,监测;对护理效果进行持续评价。 结果:患者能够正确使用助行器行走、上下楼梯,日常生活能力(ADL)评分由35分提高至90分,生活基本自理。 结论:奥马哈系统可以全面评估患者的健康问题,指导社区康复护士实施针对性护理干预,并对患者健康问题现状及护理干预效果进行准确评价。 Objective: To introduce the effect and methods of community rehabilitation nursing for one stroke patient by community rehabilitation nursing according to the Omaha system. Methods: Community rehabilitation nurses provided community rehabilitation nursing for a stroke patient and performed the nursing evaluation according to the Omaha system. Relevant nursing intervention included health education, guidance and consultation, treatment and procedure, and case management and monitoring. The effect of nursing was continuously evaluated. Results: The patient could use a walker to walk and go up and down the stairs and had the basic self-care ability of daily life. The score of Activity of Daily Living (ADL) increased from 35 to 90. Conclusion: The Omaha system can comprehensively evaluate the health status of patients, guide community rehabilitation nurses to perform relevant nursing intervention, and correctly evaluate the effect of nursing intervention.