The application value of the continuous care based on Omaha system in patients with permanent colostomy

Objective:To investigate the application value of continuous care based on Omaha system in patients with permanent colostomy.Methods:The nursing problems of 44 patients with permanent colostomy were evaluated,and the patients were continuously nursed with Omaha system on the basis of conventional discharge guidance and following up.The cognition,behavior and status at discharge,after 7 days,2 weeks,1 month and 3 months of discharge were evaluated.Results:Among the patients after 7 days of discharge,the differences in the psychological society field(including social behavior indicators,role transform and state aspect) and health-related behavior field(including personal care and nutrition)were not statistically significant(P>0.05),and the differences of other fields were statistically significant compared with discharge(P<0.05 to P<0.01).Among the patients after 2 weeks of discharge,the difference in the psychological society field(including knowledge,behavior and condition) was not statistically significant compared after 7 days of discharge(P>0.05),the difference in the health related field(including sleep and rest behavior,condition and nutrition) was not statistically significant(P>0.05),and the differences of other fields were statistically significant compared with after 2 weeks of discharge(P<0.05 to P<0.01).Among the patients after 1 month of discharge,the differences in the health related field(including personal care and nutrition) and physiological field(including behavior and condition)were not statistically significant compared with after 2 weeks of discharge(P>0.05).Among the patients after 3 months of discharge,the differences in health related field(including sleep and rest behavior and nutrition)and physiological field(digestion-hydratation)were notstatistically significant(P>0.05),and the differences of other fields were statistically significant compared with after 1 month of discharge(P<0.05 to P<0.01).Conclusions:The Omaha system can evaluate the continuous nursing problem,provide the comprehensive intervention guideline,and improve the main nursing outcomein patients with permanent colostomy.