基于奥马哈系统理论的全生命周期连续照护模式在肝癌患者中的应用研究OA
Research on the application of the whole life cycle continuous care model based on the Omaha system theory in patients with liver cancer
目的 研究基于奥马哈系统理论指导的全生命周期连续照护模式在肝癌患者临床治疗中的效果.方法 以2023 年 6 月至 2025 年 6 月上海交通大学医学院附属新华医院接收的 120 例肝癌患者作为研究对象,按随机数字表法分为观察组(60 例)、对照组(60 例).对照组给予常规护理,观察组给予基于奥马哈系统理论的全生命周期连续照护模式护理.比较 2 组的肿瘤标志物等指标.结果 护理 1 个月、3 个月后,观察组患者的甲胎蛋白、丙氨酸氨基转移酶、天冬氨酸氨基转移酶、总胆红素水平,汉密尔顿焦虑量表、汉密尔顿抑郁量表、数字疼痛强度量表评分均低于对照组,自护能力量表评分均高于对照组(P均<0.05).观察组的不良反应发生率低于护理前(P<0.05).结论 基于奥马哈系统理论的全生命周期连续照护模式能够降低肝癌患者的肿瘤标志物水平,改善肝功能,有效缓解负面情绪,降低不良反应发生率,提升患者的自我护理效能.
Objective To study the effectiveness of the whole life cycle continuous care model guided by the Omaha system theory in the clinical treatment of liver cancer patients.Methods A total of 120 liver cancer patients admitted to Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine from June 2023 to June 2025 were selected as the research subjects,they were divided into an observation group(60 cases)and a control group(60 cases)according to the random number table method.The control group received routine care,while the observation group received the whole life cycle continuous care model based on the Omaha system theory.The tumor markers and other indicators of the two groups were compared.Results After 1 month and 3 months of nursing,the levels of alpha-fetoprotein,alanine aminotransferase,aspartate transferase,total bilirubin,as well as the Hamilton Anxiety Scale,Hamilton Depression Scale,and Numerical Rating Scale scores of the observation group were lower than those of the control group(P<0.05).The scores of Exercise of Self-Care Agency were higher in the observation group than in the control group(P<0.05).The incidence of adverse reactions in the observation group was lower than that before nursing(P<0.05).Conclusion The whole life cycle continuous care model based on the Omaha system theory can reduce the levels of tumor markers in patients with liver cancer,improve liver function,effectively alleviate negative emotions,reduce the incidence of adverse reactions,and enhance the self-care efficacy of patients.
方敏;龚宇蓉;徐虹;王慧婷;赵帅
上海交通大学医学院附属新华医院,上海,200092上海交通大学医学院附属新华医院,上海,200092上海交通大学医学院附属新华医院,上海,200092上海交通大学医学院附属新华医院,上海,200092上海交通大学医学院附属新华医院,上海,200092
医药卫生
肝癌全生命周期奥马哈系统理论连续照护自我效能
liver cancerwhole life cycleOmaha system theorycontinuous careself-efficacy
《中西医结合护理（中英文）》 2026 (1)
1-4,4
上海交通大学医学院附属新华医院第三期十四五护理学科人才项目(Xhlxm025)
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