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目的通过对比奥马哈系统延续护理和常规延续护理用于甲状腺功能亢进症(简称甲亢)患者中的效果,探讨更合理的护理方案,提高甲亢患者的延续护理质量。方法选取2017年2月—2017年6月于厦门大学附属中山医院就诊并进行甲亢治疗的132例患者为研究对象,随机分为观察组和对照组,每组66例。对照组给予常规延续护理,包括出院指导和随访。观察组在对照组基础上给予奥马哈系统延续护理。分别于出院前3 d以及出院后8周,对两组患者的自我管理能力、甲状腺激素水平以及患者生活质量进行对比。结果出院前3 d,两组FT3、FT4和TSH比较,差异无统计学意义(P>0.05);出院后8周,与本组出院前3 d比较,两组均显著升高(P<0.05);且治疗后,两组FT3、FT4和TSH比较,差异有统计学意义(P<0.05)。出院前3 d,两组生活质量评分比较,差异无统计学意义(P>0.05);出院后8周,与本组出院前3 d比较,两组生活质量评分均显著升高(P<0.05);且治疗后,两组生活质量评分比较,差异有统计学意义(P<0.05)。结论奥马哈系统延续护理在对甲亢患者护理方面的作用优于传统的常规延续护理。
Objective To compare the effect of Omaha continuation nursing and routine continuation nursing in patients with hyperthyroidism (Hyperthyroidism), to explore more reasonable nursing plan and to improve the quality of continuation nursing of patients with hyperthyroidism. Methods From February 2017 to June 2017, 132 patients who were treated at Zhongshan Hospital Affiliated to Xiamen University and treated with Hyperthyroidism were selected as study subjects and randomly divided into observation group and control group with 66 cases in each group. The control group was given routine follow-up care, including discharge guidance and follow-up. Observation group on the basis of the control group to give the Omaha system extended care. Three days before discharge and eight weeks after discharge, self-management ability, thyroid hormone level and quality of life of the two groups were compared. Results There were no significant differences in FT3, FT4 and TSH between the two groups before discharge (P> 0.05). After 8 weeks of discharge, the levels of FT3, FT4 and TSH were significantly increased in both groups (P <0.05 ); After treatment, there was significant difference between the two groups of FT3, FT4 and TSH (P <0.05). There were no significant differences in quality of life between the two groups before discharge (P> 0.05). After 8 weeks of discharge, the quality of life scores were significantly increased in both groups (P <0.05 ); And after treatment, the two groups of quality of life scores, the difference was statistically significant (P <0.05). CONCLUSION Omaha system extended care is superior to traditional routine care in the management of patients with hyperthyroidism.