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奥马哈系统干预对妇女健康促进生活方式特征及生活质量的效果。

The effectiveness of the Omaha System intervention on the women's health promotion lifestyle profile and quality of life.

机构信息

Nursing Department, Health School, İnönü University, Malatya, Turkey.

出版信息

J Adv Nurs. 2012 Apr;68(4):898-907. doi: 10.1111/j.1365-2648.2011.05794.x. Epub 2011 Jul 27.

Abstract

AIM

This article is a report of a quasi-experimental study of the effectiveness of the Omaha System intervention on the women's health promotion lifestyle profile and the quality of life.

BACKGROUND

The Omaha System is a model for organizing, documenting and evaluating the outcomes of comprehensive, community-based, client-centred care. Therefore, the Omaha System is important for public health nurses whose aim is to protect and promote health. However, few studies addressed the influence of the Omaha System on health promotion activities or quality of life in adult population.

METHODS

The design of the study was one-group pre-test and post-test. The study took place in Turkey in 2007; the sample comprised 76 women from an urban primary healthcare centre. The women completed questionnaires consisting of demographical characteristics, the health promotion lifestyle profile scale developed by Walker and colleagues and the quality of life scale developed by Burckhardt and colleagues. The researcher then visited selected women in their home weekly or biweekly for a 4-month period. At the end of intervention, the scales were applied to the women as the post-test.

FINDINGS

The mean scores of self-actualization, health responsibility, interpersonal support, stress management subscales of the health promotion lifestyle profile and the total score increased in post-test, except for nutrition subscale. There were statistically significant differences between pre- and post-test scores.

CONCLUSIONS

This study demonstrated that the Omaha System intervention increases health promotion lifestyle profile of the women. It is recommended as a nursing care to health promotion.

摘要

目的

本文是一项奥马哈系统干预对妇女健康促进生活方式特征和生活质量影响的准实验研究报告。

背景

奥马哈系统是一种组织、记录和评估全面、以社区为基础、以客户为中心的护理结果的模式。因此,奥马哈系统对以保护和促进健康为目标的公共卫生护士非常重要。然而,很少有研究探讨奥马哈系统对成年人群健康促进活动或生活质量的影响。

方法

研究设计为单组前后测设计。该研究于 2007 年在土耳其进行,样本包括来自城市初级保健中心的 76 名妇女。妇女们完成了包括人口统计学特征、沃克等人开发的健康促进生活方式量表和伯克哈特等人开发的生活质量量表在内的问卷。然后,研究人员每周或每两周一次到选定的妇女家中进行为期 4 个月的家访。干预结束后,作为后测再次应用这些量表。

结果

健康促进生活方式量表中的自我实现、健康责任、人际支持和压力管理分量表以及总分的平均分在干预后增加,除了营养分量表。前后测得分之间存在统计学显著差异。

结论

本研究表明,奥马哈系统干预增加了妇女的健康促进生活方式特征。建议将其作为促进健康的护理措施。

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