CAJ | 학술논문

[目的]评估奥马哈问题分类系统在系统性红斑狼疮(SLE)病人居家访视中的效果，为 SLE 病人提供一种更适宜的居家管理模式。[方法]引进奥马哈系统(Omaha System)构建居家访视评估表，对86例 SLE病人居家访视中出现的营养、药物治疗、健康照顾督导的认知、行为、状况进行指导和评估。[结果]居家生活中的 SLE病人出现的营养、药物治疗、健康照顾督导的认知、行为、状况评分在随着居家访视指导次数增加而提升，访视指导前后病人各项目的认知、行为、状况评分改变有统计学意义(P<0.05)。86例SLE病人在居家访视的1个月内，出现问题最多的是药物治疗方案改变和营养不合理，发生率分别是26.7%、25.6%，其次是睡眠和休息型态、精神健康不佳，发生率分别是20.9%、18.6%，呼吸困难问题最少(5.8%)。[结论]居家访视从环境、社会心理、生理和健康行为4个方面影响着 SLE病人，可有效改变病人不良健康相关行为习惯。
[목적]평고오마합문제분류계통재계통성홍반랑창(SLE)병인거가방시중적효과，위 SLE 병인제공일충경괄의적거가관리모식。[방법]인진오마합계통(Omaha System)구건거가방시평고표，대86례 SLE병인거가방시중출현적영양、약물치료、건강조고독도적인지、행위、상황진행지도화평고。[결과]거가생활중적 SLE병인출현적영양、약물치료、건강조고독도적인지、행위、상황평분재수착거가방시지도차수증가이제승，방시지도전후병인각항목적인지、행위、상황평분개변유통계학의의(P<0.05)。86례SLE병인재거가방시적1개월내，출현문제최다적시약물치료방안개변화영양불합리，발생솔분별시26.7%、25.6%，기차시수면화휴식형태、정신건강불가，발생솔분별시20.9%、18.6%，호흡곤난문제최소(5.8%)。[결론]거가방시종배경、사회심리、생리화건강행위4개방면영향착 SLE병인，가유효개변병인불량건강상관행위습관。
Objective:To evaluate the effect of Omaha problem classification system for home visit of systemic lupus erythematosus patients,in order to provide a more comfortable home management mode for SLE pa-tients.Methods:The home visit evaluation scale was established by the introduction of the Omaha system,a to-tal of 86 SLE patients were guided and evaluated on the cognition and behavior state on nutrition,medication and health care supervision in the home visit.Results:The scores of the cognition,behaviors and state of nutri-tion,medication and health care supervision in the home visit for SLE patients were enhanced with the increase of the frequency of home visit guidance,and there was statistically significant difference in the score change of the cognition,behaviors and state of all items between before and after the visit guidance(P<0.05).The most problems of 86 SLE patients in home visit for a month were changes in drug treatment programs and unreasona-ble nutrition,the incidence was respectively 26.7% and 25.6%;the followed problems were the sleep and rest pattern and poor mental health,and the incidence was respectively 20.9% and 18.6%;the least problem was difficulty breathing,and the incidence was 5 .8%.Conclusion:The home visit has influenced the SLE patients from the 4 aspects of environment,social psychology,physiology and health behaviors,it can effectively change the patients’adverse health related behaviors.