Effects of an Omaha System-based follow-up regimen on self-care and quality of life in gastrointestinal surgery patients

doi:10.4240/wjgs.v15.i10.2179

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World Journal of Gastrointestinal Surgery

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1948-9366

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastrointest Surg. Oct 27, 2023; 15(10): 2179-2190
Published online Oct 27, 2023. doi: 10.4240/wjgs.v15.i10.2179

Effects of an Omaha System-based follow-up regimen on self-care and quality of life in gastrointestinal surgery patients

Ying-Dong Li, Na Qu, Jie Yang, Chun-Yan Lv, Yu Tang, Ping Li

Ying-Dong Li, Na Qu, Chun-Yan Lv, Department of Gastroenterology, Yantai Affiliated Hospital of Binzhou Medical University, Yantai 264100, Shandong Province, China

Jie Yang, Department of Endoscopy Center, Yantai Affiliated Hospital of Binzhou Medical University, Yantai 264100, Shandong Province, China

Yu Tang, College of Basic Medicine, Binzhou Medical University, Yantai 264000, Shandong Province, China

Ping Li, Department of Nursing, Yantai Affiliated Hospital of Binzhou Medical University, Yantai 264100, Shandong Province, China

Author contributions: Li YD initiated the project and designed the experiment; Qu N conducted clinical data collection; Yang J, Lv CY performed postoperative follow-up and recorded data; Tang Y conducted a number of collation and statistical analysis; Li P wrote the original and revised the paper; all authors reviewed and approved the paper; and all authors have read and approved the final manuscript.

Supported by Yantai Science and Technology Plan Project, No. 2019YD061.

Institutional review board statement: This study was approved by the Ethics Committee of Yantai Affiliated Hospital of Binzhou Medical University and the Research Ethics Committee agreed to waive the informed consent.

Informed consent statement: The informed consent has been waived by the Research Ethics Committee.

Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.

Data sharing statement: All data generated or analyzed during this study are included in this published article.

Corresponding author: Ping Li, MM, Nurse, Department of Nursing, Yantai Affiliated Hospital of Binzhou Medical University, No. 717 Jinbu Street, Muping District, Yantai 264100, Shandong Province, China. mupingliping@163.com

Received: June 19, 2023
Peer-review started: June 19, 2023
First decision: July 6, 2023
Revised: July 28, 2023
Accepted: August 17, 2023
Article in press: August 17, 2023
Published online: October 27, 2023
Processing time: 130 Days and 8.8 Hours

Abstract

BACKGROUND

Currently, a variety of new nursing methods and routine nursing have been widely used in the nursing of gastrointestinal surgery patients.

AIM

To investigate the effect of follow-up protocol based on the Omaha System on self-care ability and quality of life of gastrointestinal surgery patients.

METHODS

A total of 128 patients with inflammatory bowel disease in gastrointestinal surgery in gastrointestinal surgery from March 2019 to August 2021 were divided into A (n = 64) and B (n = 64) groups according to different nursing methods. The group A received a follow-up program Omaha System-based intervention of the group B, whereas the group B received the routine nursing intervention. Medical Coping Modes Questionnaire, Crohn’s and Colitis Knowledge Score (CCKNOW), inflammatory bowel disease questionnaire (IBDQ), Exercise of Self-nursing Agency Scale (ESCA), The Modified Mayo Endoscopic Score, and Beliefs about Medicine Questionnaire (BMQ) were compared between the two groups.

RESULTS

Following the intervention, the group A were facing score significantly increased than group B, while the avoidance and yield scores dropped below of group B (all P < 0.05); in group A, the level of health knowledge, personal care abilities, self-perception, self-awareness score and ESCA total score were more outstanding than group B (all P < 0.05); in group A the frequency of defecation, hematochezia, endoscopic performance, the total evaluation score by physicians and the disease activity were lower than group B (all P < 0.05); in the group A, the total scores of knowledge in general, diet, drug, and complication and CCKNOW were higher than group B (all P < 0.05); in group A, the necessity of taking medicine, score of medicine concern and over-all score of BMQ were more significant than group B (all P < 0.05); at last in the group A, the scores of systemic and intestinal symptoms, social and emotional function, and IBDQ in the group A were higher than group B (all P < 0.05).

CONCLUSION

For gastrointestinal surgery patients, the Omaha System-based sequel protocol can improve disease awareness and intervention compliance, help them to face the disease positively, reduce disease activity, and improve patients’ self-nursing ability and quality of life.

Keywords: Gastrointestinal surgery; Omaha System; Follow-up protocol; Disease activity; Intervention compliance; Inflammatory bowel disease questionnaire

Core Tip: The Omaha System was applied in the follow-up of gastrointestinal surgery patients in this study, and the previous follow-up care of gastrointestinal surgery was integrated and re-innovated. The purpose of this study was to compare the nursing effect of conventional gastrointestinal surgery care and the follow-up plan based on the Omaha System on gastrointestinal surgery patients. The follow-up program based on Omaha System has a good nursing effect on gastrointestinal surgery patients.