关键词: 奥马哈系统, 压力性尿失禁, 经阴道无张力尿道中段悬吊术

Abstract: Objective: To explore the application effect of Omaha System in female patients with stress urinary incontinence. Methods: A total of 84 cases of the patients with stress urinary incontinence were selected and were divided into control group(42 cases) and observation group(42 cases) randomly. Both groups were treated with tension-free vaginal tape-obturator(TVT-O) under epidural anesthesia. Patients in the control group received routine nursing care, and the observation group received nursing care based on Omaha System in addition to routine nursing. The early postoperative complications of the two groups were observed and the quality of life and anxiety of the patients were evaluated by incontinence quality of life questionnaire(I-QOL)and self-rating anxiety scale(SAS). Results: The incidence of postoperative complications in the observation group was significantly lower than that in the control group (P<0.05); I-QOL score in the observation group was higher than that in control group , SAS score was significantly lower than that in control group(P<0.05). Conclusion: Nursing care based on Omaha System can reduce the incidence of postoperative complications in female patients with stress urinary incontinence underwent TVT-O and improve the quality of life of patients, meanwhile, reduce the degree of anxiety of patients effectively.

Key words: Omaha System, Stress urinary incontinence, Tension-free vaginal tape-obturator