【摘要】目的探讨基于奥马哈系统(Omaha system，OS)的延续护理模式对维持性血液透析(maintenance hemodialysis，MHD)患者自我管理能力与生存质量的影响。方法选取2016 年9 月～2017 年3 月MHD 患者120 例，随机分为A 组和B 组，每组60 例，A 组给予常规的护理，B 组此基础上给予基于OS 护理模式的延续护理。结果B 组患者疾病知识掌握率明显高于A 组(P=0.043)，B 组干预后3、6 月自我护理能力量表(exercise of self-care agency，ESCA)、肾病相关生存质量量表(kidney disease quality of life short form，KDQOL-SFTM)得分明显高于A 组(P 值均＜0.001)。结论基于OS 的延续护理可提高MHD 患者疾病知识掌握度和自我管理能力，有利于改善患者的生存质量。

【Abstract】Objective To discuss the effect of continued nursing based on Omaha system (OS) on self-management capability and quality of life in maintenance hemodialysis (MHD) patients. Methods A total of 120 MHD patients treated in the period from September 2016 to March 2017 were recruited and randomly divided into group A (n=60) and group B (n=60). Patients in group A were given conventional nursing, and those in group B were treated with continued nursing based on OS. Results The rate of disease knowledge was significantly higher in group B than in group A (P=0.043). After the intervention for 3 and 6 months, exercise of selfcare agency (ESCA) score and kidney disease quality of life short from (KDQOL-SFTM) score were significantly higher in group B than in group A (P＜0.001). Conclusions Continued nursing based on OS can improve the disease knowledge degree and self-management ability in MHD patients and help improve quality of life in these patients.