基于奥马哈系统的延续性护理干预对急性ST段抬高型心肌梗死行PCI患者的影响

目的:探讨基于奥马哈系统的延续性护理干预对急性ST段抬高型心肌梗死(ASTEMI)行经皮冠状动脉介入治疗(PCI)患者的影响。方法:选取2015年8月1日~2016年8月31日收治的ASTEMI患者74例作为对照组,选取2016年9月1日~2017年9月31日收治的ASTEMI患者74例作为观察组,两组均接受PCI,对照组给予常规护理,观察组在常规护理基础上给予基于奥马哈系统的延续性护理干预,两组连续干预6个月。观察两组遵医行为、心血管事件、护理工作满意度,比较干预前后两组抑郁、焦虑程度采用抑郁自评量表(SDS)、焦虑自评量表(SAS)]、希望水平采用中文Herth量表(HHI)]、自我护理能力采用自我护理能力量表(ESCA)]。结果:观察组遵医总依从率高于对照组(P<0.01);干预后,观察组SDS、SAS评分低于对照组(P<0.01),HHI、ESCA评分高于对照组(P<0.01);观察组心肌梗死、不稳定型心绞痛、心力衰竭等心血管事件发生率低于对照组(P<0.01),护理工作总满意度高于对照组(P<0.01)。结论:基于奥马哈系统的延续性护理干预用于行PCI的ASTEMI患者中,可降低心血管事件发生风险,缓解负性情绪,提高遵医行为、自我护理能力及护理工作满意度,值得临床推广。

Effect of Transitional Care Intervention Based on Omaha System on PCI Patients with Acute ST-segment Elevation Myocardial Infarction

Objective:To investigate the effect of transitional care intervention based on Omaha system on patients with acute ST-segment elevation myocardial infarction(ASTEMI)after percutaneous coronary intervention(PCI).Methods:A total of 74 cases with ASTEMI admitted from August 1,2015 to August 31,2016 patients were selected as control group and 74 cases of ASTEMI patients admitted from September 1,2016 to September 31,2017 were selected as observation group.The two groups were treated with PCI.The control group was given routine nursing care for 6 months,and the observation group was given transitional care intervention based on Omaha system for 6 months.The medical behavior cardiovascular events,and nursing satisfaction in the two groups were observed.The degree of depression and anxietyself-rating depression scale(SDS),self-rating anxiety scale(SAS)],hope levelHerth Hope Index(HHI)],and self-care abilityexercise of self-care agency scale(ESCA)]were compared between the two groups before and after the intervention.Results:The total compliance rate of observation group was higher than that of control group(P<0.01).After intervention,SDS and SAS scores in the observation group were lower than those in the control group(P<0.01),and HHI and ESCA scores were higher than those in the control group(P<0.01).The incidence of cardiovascular events such as myocardial infarction,unstable angina pectoris and heart failure in the observation group was lower than that in the control group(P<0.01),and the overall satisfaction of nursing work was higher than that in the control group(P<0.01).Conclusion:Transitional care intervention based on Omaha system for ASTEMI patients undergoing PCI can reduce the risk of cardiovascular events,relieve negative emotions,and improve compliance with medical behavior,self-care ability and nursing satisfaction.It is worthy of clinical promotion.