以奥马哈系统为框架的慢性心力衰竭患者延续性护理的临床效果
| 作者: |
1张怡琳,
1眭建,
2林嘉鳞
1 江苏大学医学院，南京 212013 2 无锡市中医医院护理部，江苏 无锡 214071 |
| 通讯: |
林嘉鳞
Email: 903556604@qq.com |
| DOI: | 10.3978/j.issn.2095-6959.2020.06.032 |
摘要
目的：探讨以奥马哈系统为框架对慢性心力衰竭患者进行延续性护理的效果。方法：选择2018年11月至2019年3月无锡市中医医院收治的184例老年慢性心力衰竭患者为研究对象，按照电脑双盲法分对照组(n=97)与实验组(n=87)，对照组接受常规出院护理，实验组开展以奥马哈系统为框架的延续性护理模式。对比干预后，两组护理成效、自我护理指数量表(Self-Care of Heart Failure Index，SCHFI)、心理状态[汉密尔顿焦虑量表(Hamilton Anxiety Rating Scale，HAMA)、汉密尔顿抑郁量表(Hamilton Depression Rating Scale，HAMD)]、生活质量[明尼苏达生活质量问卷(Minnesota Living with Heart Failure Questionnaire，MLHFQ)]、自我护理状况[自我护理指数量表(Self-Care of Heart Failure Index，SCHFI)]及服药依从性。结果：干预后，与对照组相比，实验组护理成效、SCHFI评分、服药依从性均较高，实验组HAMA，HAMD及MLHFQ各维度评分均降低，差异均有统计学意义(P<0.05)。结论：慢性心力衰竭患者给予以奥马哈系统为框架的延续性护理模式，可改善负性心理状态，提高护理成效与服药依从性，利于提升自我护理能力与生活质量，促进预后。
关键词：
慢性心力衰竭；奥马哈系统；延续性护理；生活质量
Effect of continuous nursing based on Omaha system in patients with chronic heart failure
CorrespondingAuthor: LIN Jialin Email: 903556604@qq.com
DOI: 10.3978/j.issn.2095-6959.2020.06.032
Abstract
Objective: To investigate the effect of continuous nursing based on Omaha system in patients with chronic heart failure. Methods: A total of 184 senile patients with chronic heart failure who admitted in the hospital from November 2018 to March 2019 were divided into a control group (n=97) and an experimental group (n=87) according to computer double blind method. The control group was given routine discharge nursing, and experimental group was given continuous nursing based on Omaha system. After intervention, the nursing effect, Self-Care of Heart Failure Index (SCHFI), mental state [Hamilton Anxiety Rating Scale (HAMA), Hamilton Depression Rating Scale (HAMD)], quality of life [Minnesota Living with Heart Failure Questionnaire (MLHFQ)], self-care status [Self-Care of Heart Failure Index (SCHFI)] and medication compliance were compared between two groups. Results: After intervention, compared with control group, the nursing effect, SCHFI score and medication compliance in experimental group were higher, the scores of HAMA, HAMD and MLHFQ in experimental group were lower, and the difference was statistically significant (P<0.05). Conclusion: Continuous nursing based on Omaha system in patients with chronic heart failure can improve negative emotion, increase nursing effect and medication compliance, enhance nursing ability and quality of life, and promote the prognosis.
Keywords：
chronic heart failure; Omaha system; continuous nursing; quality of life