这项研究的目的是探讨基于奥马哈系统的持续护理对药物依从性的影响,生活质量(QOL),冠心病(CHD)患者经皮冠状动脉介入治疗(PCI)后的预后。
选择住院并接受PCI的冠心病患者100例,分为对照组和观察组,每组50名患者,根据随机数表方法。对照组给予常规护理,观察组在对照组基础上应用基于奥马哈系统的延续护理。
随访显示,观察组Morisky-Green评分明显高于对照组(P<0.001),提示观察组的用药依从性明显优于对照组(P<0.001)。护理后的shortform-36(SF-36)评分明显高于入院时,观察组SF-36评分明显高于对照组(P<0.001)。观察组主要不良心脏事件(MACE)发生率明显低于对照组(P<0.001)。观察组护理满意度明显高于对照组(P<0.01)。
基于奥马哈系统的持续护理可以提高药物依从性和生活质量,减少MACE的发生率,并对冠心病患者PCI术后的预后有益。
The objective of this study is to explore the impacts of Omaha System-based continuing care on medication compliance, quality of life (QOL), and prognosis of coronary heart disease (CHD) patients after percutaneous coronary intervention (PCI).
A total of 100 CHD patients who were hospitalized and received PCI were selected and divided into the control group and the observation group, 50 patients per group, according to a random number table method. The control group was given routine care, while the observation group was applied Omaha System-based continuing care on the basis of the control group.
Follow-up demonstrated that the Morisky-Green score of the observation group was significantly higher than that of the control group (P<0.001), indicating that the medication compliance of the observation group was significantly better than that of the control group (P<0.001). The short form-36 (SF-36) scores were notably higher after nursing compared with on admission; SF-36 scores of the observation group were significantly increased than those of the control group (P<0.001). The incidence of major adverse cardiac event (MACE) in the observation group was significantly lower than in the control group (P<0.001). The nursing satisfaction of the observation group was considerably higher than that of the control group (P<0.01).
Omaha System-based continuing care could improve the medication compliance and QOL, reduce the incidence of MACE, and benefit the prognosis of CHD patients after PCI.