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奥马哈系统为基础的延续护理对经皮冠状动脉介入治疗后冠心病患者的药物依从性、生活质量和预后的影响。

Impacts of Omaha System-Based Continuing Care on the Medication Compliance, Quality of Life, and Prognosis of Coronary Heart Disease Patients After PCI.

机构信息

Department of Cardiology, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, People's Republic of China.

出版信息

Braz J Cardiovasc Surg. 2022 Aug 16;37(4):472-480. doi: 10.21470/1678-9741-2021-0222.

Abstract

INTRODUCTION

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).

METHODS

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.

RESULTS

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).

CONCLUSION

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.

摘要

介绍

本研究旨在探讨基于奥马哈系统的延续护理对经皮冠状动脉介入治疗(PCI)后冠心病(CHD)患者药物依从性、生活质量(QOL)和预后的影响。

方法

选择 100 例住院并接受 PCI 的 CHD 患者,根据随机数字表法分为对照组和观察组,每组 50 例。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。

结果

随访显示,观察组的 Morisky-Green 评分明显高于对照组(P<0.001),表明观察组的药物依从性明显优于对照组(P<0.001)。护理后,观察组的简明健康状况量表 36 项(SF-36)评分明显高于入院时,且明显高于对照组(P<0.001)。观察组主要不良心脏事件(MACE)的发生率明显低于对照组(P<0.001)。观察组的护理满意度明显高于对照组(P<0.01)。

结论

基于奥马哈系统的延续护理可以提高冠心病患者 PCI 后的药物依从性和生活质量,降低 MACE 的发生率,有利于改善患者的预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d68/9423810/786e3a48e268/rbccv-37-04-0472-g01.jpg

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