奥马哈系统在气虚血瘀型不稳定心绞痛患者护理中的应用  

Application of Omaha system to the unstable angina pectoris patient nursing of vital energy deficiency and blood stasis

作　　者：邹生燕[1] 马凤荣[1] 刘嫚 王颖 

机构地区：[1]北京中医药大学附属护国寺中医医院内科病房,100035

出　　处：《国际护理学杂志》2017年第20期2741-2745,共5页international journal of nursing

摘　　要：目的 通过应用奥马哈系统对气虚血瘀型不稳定心绞痛患者护理干预评估,制定完整的临床护理体系,提升护理质量.方法 将符合诊断标准的74例患者随机分为观察组和对照组,每组37例,对照组患者按照北京市中医管理局下发的胸痹心痛病气虚血瘀型患者中医护理方案进行护理,观察组患者给予奥马哈系统进行护理,分别于入院时及住院后3周,采用西雅图心绞痛量表（SAQ）评分及奥马哈系统结局评价表Likert5分等级数字测量法对患者进行评定.结果 观察组患者西雅图心绞痛量表各项（SAQ）评分及奥马哈系统结局评价表Likert5分等级数字测量法评分均优于对照组,差异均有统计学意义（均P〈0.05）.结论 奥马哈问题分类系统模式在气虚血瘀型不稳定心绞痛患者护理中具有可操作性,可进一步提升护理质量,促进临床护理的评估和整体护理的实施.Objective Nursing intervention evaluation is conducted to the unstable angina pectoris patient nursing of vital energy deficiency and blood stasis through Omaha system to make a complete clinical nursing system so as to improve the nursing quality. Methods A total of 74 patients were randomly divided into observation group and control group in accordance with diagnosis standard, 37 cases of each group. The patients of control group had nursing according to the Chinese traditional medical nursing scheme of vital energy deficiency and blood stasis patients of chest obstruction and cardiac pain disease issued by Beijing Traditional Chinese Medicine Administration, and Omaha system was applied to the patients of observation group for nursing. In addition, SAQ （ Seattle angina questionnaire） score and Omaha system outcome evaluation form Likert 5 score digital measurement were applied 3 weeks before and after admis-sion to and discharge from hospital to have evaluation for the patients. Results SAQ score and Omaha system outcome evaluation form Likert 5 score digital measurement score of patients in observation group were superior to control group. The difference had statistical significance （ P〈0. 05 ） . Conclusion Omaha question classification system model has operability on the nursing of unstable angina pectoris patients of vital energy deficiency and blood stasis, which can fur-ther improve nursing quality, promote the evaluation of clinical nursing and implementation of integral nursing.

关 键 词：奥马哈系统 不稳定心绞痛 护理 

分 类 号：R248.1[医药卫生—中医临床基础]