奥马哈系统的延续性护理干预对冠状动脉旁路移植患者术后遵医行为的影响  

Influence of Omaha System’s Continuous Nursing Intervention on Patients’ Compliance Behavior after Coronary Artery Bypass Graft

作　　者：李利梅[1] 黄秋霞[2] 张新[2] 张亮[2] LI Li-mei;HUANG Qiu-xia;ZHANG Xin(Thyroid Surgery,The First Affiliated Hospital of Zhengzhou University,Zhengzhou,Henan,450000,China)

机构地区：[1]郑州大学第一附属医院甲状腺外科,河南郑州450000 [2]郑州大学第一附属医院心外科,河南郑州450000

出　　处：《黑龙江医学》2021年第14期1526-1528,共3页Heilongjiang Medical Journal

摘　　要：目的:分析奥马哈系统的延续性护理干预对冠状动脉旁路移植患者术后遵医行为的影响。方法:选取郑州大学第一附属医院接受冠状动脉旁路移植患者76例(2018年2月—2019年5月),按建档时间不同分为研究组(n=38)和对照组(n=38),对照组予以常规护理干预,研究组在对照组基础上予以奥马哈系统的延续性护理干预。对比两组遵医行为、不良心血管事件发生率、护理工作满意度及干预前后自我护理能力测量表(ESCA)评分。结果:研究组遵医率为94.74%(36/38)较对照组的76.32%(29/38)高(P<0.05);干预后,两组ESCA评分均较干预前升高,且研究组升高幅度高于对照组(P<0.05);研究组不良心血管事件发生率为7.89%(3/38)较对照组的26.32%(10/38)低(P<0.05);研究组护理工作满意度为97.37%(37/38)较对照组的78.95%(30/38)高(P<0.05)。结论:接受冠状动脉旁路移植患者应用奥马哈系统的延续性护理干预,可提高患者术后遵医行为、自护能力,降低不良心血管事件发生率,并具有较高护理工作满意度。Objective: To analyze the impact of Omaha system’s continuous nursing intervention on the compliance behavior of patients after coronary artery bypass grafting. Methods: A total of 76 patients(from February 2018 to May 2019) in the hospital who received coronary artery bypass grafting were selected and divided into study group(n=38) and control group(n=38) according to the filing time. The control group received routine nursing intervention, and the study group received Omaha system continuous nursing intervention on the basis of the control group. The compliance behavior, incidence of adverse cardiovascular events, nursing job satisfaction, and exercise of self-care agency scale(ESCA) scores before and after intervention were compared between the two groups. Results: The compliance rate of the study group was 94.74%(36/38) higher than that of the control group 76.32%(29/38)(P<0.05). After the intervention, the ESCA scores of the two groups were higher than before the intervention, and the increase in the study group was higher than that of the control group(P<0.05). The incidence of adverse cardiovascular events in the study group was 7.89%(3/38), which was lower than that of the control group 26.32%(10/38)(P<0.05). The nursing job satisfaction of the study group was 97.37%(37/38), higher than that of the control group 78.95%(30/38)(P<0.05). Conclusion: Patients receiving coronary artery bypass grafting with Omaha system continuous nursing intervention can improve patients’ postoperative compliance behavior, self-care ability, reduce the incidence of adverse cardiovascular events, and have higher nursing job satisfaction.

关 键 词：奥马哈系统的延续性护理干预 冠状动脉旁路移植 遵医行为 ESCA评分 

分 类 号：R47[医药卫生—护理学]