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目的? 探讨基于奥马哈系统的护理干预在PCI术后患者中的应用效果.方法? 采用便利抽样法, 2016年2月—2017年11月选取宁波市第一医院行PCI的200例患者为研究对象,按随机数字表法随机分为两组,每组各100例.对照组患者采用常规护理方法,观察组患者采用基于奥马哈系统制订的护理方案.评价两组患者术后血管性并发症的发生情况,采用SDS、SAS、护理满意度问卷评价干预的效果.结果? 术后观察组患者血管并发症发生率低于对照组,差异有统计学意义(P＜0.05);干预后观察组患者SAS、SDS评分均低于对照组,差异有统计学意义(P＜0.05);出院时观察组满意度高于对照组,差异有统计学意义(P＜0.05).结论? 基于奥马哈系统的护理干预能够降低PCI术后患者血管并发症的发生率,改善患者术后不良情绪,提高患者满意度,值得临床推广应用.

Objective? To explore the effects of Omaha system-based nursing intervention on patients after percutaneous coronary intervention (PCI). Methods? Totally 200 patients receiving PCI in Ningbo First Hospital from February 2016 to November 2017 were selected using convenient sampling and divided into the control group (n=100) and the observation group (n=100) according to the random number table. Patients in the control group received conventional nursing care, while patients in the observation group received nursing care based on Omaha system. The incidence of postoperative vascular complications was evaluated between the two groups. Self-Depression Scale (SDS), Self-Anxiety Scale (SAS) and the nursing satisfaction questionnaire were used to evaluate the effects of intervention. Results? The incidence rate of postoperative vascular complications was lower in the observation group than in the control group (P＜ 0.05); the SAS and SDS scores of the observation group were lower than those of the control group (P＜0.05); and the satisfaction at discharge of the observation group was higher than that of the control group (P＜ 0.05). Conclusions? Omaha system-based nursing interventions can reduce the incidence rate of postoperative vascular complications, ameliorate patients' negative emotions and improve their satisfaction, which is worth promoting in clinical practice.