摘要目的 探讨以奥马哈系统为基础的延续护理干预在经皮冠状动脉支架植入术( PCI)后患者遵医行为及危险因素控制水平的效果.方法 选取在该院首次接受PCI术的冠心病患者81例, 采用随机数字表法分为干预组41例和对照组40例.对照组采用常规护理;干预组在对照组基础上,采用基于奥马哈系统为干预导向的延续护理.以PCI术后患者遵医行为调查问卷评价两组患者出院时、出院后3个月及6个月两组患者遵医行为及相关危险因素、生理生化指标的改善情况,并于随访终点时比较两组患者的心血管事件发生率.结果经重复测量方差分析,两组患者不同时间及组间评分比较,遵医行为结果差异均有统计学意义(均P＜0. 05) .6个月后,除BMI值及心血管事件发生率外,两组吸烟率、血压达标率、糖化血红蛋白( HbA1c) 、总胆固醇( TC) 、骨密度脂蛋白胆固醇(LDL-C)等其余各指标差异均有统计学意义(均P＜0. 05).结论 以奥马哈系统为基础的延续护理干预能够明显提升PCI术后患者的遵医行为及危险因素控制水平,是PCI术后一种有效的延续护理干预模式.

abstractsObjective To explore the effect of continuous care intervention based on Omaha system on patient compliance and risk factors control after percutaneous coronary stent implantation ( PCI) . Methods A total of 81 pa-tients with coronary heart disease receiving PCI surgery for the first time in this hospital were selected. By means of ran-dom number table, the patients were divided into intervention group (41 cases) and control group (40 cases) . On the basis of receiving regular health education, the Omaha system intervention oriented continuous nursing was applied to experimental group. The behavior of PCI postoperative patients following doctor's instruction was used as questionnaire to evaluate the behavior of PCI postoperative patients following doctor's instruction, related risk factors and the improve-ments of physiological and biochemical indexes in both groups when discharged, 3 months after discharge and 6 months after discharge. In addition, the cardiovascular event occurrence rate of patients in both groups was compared at the end of follow-up visit. Results After repeated measure variance analysis, the score of patients in both groups was compared in different time and groups. The result of behavior of following doctor's instruction had statistical significance (P＜0. 05). After 6 months, except BMI value and cardiovascular event occurrence rate, the index difference of smok-ing rate, rate of blood pressure reaching the standard, glycosylated hemoglobin (HbA1c), total cholesterol (TC) and LDL-C had statistical significance ( P＜0. 05) . Conclusions Continuing care intervention based on Omaha system can significantly improve the level of compliance and risk factor control of patients after PCI, and is an effective mode of continuing care intervention after PCI.