基于奥马哈系统的延续性护理干预对门诊慢性心力衰竭患者服药依从性的影响

The effect of the Omaha - system - based interference on the drug compliance in chronic cardiac failure patients with clinic service

目的评价以奥马哈系统构建的护理干预模式对门诊慢性心力衰竭患者服药依从性的影响。方法将100例慢性心力衰竭患者按数字表法随机分为观察组50例和对照组50例，两组患者均给予常规的护理干预，观察组在此基础上运用奥马哈系统制定有针对性的护理方案，实施延续性护理。结果观察组患者出院后第2、第3个月亚特兰大心衰知识问卷（AHFKT—V2）问卷得分[（17．690±1．892）分、（20．900±2．052）分]明显高于对照组[（14．080±2．374）分、（18．450±1．781）分]，两组差异均有统计学意义（t=-8．488、-6．442，均P〈0．05）；观察组患者出院后第2、第3个月Morisky问卷得分[（1．036±0．780）分、（0．487±0．260）分]明显低于对照组[（1．540±1．182）分、（0．920±0．804）分]，两组差异均有统计学意义（t=3．420、4．965。均P〈0．05）。结论运用奥马哈系统制定有针对性的延续性护理方案，可以提高患者的服药依从性。

Objective To evaluate the effect about medication compliance for patients with chronic heart failure in outpatients using nursing intervention model based on Omaha system. Methods 100 patients were randomly divided into observation group（50 patients） and control group （50 patients）. The two groups of patients were given routine nursing intervention, the observation group also used the Omaha system to develop care programs on this basis, and was given the implementation about continuity of care. Results On the point of the two or three months after the patients were discharged, the AHFKT - V2 questionnaire scores in the observation group [ （ 17. 690 ± 1. 892） points, （20.900 ± 2. 052） points ] were significantly higher than the control group [ （ 14. 080 ±2. 374 ） points, （ 18. 450 ±1. 781 ） points ], the differences were statistically significant （ t = - 8. 488, - 6. 442, all P 〈 0.05 ）. However, the same as the points after the patients were discharged, Morisky questionnaire scores in the observation group [ （ 1. 036 ± 0. 780） points, （0.487 ± 0. 260） points ] were significantly lower than the control group [ （ 1.54 ± 1. 182 ） points, （0. 920 ±0.804） points ], the differences were statistically significant （ t = 3. 420,4. 965, all P 〈 0.05 ）. Conclusion The use of Omaha system to develop the targeted continuity of care, can improve the patients medication compliance.