奥马哈系统结合压力管理对心肌梗死患者介入治疗中Barthel指数、舒适度评分及GQOLI-74评分的影响

The influence of Omaha system combined with pressure management on Barthel index,comfort score and GQOLI-74 score in interventional therapy of patients with myocardial infarction

目的探讨奥马哈系统结合压力管理对心肌梗死患者介入治疗中Barthel指数、舒适度评分及生活质量综合评定问卷(generic quality of life inventory-74,GQOLI-74)评分的影响。方法选择2016年2月-2018年12月在上海第九人民医院接受治疗的100例心肌梗死患者作为本次研究对象。按照简单随机法将患者分成观察组及对照组,每组各50例。对照组给予奥马哈系统护理,观察组患者在此基础上结合压力管理。观察两组患者的Barthel指数、舒适度评分及GQOLI-74评分的影响。结果与对照组相比,观察组患者护理后的左室舒张末直径(left ventricular end diastolic diameter,LVEDD)明显更低,射血分数(ejection fraction,EF)水平明显更高(t=8.353、10.145,P<0.05),观察组患者护理后的Barthel指数明显升高,抑郁自评量表(self-rating anxiety scale,SAS)、焦虑自评量表(self-rating depression scale,SDS)评分明显更低(t=8.533、9.813、10.223,P<0.05),观察组患者的生活质量评分明显更高,舒适度评分明显更高(t=7.431、8.532、8.631、7.462、9.145,P<0.05)。结论奥马哈系统结合压力管理可以改善介入治疗心肌梗死患者的自我管理能力,值得在临床上推广应用。

Objective To explore the influence of the Omaha system combined with pressure management on the Barthel index,comfort score and comprehensive quality of life assessment questionnaire(Generic Quality of life inventory 74,GQOLI-74)score in interventional therapy for patients with myocardial infarction.Methods 100 patients with myocardial infarction who were treated at Shanghai Ninth People's Hospital from February 2016 to December 2018 were selected as the subjects of this study.According to the simple random method,the patients were divided into observation group and control group,with 50 cases in each group.The control group was given Omaha system nursing care,and the observation group was combined with stress management on this basis.The effects of Barthel index,comfort score and GQOLI-74 score of the two groups were observed.Results Compared with the control group,the left ventricular end diastolic diameter(LVEDD)of the observation group was significantly lower after nursing,and the ejection fraction(EF)level was significantly higher(t=8.353,10.145,P<0.05),the Barthel index of the observation group after nursing was significantly increased,and the self-rating depression scale(SAS)and self-rating depression scale(SDS)scores of the observation group were significantly lower(t=8.533,9.813,10.223,P<0.05),the observation group had a significantly higher quality of life score and a significantly higher comfort score(t=7.431,8.532,8.631,7.462,9.145,P<0.05).Conclusion Omaha system combined with pressure management can improve the self-management ability of patients with myocardial infarction in interventional therapy,which is worthy of clinical application.