奥马哈系统在急性心肌梗死合并抑郁患者护理中的应用价值

Application value of Omaha system in nursing care of patients with acute myocardial infarction complicated with depression

目的 分析奥马哈系统在急性心肌梗死(Acute myocardial infarction,AMI)合并抑郁患者心理护理中的应用效果。方法 选取2020年3月~2023年3月本院收治的AMI合并抑郁患者102例,以随机数表法分成观察、对照两组,各51例。对照组患者实施常规药物干预,观察组在对照组基础上联合奥马哈心理护理。比较两组患者护理效果、心理功能[采用症状自评量表(Symptom Checklist-90,SCL-90)、焦虑(Self Rating Anxiety Scale,SAS)和抑郁(Self Rating Depression Scale,SDS)自评量表评价]、日常生活能力[采用改良Barthel指数评定量表(Barthel index,BI)评估]和生活质量[采用生活质量问卷(Generic Quality of Life Inventory 74,GQOLI-74)评估]。结果 观察组患者护理效果总有效率高于对照组(P<0.05)。两组患者护理后SCL-90、SAS、SDS评分均降低,且观察组更低(P<0.05)。观察、对照两组患者护理后BI评分分别为(78.05±4.12)分、(60.03±3.76)分,两组之间比较有显著差异(t=23.072,P=0.000)。两组患者护理后GQOLI-74评分均升高,且观察组更高(P<0.05)。结论 基于奥马哈系统的心理护理用于AMI合并抑郁症患者,可有效改善患者焦虑、抑郁情绪,进而提高其生活质量。

Objective Analyze the application effect of the Omaha system in psychological care of patients with acute myocardial infarction(AMI)complicated with depression.Methods 102 patients with AMI complicated with depression admitted to our hospital from March 2020 to March 2023 were selected and randomly divided into observation and control groups using a random number table method,with 51 cases in each group.The control group received routine drug intervention,while the observation group received combined Omaha psychological care in addition to the control group.Compare the nursing effectiveness and psychological function of two groups of patients [evaluated using Symptom Checklist-90(SCL-90),Self Rating Anxiety Scale(SAS),and Self Rating Depression Scale(SDS)] Daily living ability [assessed using the Modified Barthel Index(BI)] and quality of life [assessed using the General Quality of Life Inventory 74(GQOLI-74)].Results The total effective rate of nursing care in the observation group was higher than that in the control group(P<0.05).After nursing,the SCL-90,SAS,and SDS scores of both groups of patients decreased,and the observation group had a lower score(P<0.05).After observation and control,the BI scores of the two groups of patients after nursing were(78.05 ± 4.12)points and(60.03 ± 3.76)points,respectively.There was a significant difference between the two groups(t=23.072,P=0.000).After nursing,the GQOLI-74 scores of both groups of patients increased,and the observation group had a higher score(P<0.05).Conclusion Psychological care based on the Omaha system can effectively improve anxiety and depression in patients with AMI combined with depression,thereby improving their quality of life.