Application of Omaha system theory in self-management of patients with cardiac resynchronization therapy

Abstract

Objective To investigate the effect of Omaha system theory in self-management of patients with cardiac resynchronization therapy (CRT). Methods A total of 90 cases of CRT patients in the department of cardiovascular medicine of the hospital from May 2015 to May 2017 were selected and randomly divided into control group and observation group, with 40 cases each.Patients in the control group were guided and followed up by routine discharge knowledge, while patients in the observation group were given personalized nursing intervention by Omaha system as a theoretical framework.Adult Health Self-Management Ability Assessment Scale and Minnesota Heart Failure Quality of Life Scale were used to investigate and compare the scores of self-management ability and quality of life after discharge from hospital, 1 week after discharge, 1 month after discharge, and 3 months after discharge. Results 1 month after discharge and 3 months after discharge, the self-management ability scores of the observation group were better than those of the control group, while the quality of life scores of physical, emotional and other fields were lower than those of the control group. All the differences were statistically significant (P<0.05). Conclusions The nursing of CRT patients guided by Omaha system theory can reflect the common problems of patients, provide feasible intervention measures and evaluation methods, and provide reference for improving patients' self-management ability and quality of life. Key words: Omaha system; CRT; Self-management ability; Life quality