Study on the effect of Omaha system on continuous nursing intervention after PCI

Abstract

Objective 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 patients with coronary heart disease receiving PCI surgery for the first time in this hospital were selected.By means of random 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 improvements 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 smoking 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. Key words: Omaha system; PCI; Continuous nursing; Compliance behavior; Risk factors