| Background and significance: As a common cardiovascular disease,coronary heart disease(CHD)has a high prevalence and a long course,which not only has a serious impact on the daily life of patients,but also has a high mortality rate,which directly threatens the safety of patients.Therefore,effective and accurate clinical nursing intervention is of great significance for the recovery of patients.At present,in addition to the traditional way of clinical nursing of coronary heart disease,there are also some new modes,such as continuous nursing,comprehensive nursing,predictive nursing and so on.Among them,the traditional way mostly depends on the nursing routine,lacks certain systematization and pertinence,especially has certain defects in the health education of patients.And,the new ways of nursing,which are not guided by certain nursing theories,and the same nursing method does not form a unified nursing intervention standard and evaluation standard,which makes it difficult to objectively compare the intervention effect.Therefore,on the basis of the previous study of the research group,this study explored the influence of the systematic nursing program based on Omaha theory on the rehabilitation effect of patients with coronary heart disease.Objective: To clarify the influence of the systematic nursing program based on Omaha theory on the rehabilitation effect of the inpatients with coronary heart disease,so as to provide certain scientific basis based on theory for the clinical nursing of patients with coronary heart disease.Methods:This project is a kind of quasi-experimental study,and a control group is set up.A single-blind method was used for the study subjects.Using the convenient sampling method,120 subjects were selected strictly according to the inclusion and exclusion criteria,and randomly divided into the intervention group and the control group by the random number table method,with 60 cases in each group.Patients in the control group received routine care while patients in the intervention group received systematic care based on Omaha theory.The improvement of nursing problems and the change of daily activity ability of the two groups of subjects before and after intervention were evaluated.Among them,the evaluation indexes of the improvement of nursing problems were patients' knowledge(K),behavior(B)and status(B)scores,and the evaluation indexes of daily activity ability were 6-min walking distance.Excel and SPSS 22.0 statistical software package were used for data entry,and SPSS 22.0 statistical software package was used for data analysis.Mean and standard deviation were used for statistical description of measurement data,and independent sample t-test or paired sample t-test was used for statistical analysis.Frequency and percentage were used for statistical description of counting data,and Chi-square test was used for statistical analysis.Results:A total of 120 patients participated in this study.One patient transferred to another hospital midway and 119 patients completed the study,including 60 in the intervention group and 59 in the control group.1.The nursing problems of the patients in the intervention group and the control group were all distributed in four areas of the problem classification table of Omaha System.There were 861 nursing problems in the two groups,including 458(53.19%)in the intervention group and 403(46.81%)in the control group.The area with the most nursing problems in the intervention group were health-related behavior field,with 199(43.45%),followed by physiological field,with 168(36.38%),psychosocial field,with 82(17.90%),and environmental field,with 9(1.97%).The area with the most nursing problems in the control group were health-related behavior field,with 172(42.68%),followed by physiological field,with 162(40.20%),psychosocial field,with 63(15.63%),and environmental field,with 6(1.49%).The distribution of nursing problems in each field between the two groups was examined,and the difference was not statistically significant(P > 0.05).There were 9 major nursing problems in the two groups of patients,among which 3 were in the physiological field,namely pain,chest distress and shortness of breath,and limb weakness.There were five in the health-related behavior field,namely diet imbalance,medication guidance,smoking,overweight,and exercise.There is one in the psychosocial field,which is the social regression disorder.2.Comparison of improvement of nursing problems between two groups before and after intervention:(1)Before the intervention,there was no statistically significant difference in the knowledge(K)scores of the 9 major nursing problems in the intervention group compared with the control group(P>0.05).After the intervention,the knowledge(K)scores of the intervention group was higher than that of the control group,the difference was statistically significant(P < 0.05).(2)Before the intervention,there was no statistically significant difference in the behavior(B)scores of the 9 major nursing problems in the intervention group compared with the control group(P>0.05).After the intervention,the behavior(B)score of nursing problem "smoking" in the intervention group(3.00±0.34)were compared with those in the control group(2.73±0.80),showing no statistically significant difference(P>0.05);For the other 8 major nursing problems,the behavior(B)scores of patients in the intervention group were all higher than those in the control group,with statistically significant differences(P< 0.05).(3)Before the intervention,there was no statistically significant difference in the status(S)scores of the 9 major nursing problems in the intervention group compared with the control group(P>0.05).After the intervention,the status(S)scores of the nursing problems "exercise" and "social regression disorder" in the intervention group were higher than those in the control group,with statistically significant differences(P<0.05);For the other 7 major nursing problems,there was no statistically significant difference in the status(S)scores of patients in the intervention group compared with the control group(P> 0.05).3.Before the intervention,the 6-min walking distance of patients in the intervention group was no statistically significant difference from that in the control group(P>0.05).After the intervention,the 6-min walking distance of patients in the intervention group(431.58±112.93)was higher than that of patients in the control group(388.25±86.40),and the difference was statistically significant(P<0.05).Conclusions:1.The nursing assessment form based on Omaha theory has scientific guiding effect on the nursing of inpatients with coronary heart disease.2.The systematic nursing program based on Omaha theory can improve the patient's disease knowledge,correct the patient's bad behavior and improve the patient's condition to some extent through comprehensive nursing assessment and targeted nursing intervention.3.The systematic nursing program based on Omaha theory can improve the daily activity ability of patients with coronary heart disease through comprehensive nursing assessment and targeted nursing intervention. |
PDF Full Text Request