心脏植入式电子装置患者延续性护理方案的构建及应用

doi:10.3761/j.issn.0254-1769.2025.10.008

摘要/Abstract

摘要：

目的基于奥马哈系统构建心脏植入式电子装置（cardiac implantable electronic device，CIED）患者延续性护理方案，并评价其应用效果，以期为CIED患者延续性护理提供参考。方法以奥马哈系统为理论框架，在文献回顾和半结构式访谈的基础上，经过2轮专家函询构建基于奥马哈系统的CIED患者延续性护理方案。采用便利抽样法，选取武汉市某三级甲等医院心血管内科的CIED患者为应用对象。将2024年4月—6月收治的61例患者设为试验组，实施基于奥马哈系统的延续性护理方案；将2023年12月—2024年3月收治的61例患者设为对照组，实施常规护理措施。比较两组入院时及出院后1个月奥马哈系统成效评分、出院后3个月的生存质量。结果最终两组各纳入59例患者，试验组出院后1个月奥马哈系统成效评分高于对照组，出院后3个月生存质量高于对照组（P<0.001）。结论应用基于奥马哈系统构建的CIED患者延续性护理方案可以提高患者的疾病认知水平，促进健康行为，提高其自我效能，改善生存质量。

关键词: 心脏植入式电子装置, 奥马哈系统, 延续性护理

Abstract:

Objective To develop a continuous care program for patients with cardiac implantable electronic devices（CIED） utilizing the Omaha system，and to assess its effectiveness. This study aims to provide a reference for the continuous care of patients with CIED. Methods Using the Omaha system as the theoretical framework，based on literature search and semi-structured interviews，a continuity of care program for CIED patients based on the Omaha system was constructed through 2 rounds of expert inquiry. Convenience sampling method was used to select CIED implant patients from the cardiovascular department of a tertiary hospital in Wuhan as the research subjects. 61 patients admitted from April to June 2024 were assigned as an experimental group with a continuity of care program based on the Omaha system；61 patients admitted from December 2023 to March 2024 were designated as a control group and received routine nursing measures. The Omaha performance indicators and quality of life at 3 months after discharge were compared between 2 groups upon admission and 1 month after discharge. Results The final 2 groups each included 59 patients. A month after discharge，the Omaha efficacy index in the experimental group was higher than that in the control group，and 3 months after discharge，the quality of life in the experimental group was higher than that in the control group（P<0.001）. Conclusion The CIED patient continuity of care program based on the Omaha system could improve patients’ cognitive level，promote healthy behavior，enhance their self-efficacy，and improve their quality of life.

Key words: Cardiac Implantable Electronic Devices, Omaha System, Continuous Care

兰兰, 罗雪, 杨伟梅, 王素芬, 何细飞. 心脏植入式电子装置患者延续性护理方案的构建及应用[J]. 中华护理杂志, 2025, 60(10): 1202-1208.

LAN Lan, LUO Xue, YANG Weimei, WANG Sufen, HE Xifei. Construction and application of a continuous care program for patients with cardiac implantable electronic devices[J]. Chinese Journal of Nursing, 2025, 60(10): 1202-1208.

图/表 3

表1 基于奥马哈系统的心脏植入式电子装置患者延续性护理方案

Table 1 A continuous care program for patients with implantable electronic devices based on Omaha system

表2 两组一般资料的比较[例（百分比，%）]

Table 2 Comparison of general information between 2 groups[cases（percentage，%）]

表3 干预后两组奥马哈系统成效评分的比较（分，$\bar{x}\pm s$）

Table 3 Comparison of scores between 2 groups on the Omaha Effectiveness Scale after intervention（score，$\bar{x}\pm s$）

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