Effect of Omaha system interventional management on therapeutic effect and the incidence of MACE during follow-up in patients with heart failure
10.3969/j.issn.1008-0074.2025.02.25
- VernacularTitle:奥马哈理论介入管理对心衰患者疗效及随访期间MACE发生率的影响
- Author:
Ge GAO
1
;
Miao-miao CHENG
1
;
Min YANG
1
;
Mei-mei BAO
1
;
Yu-tian ZHANG
1
Author Information
1. 中国人民解放军空军军医大学第二附属医院心血管内科,陕西西安 710038
- Publication Type:Journal Article
- Keywords:
Heart failure;
Omaha theory;
Nursing care
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2025;34(2):261-265
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of Omaha system interventional management on therapeutic effect and incidence of major adverse cardiovascular events(MACE)during follow-up in patients with heart failure(HF).Methods:This randomized controlled study enrolled 110 HF patients treated in Second Affiliated Hospital of Chi-nese PLA Air Force Military Medical University between January 2021 and January 2023.They were divided into control group(n=55,routine nursing)and intervention group(n=55,interventional management based on Omaha system).Both groups received intervention for 1 month and were followed up for 6 months.The heart function,negative emotion,self-care capacity,quality of life,and cumulative incidence of MACE during the 6-month fol-low-up were compared between two groups.Results:Compared with patients in the control group,those in the in-tervention group had significant higher left ventricular ejection fraction(LVEF)[(60.32±4.79)％vs.(50.11±4.58)％],scores of exercise of self-care agency(ESCA)[(142.33±6.58)points vs.(89.26±7.19)points]and General Quality of Life Inventory 74(GQOLI-74)[(88.61±4.15)points vs.(70.59±7.85)points](P＜0.001 all),and significant lower left atrial diameter(LAD)[(36.18±2.98)mm vs.(40.25±3.05)mm],left ventricu-lar end-systolic diameter(LVESd)[(42.11±3.46)mm vs.(48.49±3.78)mm],scores of hospital anxiety and depression scale[HADS(A)][(10.05±2.11)points vs.(14.33±2.05)points]and HADS(D)[(9.15±1.31)points vs.(13.37±2.18)points](P＜0.001 all).The incidence rate of MACE in intervention group(9.09％vs.29.09％)was significantly lower than that of control group(P=0.004).Conclusion:Omaha system interventional management could significantly improve cardiac function and negative emotions,improve self-care capacity and quality of life,and reduce the incidence of MACE during follow-up in patients with heart failure.
