【摘要】 目的评估奥马哈系统在社区慢性疾病患者心理干预中的应用效果。方法选取社区卫生服务中心于2012年3月~2013年4月记录在案的110例慢性疾病患者为研究对象,根据其纳入档案顺序随机分成常规干预组(A组,n=53)和奥马哈系统干预组(B组,n=57)。比较两组干预前后的SDS指数、SAS评分,干预后的生活质量评分。结果两组干预后的SDS指数、SAS评分均较干预前明显降低,且B组干预后的SDS指数、SAS评分明显低于A组(P<0.05);干预后,B组的生理功能、一般健康状况、精力、社会功能及情感职能的生活质量评分均明显高于A组(P<0.05)。结论奥马哈系统干预方案用于社区慢性疾病患者可有效缓解其不良情绪,改善其不良心理状态,值得推广应用。更多还原

【Abstract】 Objective To evaluate the application effect of Omaha system in mental intervention of patients with chronic disease in community. Methods 110 patients with chronic disease on record in Community health service center were selected as study objects from March 2012 to April 2013,and they were randomly divided into routine intervention group(group A,n=53) and Omaha system intervention group(group B,n=57) according to the sequence into the file.SDS index,SDS score before and after intervention,life-quality score between the two groups were compared. Results After intervention,SDS index,SDS score of two groups were obviously decreased compared with before intervention,furthermore,SDS index,SDS score after intervention of group B was obviously lower than that of group A(P<0.05);life-quality score of physiological function,general health,vigour,social function and emotional function of group B was obviously higher than that of group A(P<0.05). Conclusion Omaha system intervention scheme applied in patients with chronic disease of community can effectively relieve bad mood and improve bad mentality of patients.It is worthy of promotion and application.更多还原