【摘要】 目的：构建南疆地区冠心病标准化延续性照护“医院社区一体化”模式，并分析其临床效果。方法：选择2021年1月至2021年12月入住在新疆南疆地区莎车县人民医院心内科的患者120例为研究对象。采用整群随机分组的方法，将莎车县人民医院心内科一区、二区随机分成观察组和对照组。对照组患者住院期间按照常规进行治疗护理，观察组患者在常规出院宣教和随访的基础上实施医院社区一体化延续护理服务，比较两组干预前后自护能力及健康情况，统计两组护理满意度及卫生服务利用率。结果：观察组干预后自护能力评分为（92.6±5.2）分，均显著高于干预前的（79.3±12.9）分和干预后对照组的（81.6±15.7）分（P<0.05），观察组干预后健康情况评分为（88.9±5.8）分，均显著高于干预前的（68.9±15.0）分和干预后对照组的（75.8±10.7）分（P<0.05），观察组护理满意度为98.3%，卫生服务利用率为98.3%，均显著高于对照组（P<0.05）。结论：针对南疆地区冠心病患者，构建基于奥马哈系统的标准化延续性照护“医院社区一体化”模式，可有效地提高冠心病患者自护能力，改善患者的健康情况，促进护患和谐，从而更好地利用卫生服务资源。更多还原

【Abstract】 Objective: To construct the “hospital community integration” model of standardized continuous care for coronary heart disease in southern Xinjiang, and analyze its clinical effect. Methods: 120 inpatients in the Department of Cardiology of Shache County People’s Hospital in southern Xinjiang from January 2021 to December 2021 were selected as the research objects. The first and second districts of the Department of Cardiology of Shache County People’s Hospital were randomly divided into an observation group and a control group by cluster random grouping.Patients in the control group received routine treatment and nursing during hospitalization, while patients in the observation group implemented hospital community integration continuous nursing service on the basis of routine discharge education and follow-up visit. The self-care ability and health status of the two groups before and after intervention were compared, and the nursing satisfaction and health service utilization rate of the two groups were counted. Results: The score of self-care ability in the observation group after intervention was(92.6±5.2), which was significantly higher than that before intervention(79.3±12.9) and that in the control group after intervention(81.6±15.7)(P<0.05). The health score of the observation group after intervention was(88.9±5.8), which was significantly lower than that before intervention(68.9±15.0) and that of the control group after intervention(75.8±10.7)(P<0.05).The nursing satisfaction of the observation group was 98.3%, which were significantly higher than that of the control group(P<0.05). Conclusion: For patients with coronary heart disease in southern Xinjiang, building a standardized continuous care “hospital community integration” model based on Omaha system can effectively improve the self-care ability of patients with coronary heart disease, improve their health, promote the harmony between nurses and patients,and make better use of health service resources.更多还原