5A护理模式在慢性心力衰竭患者中的应用

Application of 5A nursing model in patients with chronic heart failure

目的探讨5A护理模式在慢性心力衰竭患者中的应用效果。方法采用目的抽样法选取2016年1月—2017年4月在北京泰康燕园康复医院心内科住院的慢性心力衰竭患者98例为研究对象。采用随机数字表法将其分为对照组和观察组,每组各49例。对照组采用常规护理,观察组采用5A护理模式,比较两组患者的治疗依从性和生活质量。结果出院后3个月观察组患者治疗依从性优于对照组,差异有统计学意义(P<0.05)。出院时和出院后3个月观察组患者生活质量得分低于对照组,差异有统计学意义(P<0.05)。结论5A护理模式能够提高慢性心力衰竭患者治疗依从性和生活质量,值得在临床推广应用。

Objective To explore the application effects of 5A nursing model in patients with chronic heart failure (CHF). Methods By purposive sampling, 98 CHF patients hospitalized in the Department of Cardiology in Taikang Yanyuan Rehabilitation Hospital of Beijing from January of 2016 to April of 2017 were selected as participants in this study. In accordance with the random number table, the participants were divided into the control group (n=49) and observation group (n=49). Routine nursing was adopted in the control group while the 5A nursing model was used in the observation group. The two groups were compared in terms of their compliance of treatment and quality of life. Results Three months after discharge, the patients in the observation group were better than the control group in treatment compliance with statistical difference (P<0.05). Upon discharge and three months after discharge, the patients in the observation group achieved lower score than the control group in quality of life with statistical difference (P<0.05). Conclusions 5A nursing model can improve the treatment compliance and quality of life of patients with CHF. It is worthy to be widely applied in clinical practice.