“5E”康复模式在冠心病患者延续性护理中的应用

Application of"5E"Rehabilitation Model in Continuous Nursing of Patients with Coronary Heart Disease

目的探讨“5E”康复模式在冠心病患者延续护理中的应用效果。方法选取2018年3~12月我院心脏内科130例冠心病患者作为研究对象,随机分为对照组和干预组,每组65例。对照组给予常规护理,干预组在此基础上实施“5E”康复干预模式。比较两组生活质量、遵医行为、心绞痛发生率及疾病复发率。结果干预组CSMS量表中日常生活管理、疾病医学管理及情绪认知管理得分分别为(34.79±5.23)分、(64.18±6.53)分、(16.14±3.76)分,均高于对照组的(25.14±4.62)分、(59.16±7.35)分、(13.73±3.18)分,差异有统计学意义(P<0.05);干预组生活质量得分为(69.26±12.43)分,高于对照组的(59.58±11.62)分,差异有统计学意义(P<0.05);干预组疾病复发率及心绞痛发生率分别为7.69%、23.07%,均低于对照组的15.38%、26.92%,差异有统计学意义(P<0.05)。结论“5E”康复模式应用于冠心病患者延续护理中可有效改善冠心病患者生活质量,提高其遵医行为,减少心绞痛发生率及疾病复发率。

Objective To explore the application effect of"5E"rehabilitation model in continuousnursingof patients with coronary heart disease.Methods From March to December 2018,130 patients with coronary heart disease in the Department of Cardiology of our hospital were selected as the research object,and randomly divided into a control group and an intervention group,with 65 cases in each group.The control group was given routine care,and the intervention group implemented the"5E"rehabilitation intervention model.The quality of life,compliance behavior,incidence of angina pectoris and disease recurrence rate were compared between the two groups.Results The scores of daily life management,disease medical management and emotional cognition management in the CSMS scale of the intervention group were(34.79±5.23),(64.18±6.53)and(16.14±3.76),which were higher than those of the control group(25.14±4.62)points,(59.16±7.35)points,(13.73±3.18)points,the difference was statistically significant(P<0.05);the quality of life score of the intervention group was(69.26±12.43)points,higher than that of the control group(59.58±11.62)points,the difference was statistically significant(P<0.05);the disease recurrence rate and the incidence of angina pectoris in the intervention group were 7.69%and 23.07%,respectively,which were lower than the control group’s 15.38%and 26.92%,the difference was statistically significant(P<0.05).Conclusion"5E"rehabilitation model applied in continuous nursing of patients with coronary heart disease can effectively improve the quality of life of patients with coronary heart disease,improve their compliance with the doctor,reduce the incidence of angina pectoris and the rate of disease recurrence.