5A护理模式在心力衰竭患者中的应用效果及对自我管理能力的影响

Application effect of 5A nursing mode in patients with heart failure and its influence on self-management ability

目的探究5A护理模式在心力衰竭患者中的应用效果及对自我管理能力的影响。方法选择2017年11月至2019年12月在我院接受治疗的106例心力衰竭患者,根据随机数字表法将其分为对照组(53例,常规护理模式)和观察组(53例,5A护理模式)。比较两组焦虑自评量表(SAS)、抑郁自评量表(SDS)、自我管理能力量表评分和护理依从性。结果干预后,两组SAS和SDS评分均低于干预前,且观察组低于对照组(P<0.05)。干预后,两组限制行为、管理行为、心理活动和状态管理评分均高于干预前,且观察组高于对照组(P<0.05)。观察组的护理依从性良好率为84.91%,高于对照组的67.92%(P<0.05)。结论5A护理模式应用在心力衰竭患者中的效果明显,可改善焦虑、抑郁等不良情绪,提升自我管理能力和护理依从性。

Objective To explore the application effect of 5A nursing mode in patients with heart failure and its influence on self-management ability.Methods A total of 106 patients with heart failure who received treatment in our hospital from November 2017 to December 2019 were selected and divided into control group(53 cases,routine nursing mode)and observation group(53 cases,5A nursing mode)by random number table method.The self-rating anxiety scale(SAS),self-rating depression scale(SDS),self-management ability scale scores and compliance of nursing were compared between the two groups.Results After intervention,SAS and SDS scores of the two groups were lower than those before intervention,and those in the observation group were lower than the control group(P<0.05).After intervention,the scores of restrictive behavior,management behavior,psychological activity and state management in the two groups were higher than those before intervention,and those in the observation group were higher than the control group(P<0.05).The good rate of nursing compliance of the observation group was 84.91%,which was higher than 67.92%of the control group(P<0.05).Conclusion The 5A nursing model applied in patients with heart failure has obvious effect,it can ameliorate anxiety,depression and other adverse emotions,improve self-management ability and compliance of nursing.