“5E”康复护理模式对心肌梗死PCI患者的影响

Effect of"5E"Rehabilitation Nursing Mode on PCI Patients with Myocardial Infarction

目的:探讨“5E”康复护理模式对心肌梗死经皮冠状动脉介入术(PCI)患者的影响。方法:选取2021年1月-2022年1月新郑华信民生医院收治的96例心肌梗死PCI患者作为研究对象,使用抛硬币法随机分为对照组(n=48)和观察组(n=48)。对照组给予常规术后护理,观察组在对照组基础上给予“5E”康复护理。比较两组心功能、自我护理能力、负性情绪、不良心血管事件(MACE)发生情况及遵医行为。结果:两组干预前心功能水平比较,差异无统计学意义(P>0.05);观察组出院后6个月左室射血分数(LVEF)高于对照组,6分钟步行距离长于对照组,差异有统计学意义(P<0.05)。两组干预前自我护理能力、负性情绪比较,差异无统计学意义(P>0.05);观察组干预后自我护理能力测定量表(ESCA)评分高于对照组,抑郁自评量表(SDS)评分和焦虑自评量表(SAS)评分低于对照组,差异有统计学意义(P<0.05)。观察组干预后遵医用药、饮食控制、康复训练、不良生活习惯改变评分均高于对照组,差异有统计学意义(P<0.05);两组干预后按时复诊评分比较,差异无统计学意义(P>0.05)。观察组术后MACE发生率低于对照组,差异有统计学意义(P<0.05)。结论:“5E”康复护理模式应用于心肌梗死PCI患者术后护理中,能改善心功能,提高自我护理能力,缓解负性情绪,降低术后MACE发生率,让患者以积极的态度面对治疗。

Objective:To explore the effect of"5E"rehabilitation nursing mode on percutaneous coronary intervention(PCI)patients with myocardial infarction.Method:From January 2021 to January 2022,96 PCI patients with myocardial infarction who admitted to Xinzheng Huaxin Minsheng Hospital were selected as the research objects,they were randomly divided into the control group(n=48)and the observation group(n=48)by coin tossing method.The control group was given routine postoperative nursing,and the observation group was given"5E"rehabilitation nursing on the basis of the control group.The cardiac function,self-care ability,negative emotions,major adverse cardiovascular events(MACE)and compliance behavior were compared between two groups.Result:There were no statistically significant differences in cardiac function between two groups before intervention(P>0.05);6 months after discharge,the left ventricular ejection fraction(LVEF)of the observation group was higher than that of the control group,and the 6-minute walking distance was longer than that of the control group,and the differences were statistically significant(P<0.05).There were no statistically significant differences in self-care ability and negative emotion between two groups before intervention(P>0.05);after intervention,the exercise of self-care agency scale(ESCA)score of the observation group was higher than that of the control group,and the scores of selfrating depression scale(SDS)and self-rating anxiety scale(SAS)were lower than those of the control group,and the differences were statistically significant(P<0.05).The scores of medical compliance,diet control,rehabilitation training and bad living habits change in the observation group after intervention were higher than those in the control group,and the differences were statistically significant(P<0.05).There was no statistically significant difference in the score of timely return visit between two groups after intervention(P>0.05).The incidence of MACE in the observation group after surgery was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:The application of"5E"rehabilitation nursing mode in postoperative nursing of PCI patients with myocardial infarction can improve cardiac function,improve self-care ability,alleviate negative emotions,reduce the incidence of postoperative MACE,and make patients face treatment with a positive attitude.