摘要
目的探讨基于5E理论的康复护理在冠心病经皮冠状动脉介入治疗(PCI)后的应用效果。方法2022年7月至2024年6月接受PCI手术的66例冠心病患者随机分为观察组和对照组,各33例。对照组PCI后采取常规康复护理干预,观察组接受基于5E理论的康复护理,护理3个月。采用冠心病自我管理行为量表(CSMS)和自我护理能力量表(ESCA)评价自我管理能力,采用中国心血管患者生活质量评定问卷(CQQC)评价生活质量,并进行依从性和心功能比较。结果康复护理后两组CSMS和ESCA量表评分升高,且观察组高于对照组(P<0.05);观察组的依从性优于对照组(P<0.05);两组心功能康复情况改善,且观察组左心室射血分数(LVEF)、6分钟步行试验(6MWT)高于对照组,左心室舒张末内径(LVIDD)低于对照组(P<0.05);观察组CQQC中体力、疾病病情、临床治疗、日常生活、社会心理、工作等维度评分均高于对照组(P<0.05)。结论基于5E理论的康复护理应用于PCI后,能提高冠心病患者自我管理能力,改善依从性和心功能,有效保证生活质量。
Objective To explore the application effect of rehabilitation nursing based on 5E theory in coronary heart disease after percutaneous coronary intervention(PCI).Methods A total of 66 patients with coronary heart disease who underwent PCI were randomly divided into observation group and control group from July 2022 to June 2024,with 33 cases in each group.The control group was received routine rehabilitation nursing intervention after PCI,and the observation group was received rehabilitation nursing based on 5E theory.The nursing time was 3 months.Coronary artery disease self-management scale(CSMS)and exercise of self-care agency scale(ESCA)were used to evaluate self-management ability,and Chinese questionnaire of quality of life in patients with cardiovascular diseases(CQQC)was used to evaluate quality of life,and compliance and cardiac function were compared.Results After rehabilitation nursing,the scores of CSMS and ESCA of both groups were improved,and above scores of the observation group was also higher(P<0.05).The compliance of drugs,diet,exercise and lifestyle of the observation group was better(P<0.05).The recovery of cardiac function of both groups was improved,and left ventricular ejection fraction(LVEF)and six-minute walking test(6MWT)of observation group were higher,and left ventricular internal dimension diastole(LVIDD)was lower(P<0.05).The CQQC scores of physical strength,disease condition,clinical treatment,daily life,social psychology and work of the observation group were higher(P<0.05).Conclusion Rehabilitation nursing based on 5E theory could enhance the self-management ability of patients with coronary heart disease after PCI,improve compliance and heart function,and effectively ensure the quality of life.
作者
汪贞
WANG Zhen(The South Ward of Department of Cardiology,Henan Chest Hospital,Zhengzhou 450000,China)
出处
《河南医学研究》
2025年第7期1336-1340,共5页
Henan Medical Research
关键词
冠心病
经皮冠状动脉介入治疗
康复护理
5E理论
效果
coronary heart disease
percutaneous coronary intervention
rehabilitation nursing
5E theory
effect
