摘要
目的:分析5E康复模式对冠心病(CHD)患者经皮冠状动脉介入术(PCI)后的心功能、运动能力、自我管理能力以及生活质量的影响.方法:选择2022年4月1日至2023年4月1日在本院确诊为CHD的患者共123例,采用随机数字表法分为对照组(n=61,采用常规护理模式),观察组(n=62,在对照组基础上采用5E康复护理模式),两组均持续干预3个月.比较两组患者干预前后心功能、运动能力、自我管理水平以及生活质量.结果:干预后,与对照组比较,观察组 SV[(69.66±4.86)ml 比(75.94±5.29)ml]、CI[(3.11±0.30)L·min-1·m-2 比(3.39±0.36)L·min-1·m-2]、LVEF[(57.22±5.82)％比(68.54±5.31)％]、MET[(4.36±0.64)比(5.09±0.86)]、6min 步行距离[(296.52±18.72)m 比(359.33±19.75)m]、CSMS 评分[(89.32±11.85)分比(112.31±9.63)分]、CQQC 评分[(111.56±9.27)分比(139.50±7.59)分]显著升高,P 均=0.001;LVEDd[(52.12±4.84)mm 比(41.28±4.74)mm]、LVESd[(48.39±3.82)mm 比(42.26±3.57)mm]、BNP 水平[(99.63±6.31)pg/ml 比(60.52±7.11)pg/ml]、NYHA Ⅲ 级比例(25.00％比 10.00％)显著降低,P＜0.05或＜0.01.结论:将5E康复护理应用于CHD患者PCI术后临床护理工作中,可显著改善CHD患者心功能,增强运动能力,在加强患者自我管理行为的同时提高生活质量,其临床应用价值较高.
Abstract
Objective:To analyze the influence of 5E rehabilitation mode on cardiac function,exercise capacity,self-man-agement ability and quality of life(QOL)in patients with coronary heart disease(CHD)after percutaneous coronary inter-vention(PCI).Methods:A total of 123 patients diagnosed with CHD in our hospital from April 1,2022 to April 1,2023 were selected and divided into control group(n=61,received routine nursing mode)and observation group(n=62,5E re-habilitation nursing mode was adopted on the basis of control group)using random number table method.Both groups were continuously intervened for three months.Cardiac function,exercise capacity,self-management level and QOL were compared between the two groups before and after intervention.Results:After intervention,compared with control group,there were significant rise in SV[(69.66±4.86)ml vs.(75.94±5.29)ml],CI[(3.11±0.30)L·min-1·m-2 vs.(3.39±0.36)L·min-1·m-2],LVEF[(57.22±5.82)％vs.(68.54±5.31)％],MET[(4.36±0.64)vs.(5.09±0.86)],6min walking distance[(296.52±18.72)m vs.(359.33±19.75)m],scores of CSMS[(89.32±11.85)points vs.(112.31±9.63)points],CQQC[(111.56±9.27)points vs.(139.50±7.59)points]in observation group,P=0.001 all;and significant reductions in LVEDd[(52.12±4.84)mm vs.(41.28±4.74)mm],LVESd[(48.39±3.82)mm vs.(42.26±3.57)mm],BNP level[(99.63±6.31)pg/ml vs.(60.52±7.11)pg/ml],propor-tion of NYHA class Ⅲ(25.00％vs.10.00％)in observation group,P＜0.05 or＜0.01.Conclusion:The application of 5E rehabilitation nursing can significantly improve cardiac function,enhance exercise capacity,strengthen the self-man-agement behavior and improve quality of life in postoperative clinical nursing of patients with coronary heart disease after percutaneous coronary intervention,which has high clinical application value.
维普
万方数据