首页|基于5E理论的康复护理在高血压脑出血手术患者中的应用效果

基于5E理论的康复护理在高血压脑出血手术患者中的应用效果

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目的:观察基于5E理论的康复护理在高血压脑出血手术患者中的应用效果.方法:选取2021年2月至2023年2月该院收治的78例高血压脑出血手术患者进行前瞻性研究,采用随机数字表法将其分为观察组与对照组各39例.对照组采用常规康复护理,观察组在对照组基础上采用基于5E理论的康复护理.比较两组护理依从性评分、护理前后血压水平和自我护理能力[自我护理能力测定量表(ESCA)]评分.结果:护理后1周、2周、1个月,观察组护理依从性评分均高于对照组,差异有统计学意义(P<0.05);护理后,两组收缩压、舒张压水平均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);护理后,两组自我护理技能、自我责任感、自我概念、健康知识水平等ESCA评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05).结论:在常规康复护理基础上采用基于5E理论的康复护理可提高高血压脑出血手术患者的护理依从性和自我护理能力评分,以及降低血压水平的效果优于单纯常规康复护理.
Application effects of rehabilitation nursing based on 5E theory in patients with hypertensive cerebral hemorrhage undergoing surgery
Objective:To observe application effects of rehabilitation nursing based on 5E theory in patients with hypertensive cerebral hemorrhage undergoing surgery. Methods:A prospective study was conducted on 78 patients with hypertensive cerebral hemorrhage undergoing surgery admitted to the hospital from February 2021 to February 2023. They were divided into observation group and control group by using the random number table method,39 cases in each group. The control group was treated with routine rehabilitation nursing,while the observation group was treated with rehabilitation nursing based on 5E theory on the basis of that of the control group. The nursing compliance score,the blood pressure levels,and the self-care ability[exercise of self-care agency scale (ESCA)]score before and after the nursing were compared between the two groups. Results:At 1 week,2 weeks and 1 month after the nursing,the nursing compliance scores of the observation group were higher than those of the control group,and the differences were statistically significant (P<0.05). After the nursing,the levels of systolic blood pressure and diastolic blood pressure in the two groups were lower than those before the nursing,those in the observation group were lower than those in the control group,and the differences were statistically significant (P<0.05). Further,after the nursing,the ESCA scores of self-care skills,self-responsibility,self-concept and health knowledge level in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant (P<0.05). Conclusions:On the basis of the routine rehabilitation nursing,the rehabilitation nursing based on 5E theory can improve the nursing compliance and self-care ability scores of the patients with hypertensive cerebral hemorrhage undergoing surgery,and reduce the levels of blood pressure. Moreover,it is superior to simple routine rehabilitation nursing.

5E theoryRehabilitation nursingHypertensive cerebral hemorrhageSurgeryNursingComplianceSelf-care ability

李真真

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郑州仁济医院外科,河南 郑州 450000

5E理论 康复护理 高血压脑出血 手术 护理 依从性 自我护理能力

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(23)