风湿性心脏病瓣膜置换术后应用5E康复理念的护理效果  

Nursing effect of 5E rehabilitation concept after valve replacement for rheumatic heart disease

作　　者：熊春琳 万婷[1] XIONG Chunlin;WAN Ting(Cardiovascular Surgery ICU,the Second Affiliated Hospital of Nanchang University,Nanchang,Jiangxi 330000,China)

机构地区：[1]南昌大学第二附属医院心脏大血管外科ICU,江西南昌330000

出　　处：《检验医学与临床》2024年第3期368-371,共4页Laboratory Medicine and Clinic

基　　金：江西省卫生健康委员会科技计划项目(202130410)。

摘　　要：目的探讨教育、鼓励、康复训练、就业、评估即5E康复理念在风湿性心脏病瓣膜置换术后患者护理中的应用效果。方法选择该院2021年3月至2022年10月收治的79例风湿性心脏病瓣膜置换术后患者作为研究对象。采用随机数字表分组法将患者分为对照组(39例)和观察组(40例)。对照组给予常规护理。在此基础上,观察组采取基于5E康复理念的康复护理。比较两组患者护理4周后心功能改善效果,护理前及护理4周后Barthel指数、生活质量评价量表(SF-36)评分变化及患者满意度。结果观察组护理4周后心功能改善效果(显效21例、有效17例、无效2例)优于对照组(显效13例、有效16例、无效7例、恶化3例),差异有统计学意义(P<0.05)。护理前,两组患者Barthel指数与SF-36评分组间比较,差异无统计学意义(P>0.05);护理4周后,两组患者Barthel指数与SF-36评分相较于治疗前均明显升高(P<0.05),观察组患者护理4周后Barthel指数与SF-36评分均明显高于对照组(P<0.05)。观察组患者满意度(97.50%)高于对照组(82.05%),差异有统计学意义(P<0.05)。结论5E康复理念的康复护理干预可有效改善风湿性心脏病瓣膜置换术后患者心脏功能,提高患者日常生活能力与生活质量,护理效果显著,患者满意度高,值得临床进一步推广和应用。Objective To explore the application effect of education,encouragement,rehabilitation training,employment,and evaluation(5E)rehabilitation concepts in the nursing of patients with rheumatic heart disease underwent valve replacement surgery.Methods A total of 79 patients with rheumatic heart disease who underwent valve replacement surgery admitted to the hospital from March 2021 to October 2022 were selected as the study subjects,who were divided into control group(39 cases)and observation group(40 cases)by random number table grouping method.The control group received routine nursing model,while the observation group adopted rehabilitation nursing model based on the 5E rehabilitation concept on the basis of routine nursing.The improvement effect of cardiac function after 4 weeks of nursing care between the two groups was compared,as well as the changes in Barthel index,quality of life evaluation scale(SF-36)scores,and patient satisfaction before and after 4 weeks of nursing care.Results The effect of cardiac function improvement after 4 weeks of nursing care in the observation group(21 cases of significant effect,17 cases of effective and 2 cases of ineffective)was better than that in the control group(13 cases of significant effect,16 cases of effective,7 cases of ineffective,3 cases of deterioration),and the difference was statistically significant(P<0.05).Before nursing care,the Barthel index and SF-36 scores had no statistically significant differences between the two groups(P>0.05).After 4 weeks of nursing care,the Barthel index and SF-36 scores of the two groups were significantly higher than those before nursing care(P<0.05),moreover,Barthel index and SF-36 scores in the observation group were significantly higher than those in the control group after 4 weeks of nursing care(P<0.05).Patient satisfaction in the observation group(97.50%)was higher than that in the control group(82.05%),and the difference was statistically significant(P<0.05).Conclusion The rehabilitation nursing intervention based on the 5E

关 键 词：5E康复理念 风湿性心脏病 瓣膜置换术 护理 生活质量 

分 类 号：R473.6[医药卫生—护理学]