基于5E康复模式的居家容量管理在稳定期慢性心衰患者中应用的效果评价  

The application of home volume management based on 5E rehabilitation model in patients with stable heart failure

作　　者：聂益晶 王巧容 麻桂花 朱秀娴[1] 樊丽君 NIE Yijing;WANG Qiaorong;MA Guihua;ZHU Xiuxian;FAN Lijun(Department of Cardiovascular,Zhongshan City People s Hospital,Zhongshan 528400,China)

机构地区：[1]中山市人民医院心血管内科,广东中山528400

出　　处：《医药高职教育与现代护理》2024年第4期337-342,共6页Medical Higher Vocational Education and Modern Nursing

摘　　要：目的探讨5E康复模式的居家容量管理在稳定期心衰患者中的应用效果。方法采用便利抽样法,选取中山市人民医院心内科2021年8月至2022年7月好转出院的慢性心衰患者为研究对象。其中,将2021年8月至2022年1月出院的73例心衰患者为对照组,给予常规居家容量延续护理;将2022年2月至7月出院的78例心衰患者为干预组,实施基于5E康复模式的居家容量管理护理干预。比较两组患者出院时及出院后3个月六分钟步行试验、左心室射血分数(LVEF)、血浆N末端B型利钠肽原(BNP)浓度、自我效能感、生活质量、出院后3个月内干体质量达标率及再入院率。结果出院前两组患者六分钟步行试验、LVEF、BNP、自我效能感得分、生活质量得分差异无统计学意义(P>0.05);出院3个月后干预组患者六分钟步行试验、LVEF、BNP浓度、自我效能感得分、生活质量得分均优于对照组,干体质量达标率高于对照组,出院3个月再入院率低于对照组,差异均有统计学意义(P<0.05)。结论应用基于5E康复模式的居家容量管理有助于稳定期心衰患者增强心功能、提高自我效能感和改善生活质量,值得临床推广。Objective To explore the application effect of home volume management of 5E rehabilitation mode in patients with stable heart failure.Methods From August 2021 to July 2022,chronic heart failure patients who were discharged from the cardiology department of Zhongshan People s Hospital were selected by convenience sampling method.73 patients with heart failure who were discharged from hospital from August 2021 to January 2022 were selected as the control group,and were given routine home volume continuous care;78 patients with heart failure who were discharged from hospital from February to July 2022 were selected as the intervention group,and a home capacity management nursing intervention based on the 5E rehabilitation model was implemented.The six-minute walking test,LVEF,BNP,self-efficacy,quality of life,dry body mass compliance rate within three months after discharge,and readmission rate within three months after discharge and readmission rate were compared between the two groups.Results There was no significant difference in six-minute walking test,LVEF,BNP,self-efficacy score and quality of life score between the two groups at the baseline(P>0.05).After three months of discharge,the intervention group had higher scores in the six-minute walking test,LVEF,BNP concentration,self-efficacy,and quality of life than that in the control group.The dry body mass compliance rate was higher in the intervention group than that in the control group,and the readmission rate after three months of discharge was lower in the intervention group than that in the control group(P<0.05).Conclusions The application of home volume management of 5E rehabilitation mode in the intervention of patients with heart failure is helpful to enhance heart function,improve self-efficacy and improve quality of life,which is worthy of clinical promotion.

关 键 词：5E康复模式 居家康复 心衰 容量管理 

分 类 号：R473.2[医药卫生—护理学]