5E康复管理模式联合健康宣教知识对老年AMI患者的康复及生活质量的影响  

Effect of 5E rehabilitation management mode combined with health education knowledge on rehabilitation and quality of life in elderly patients with AMI

作　　者：吴亚娟 鲍芳 刘敏 杨娟 WU Ya-juan;BAO Fang;LIU Min;YANG Juan(Department of Rehabilitation,Hefei Eighth People's Hospital,Hefei,Anhui,238000,China)

机构地区：[1]合肥市第八人民医院康复科,安徽合肥238000 [2]合肥市第八人民医院心内科,安徽合肥238000

出　　处：《心血管康复医学杂志》2025年第1期119-123,共5页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的:探究5E康复管理联合健康宣教知识在老年急性心肌梗死(AMI)患者中的临床应用效果。方法:选择2020年7月-2023年2月在合肥市第八人民医院心血管内科治疗的老年AMI患者98例,按照随机数字法分为对照组和干预组,每组各49例。对照组采用常规健康宣教知识模式护理,干预组应用5E康复管理联合健康宣教知识模式。两组均干预2个月,对比两组心功能指标、心理状态、疾病认知评分、匹兹堡睡眠质量指数(PSQI)评分、简明健康状况调查问卷(SF-36)评分及并发症情况。结果:干预2个月后,与对照组比较,干预组左心室射血分数(LVEF)[(51.66±2.01)%比(45.88±1.51)%]、疾病认知评分[(89.43±2.38)分比(81.13±1.16)分]、SF-36评分[(645.58±26.00)分比(432.72±18.50)分]均显著提高,左心室舒张末期内径(LVEDd)[(47.74±0.86)mm比(51.20±1.36)mm]、肌酸激酶(CK)[(140.89±5.15)U/L比(154.32±2.61)U/L]、抑郁自评量表评分(SDS)[(31.88±1.16)分比(41.06±1.22)分]、焦虑自评量表评分(SAS)[(31.09±1.12)分比(40.47±0.87)分]、PSQI评分[(5.54±0.64)分比(7.70±0.85)分]均显著下降(P均<0.001)。干预组并发症发生率显著低于对照组(4.08%比18.36%,P=0.025)。结论:5E康复管理联合健康宣教知识模式可显著改善老年AMI患者心功能、负性情绪与睡眠质量,提高疾病认知及生活质量,并降低并发症发生率。Objective:To investigate clinical application effect of 5E rehabilitation management combined with health education knowledge in elderly patients with acute myocardial infarction(AMI).Methods:This randomized controlled study enrolled 98 elderly AMI patients admitted in Department of Cardiology,Hefei Eighth People's Hospital between July 2020 and February 2023.They were divided into control group(n=49,routine health education knowledge mode nursing)and intervention group(n=49,additional 5E rehabilitation management).Both groups were intervened for 2 months.Cardiac function indexes,mental state,scores of disease cognition,Pittsburgh Sleep Quality Index(PSQI),Medical Outcomes Study 36-Item Short-Form Health Survey(SF-36)and incidence of complications were compared between two groups.Results:After 2-month intervention,compared with patients in control group,those in intervention group had significant higher left ventricular ejection fraction(LVEF)[(51.66±2.01)%vs.(45.88±1.51)%],scores of disease cognition[(89.43±2.38)points vs.(81.13±1.16)points]and SF-36[(645.58±26.00)points vs.(432.72±18.50)points],and significant lower left ventricular end-diastolic diameter(LVEDd)[(47.74±0.86)mm vs.(51.20±1.36)mm],creatine kinase(CK)[(140.89±5.15)U/L vs.(154.32±2.61)U/L],scores of Self-Rating Depression Scale(SDS)[(31.88±1.16)points vs.(41.06±1.22)points],Self-Rating Anxiety Scale(SAS)[(31.09±1.12)points vs.(40.47±0.87)points]and PSQI[(5.54±0.64)points vs.(7.70±0.85)points](P<0.001 all).Incidence of complications in intervention group was significantly lower than that of control group(4.08%vs.18.36%,P=0.025).Conclusion:5E rehabilitation management combined with health education knowledge mode could significantly improve cardiac function,negative emotions and sleep quality,improve disease cognition and quality of life,and reduce incidence of complications in elderly AMI patients.

关 键 词：心肌梗死 健康教育 老年人 生活质量 

分 类 号：R542.22[医药卫生—心血管疾病]