5A护理模式在1例结肠癌合并冠状动脉粥样硬化性心脏病患者快速康复中的应用  

Application of 5A nursing mode in rapid rehabilitation of a patient with colon cancer and coronary atherosclerotic heart disease

作　　者：欧阳婷 贾海娜[1] Ouyang Ting;Jia Haina(General Surgery Department of Zengcheng Campus,Southern Hospital,Southern Medical University,Guangdong Guangzhou 510000,China)

机构地区：[1]南方医科大学南方医院增城院区普通外科,广东广州510000

出　　处：《临床普外科电子杂志》2025年第1期107-111,共5页Journal of General Surgery for Clinicians(Electronic Version)

摘　　要：目的总结5A护理模式应用于结肠癌合并冠状动脉粥样硬化性心脏病(简称冠心病)患者快速康复中的临床效果。方法选取2024年7月1例结肠癌合并冠心病为研究对象,在围手术期给予实施5A护理模式,观察该护理模式对患者心脏功能变化、疼痛感、营养状态、心理状态以及静脉血栓形成情况的影响效果。结果对患者围手术期实施5A护理模式,患者康复效果良好,心脏功能稳定,疼痛感明显减弱,尿频症状缓解,机体营养状态佳,手术伤口愈合良好,未出现焦虑或抑郁症状,未发生下肢静脉血栓。结论5A护理模式以科学方法评估患者实际情况并制订、实施个性化的护理干预方案,可促进患者机体功能术后快速康复,稳定心脏功能,降低疾病疼痛感,改善患者体质量及生活质量,纠正患者不良心理状态,预防并发症发生。Objective To summarize the clinical effect of 5A nursing mode in the rapid rehabilitation of patients with colon cancer and coronary atherosclerotic heart disease.Method One case of colon cancer complicated with coronary heart disease from June 2024 was selected as the research object,and a 5A nursing model was implemented during the perioperative period.The eff ects of this nursing model on the patient's cardiac function changes,pain perception,nutritional status,psychological status,and venous thrombosis formation were observed.Result The 5A nursing model was implemented for the patient during the perioperative period,and the patient's rehabilitation eff ect was good.The heart function was stable,the pain was signifi cantly reduced,the urinary frequency symptoms were relieved,the body's nutritional status was good,the surgical wound healing was good,and there were no symptoms of anxiety or depression,and no lower limb venous thrombosis occurred.Conclusion The 5A nursing model,using scientifi c methods to evaluate the actual situation of patients and develop and implement personalized nursing intervention plans,can promote rapid postoperative recovery of patients'physical function,stabilize cardiac function,reduce disease pain,improve patients'body mass and quality of life,correct patients'adverse psychological states,and prevent complications.

关 键 词：结肠癌 冠状粥样动脉硬化性心脏病 5A护理 快速康复 

分 类 号：R47[医药卫生—护理学]