基于5E理论的康复护理在冠心病合并心力衰竭患者中的应用效果  

Application effects of 5E theory-based rehabilitation nursing in patients with coronary heart disease complicated with heart failure

作　　者：王闪 WANG Shan(Ward II of Department of Cardiovascular Internal Medicine of Nanyang Central Hospital,Nanyang 473000 Henan,China)

机构地区：[1]南阳市中心医院心血管内科二病区,河南南阳473000

出　　处：《中国民康医学》2025年第8期166-169,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察基于5E理论的康复护理在冠心病合并心力衰竭患者中的应用效果。方法:选取2020年2月至2023年1月该院收治的100例冠心病合并心力衰竭患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各50例。对照组实施常规护理,观察组实施基于5E理论的康复护理。比较两组护理前后心理韧性[中文版Connor-Davidson心理弹性量表(CD-RISC)]、自我效能[一般自我效能量表(GSES)]、幸福感[总体幸福感量表(GWBS)]、生命质量[简明健康调查问卷(SF-36)]评分,以及心血管不良事件发生率。结果:护理后,两组坚韧、自强、乐观等各项CD-RISC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);两组GSES、GWBS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);两组生理机能、躯体疼痛、社会功能、情感职能、精力等各项SF-36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);观察组心血管不良事件发生率为8.00%(4/50),低于对照组的24.00%(12/50),差异有统计学意义(P<0.05)。结论:基于5E理论的康复护理应用于冠心病合并心力衰竭患者可提高心理韧性、自我效能、幸福感和生命质量评分,以及降低心血管不良事件发生率的效果优于常规护理。Objective:To observe application effects of 5E theory-based rehabilitation nursing in patients with coronary heart disease complicated with heart failure.Methods:A prospective study was conducted on 100 patients with coronary heart disease and heart failure admitted to this hospital from February 2020 to January 2023.According to the random number table method,they were divided into control group and observation group,50 cases in each group.The control group was given routine nursing,while the observation group was given the 5E theory-based rehabilitation nursing.The scores of psychological resilience[Chinese version of Connor-Davidson resilience scale(CD-RISC)],self-efficacy[general self-efficacy scale(GSES)],well-being[general well-being scale(GWBS)]and quality of life[the MOS 36-item short form health survey(SF-36)]before and after the nursing,and the incidence of cardiovascular adverse events were compared between the two groups.Results:After the nursing,the CD-RISC scores of tenacity,self-improvement and optimism 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).After the nursing,the scores of GSES and GWBS 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).After the nursing,the SF-36 scores of physiological function,body pain,social function,emotional function and vitality 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).Further,the incidence of cardiovascular adverse events in the observation group was 8.00%(4/50),which was lower than 24.00%(12/50)in the control group,and the difference was statistically significant(P<0.05).Conclusions:The 5E theory-based rehabilitation nursing in t

关 键 词：冠心病 心力衰竭 5E理论 康复护理 心理韧性 自我效能 幸福感 

分 类 号：R473.5[医药卫生—护理学]