“5E”康复护理模式对原发性醛固酮增多症患者的干预效果研究

Intervention effect of "5E" rehabilitation nursing model for patients with primary aldosteronism

  • 摘要:
    目的 探讨“5E”康复护理模式教育(Education)、鼓励(Encouragement)、评价(Evaluation)、锻炼(Exercise)、工作(Employment)对原发性醛固酮增多症(PA)患者的干预效果。
    方法 将120例2022年1月—2024年6月在青岛市第三人民医院心内科确诊PA的患者随机分为对照组(n=60)和观察组(n=60)。对照组实施常规护理干预, 观察组实施“5E”康复护理干预。比较2组患者血液检查指标、临床表现(血压、疲劳程度)、生活质量评分和护理满意率。
    结果 干预后,观察组血钠、血浆醛固酮、血肌酐、尿素氮、尿酸、收缩压、舒张压和疲劳程度评分低于对照组,血钾水平、生活质量评分高于对照组,差异有统计学意义(P < 0.05)。观察组护理满意率为96.67%, 高于对照组的80.00%, 差异有统计学意义(P < 0.05)。
    结论 PA患者住院期间实施“5E”康复护理干预,有助于改善患者血液指标和临床症状,缓解疾病严重程度,提高患者生活质量。

     

    Abstract:
    Objective To explore the intervention effect of the "5E" rehabilitation nursing model (Education, Encouragement, Evaluation, Exercise, and Employment) for patients with primary aldosteronism (PA).
    Methods A total of 120 patients diagnosed as PA in the Cardiology Department of the Third People's Hospital of Qingdao from January 2022 to June 2024 were randomly divided into control group (n=60) and observation group (n=60). The control group received routine nursing intervention, while the observation group received the "5E" rehabilitation nursing intervention. Blood test indicators, clinical manifestations (blood pressure, fatigue level), score of quality of life, and nursing satisfaction rate were compared between the two groups.
    Results After intervention, blood sodium, plasma aldosterone, blood creatinine, urea nitrogen, uric acid, systolic blood pressure, diastolic blood pressure, and scores of fatigue degree in the observation group were significantly lower than those in the control group, while blood potassium level and score of quality of life were significantly higher than those in the control group (P < 0.05). The nursing satisfaction rate in the observation group was 96.67%, which was significantly higher than 80.00% in the control group (P < 0.05).
    Conclusion Implementation of the "5E" rehabilitation nursing intervention during hospitalization for PA patients can improve their blood indicators and clinical symptoms, alleviate the severity of the disease, and enhance their qualities of life.

     

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