Effect of 5E rehabilitation management mode combined with health education knowledge on rehabilita-tion and quality of life in elderly patients with AMI
10.3969/j.issn.1008-0074.2025.01.25
- VernacularTitle: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
- Author:
Ya-juan WU
1
;
Fang BAO
;
Min LIU
;
Juan YANG
Author Information
1. 合肥市第八人民医院康复科,安徽 合肥 238000
- Publication Type:Journal Article
- Keywords:
Myocardial infarction;
Health education;
Aged;
Quality of life
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2025;34(1):119-123
- CountryChina
- Language:Chinese
-
Abstract:
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 con-trolled 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 knowl-edge 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 Qual-ity Index(PSQI),Medical Outcomes Study 36-Item Short-Form Health Survey(SF-36)and incidence of com-plications 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-dias-tolic 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.
