Application of 5E rehabilitation nursing model in cardiac rehabilitation of patients with acute ST-segment elevation myocardial infarction
5E康复护理模式在急性ST段抬高型心肌梗死患者心脏康复中的应用

摘要

目的 观察5E康复护理模式在急性ST段抬高型心肌梗死（STEMI）患者心脏康复中的应用效果。方法 纳入2024年12月至2025年11月在海军军医大学第二附属医院治疗的急性STEMI患者共92例。采用随机数字表法将患者分为观察组（n=46）和对照组（n=46）。两组均实施常规护理干预，观察组在对照组基础上实施5E康复护理模式干预，连续干预3个月。比较两组干预效果。结果 干预3个月后，两组患者LVEF均明显升高（P<0.05），6min步行距离均明显延长（P<0.05）。结论 5E康复护理模式能进一步改善急性STEMI患者的心脏功能，提高运动耐量。

Abstract

Objective To observe the application effect of the 5E rehabilitation nursing model in cardiac rehabilitation for patients with acute ST-segment elevation myocardial infarction (STEMI).
Methods A total of 92 patients with acute STEMI treated at the Second Affiliated Hospital of Naval Medical University from December 2024 to November 2025 were enrolled. They were randomly divided into an observation group (n=46) and a control group (n=46) using a random number table. Both groups received routine nursing intervention, while the observation group additionally received the 5E rehabilitation nursing model intervention for three consecutive months. The intervention effects were compared between the two groups.
Results After three months of intervention, LVEF was significantly increased in both groups (P<0.05), and the 6-minute walking distance was significantly extended in both groups (P<0.05).
Conclusion   The 5E rehabilitation nursing model can further improve cardiac function and enhance exercise tolerance in patients with acute STEMI.