目的:探讨5E康复模式对下肢烧伤患者焦虑、抑郁状态及膝关节功能的影响.方法:将88例下肢烧伤患者采用随机数字表法分成观察组和对照组各44例.对照组采取常规康复护理,观察组患者在对照组护理的基础上采用5E康复模式,包括鼓励、教育、锻炼、工作和评估干预.比较2组患者的焦虑、抑郁状态及膝关节功能.结果:观察组患者焦虑及抑郁得分均明显低于对照组(P<0.01);观察组患者中、重度焦虑率及中、重度抑郁率均显著低于对照组(P<0.01);观察组患者主动及被动关节活动度均明显高于对照组(P<0.01);观察组患者上下楼梯、功能独立性测量及肌力评分均显著高于对照组(P<0.01).结论:5E康复模式较常规康复措施能更有效地缓解下肢烧伤患者的焦虑抑郁情绪,改善关节活动度及膝关节功能.%Objective:To investigate the effects of 5E rehabilitation model on anxiety,depression and knee function of patients with lower limb burn. Methods:Eighty-eight patients with lower limb burn were randomly divided into the observation group and control group(44 cases each group). The control group were nursed with routine rehabilitation measure. On this basis,the observation group were additionally nursed with 5E rehabilitation model(including encouragement,education,exercise,employment and evaluation). The anxiety,depression and knee function between two groups were compared. Results:The scores of the anxiety and depression in observation group were obviously lower than those in control group(P<0. 01). The moderate and severe anxiety and depression rate in observation group were obviously lower than those in control group(P<0. 01). The active and passive ranges of motion in observation group were obviously higher than those in control group(P<0. 01). The scores of stair activity,functional independence measure and muscle force in observation group were obviously higher than those in control group(P <0. 01). Conclusions:Compared with the routine rehabilitation model,the 5E rehabilitation model can effectively improve the anxiety and depression,range of joint motion and knee function in patients with lower limb burn.
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