【摘要】 目的：探讨基于自我管理导向的5A护理模式在尼莫地平治疗脑出血患者期间的应用效果。方法：选取2020年1月—2023年6月本院收治的80例脑出血患者为对象，分为观察组和对照组，每组40例。患者均接受尼莫地平治疗，对照组治疗期间采取常规护理干预，观察组采用基于自我管理导向的5A护理模式干预。比较两组神经功能评分、自护能力评分、生活质量、护理满意度等。结果：干预后，观察组美国国立卫生院神经功能缺损评分（NIHSS）、改良Rankin量表（mRS）评分低于对照组，简易智力状态检查量表（MMSE）评分、自我护理能力量表（ESCA）评分、生活质量综合评定问卷（GQOLI-74）各项评分高于对照组（P<0.05）；观察组、对照组护理总满意度比较，差异无统计学意义（P>0.05）。结论：基于自我管理导向的5A护理模式在尼莫地平治疗脑出血患者期间的应用效果良好，可改善患者的神经功能，提高患者的自护能力，改善患者的生活质量，且患者的护理满意度较高。更多还原

【Abstract】 Objective: To explore the application effect of self-management oriented 5A nursing mode in patients with cerebral hemorrhage during nimodipine nimodipine treatment. Methods: A total of 80 patients with cerebral hemorrhage admitted to our hospital from January 2020 to June 2023 were selected and divided into observation group and control group, with 40 patients in each group. All patients were treated with nimodipine. The control group was treated with routine nursing intervention during the treatment period, and the observation group was treated with 5A nursing mode intervention based on self-management orientation.The neurological function score, self-care ability score, quality of life and nursing satisfaction were compared between the two groups. Results: After intervention, the scores of National Institutes of Health Stroke Scale(NIHSS) and Modified Rankin Scale(m RS) in the observation group were lower than those in the control group, and the scores of Mini-Mental State Examination(MMSE),Self-Care Ability Scale(ESCA) and General Quality of Life Inventory-74(GQOLI-74) in the observation group were higher than those in the control group(P<0.05). Conclusion: The application effect of 5A nursing model based on self-management orientation in patients with cerebral hemorrhage during nimodipine treatment is good, which can improve the neurological function, self-care ability, quality of life of patients, and the nursing satisfaction of patients is high.更多还原