摘要
目的:分析住院患者术后护理中引入患者自我评估血栓风险因素,对于提高深静脉血栓形成(DVT)的预防工作依从性的效果。方法:选取2019年1月至2019年12月在深圳市第二人民医院进行手术治疗的患者113例,随机分成观察组58例和对照组55例,对照组给予由护士评估血栓风险因素的常规护理,观察组给予由护士指导落实、患者参与自我评估风险因素的风险管理护理,比较两组患者在护理过程中预防措施落实的依从性、护理后DVT的发生率。结果:两组患者护理前的Caprini表DVT风险评估结果在各个等级均较为相近,差异均无统计学意义(P>0.05);观察组患者DVT发生率5.2 %明显低于对照组的14.5 %,差异具有统计学意义(P<0.05);观察组患者自我行为管理评分在日常生活行为管理、疾病医学管理、心理情绪管理3个维度及总分明显高于对照组,差异具有统计学意义(P<0.05);在患者护理过程中,观察组患者的总依从率94.8 %高于对照组的82.8 %,差异具有统计学意义(P<0.05)。结论:在住院患者DVT的预防工作中,引入患者自我评估血栓风险因素,对于提高患者在治疗中的自我行为管理水平,提升其护理依从性,减少DVT,具有很大的作用。
Objective To analyze the effect of patients’self-assessment of thrombosis risk factors after operation to improve the treatment compliance in the prevention of deep vein thrombosis.Methods A total of 116 patients who underwent surgical treatment in Shenzhen second people’s hospital from January 2019 to December 2019 were randomly divided into observation group (58 cases) and control group (55 cases).The control group was given routine nursing care of thrombosis risk factors assessed by nurses,and the observation group was given risk management care that was guided and implemented by nurses and patients participated in self-assessment of risk factors,and the compliance of the two groups of patients in the implementation of preventive measures during the nursing process and the incidence of DVT after nursing was compared.Results The pre-care Caprini surface deep vein thrombosis risk assessment results of the two groups were similar at all levels and were consistent (P>0.05);the incidence of deep vein thrombosis in the observation group was 5.2 %,which was significantly lower than that of the control group (14.5 %).(P<0.05);the self-management behavior score of the observation group was significantly higher than that of the control group in the three dimensions of daily life behavior management,disease medical management,and psycho-emotional management and also the total score (P<0.05);the observation group patients completely complied with the example during patient care The number and partial compliance cases were higher than the control group,the total compliance rate was 94.8 % higher than the control group 82.8 %,the difference was statistically significant (P < 0.05).Conclusion In the prevention of patients with deep vein thrombosis,the introduction of patients’ self-assessment of thrombosis risk factors has a great effect on improving patients’ compliance in treatment and reducing deep vein thrombosis,and is worthy of clinical promotion.
作者
林环
罗丽娜
刘培娟
郭娟娟
张博
杨静
冯玲
LIN Huan;LUO Li-na;LIU Pei-juan;GUO Juan-jian;ZHANG Bo;YANG Jing;FENG Ling(Shenzhen Second People’s Hospital,The First Affiliated Hospital of Shenzhen University,Guangdong Shenzhen 518035)
出处
《深圳中西医结合杂志》
2020年第20期193-196,共4页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
基金
深圳市医疗卫生三名工程项目资助课题(SZSM201512013)。
关键词
深静脉血栓形成
自我评估血栓风险因素
治疗依从性
Self-assessment of risk factors for thrombosis
Treatment compliance
Deep vein thrombosis
