视频教育在预防妇科恶性肿瘤术后深静脉血栓形成中的作用

Application of video assisted education in prevention of deep venous thrombosis in patients with gynecologic cancer after surgical treatment

目的探讨视频教育在预防妇科恶性肿瘤患者术后深静脉血栓(DVT)中的应用效果。方法对妇科恶性肿瘤患者术前进行DVT风险评估,将评估结果为中、高风险的120例患者随机分为对照组和观察组,各60例。对照组常规护理,观察组在对照组基础上采用踝泵运动视频教育。比较术后2组DVT的发生情况、踝泵运动依从性、患者对护理人员的工作满意度。结果对照组下肢肿胀、疼痛发生率高于观察组(P<0.01);观察组发生下肢DVT 1例,对照组为5例,差异无统计学意义(P>0.05);观察组患者踝泵运动依从性优于对照组(P<0.01),对护理服务满意度高于对照组(P<0.05)。结论视频教育可有效增加患者踝泵运动依从性,有效促进妇科恶性肿瘤患者术后康复。

Objective To investigate the effect of video assisted education in prevention of deep venous thrombosis（DVT） in patients with gynecologic cancer after surgical treatment. Methods The risk assessment was performed in patients with gynecological malignant tumor before operation. A total of 120 cases with medium and high risk were selected and randomly divided into the control group （ n = 60） and the observation group （ n = 60）. Both two groups receiver＇ the routine nursing and the observation group adopted the video assisted education on movement of the ankle pump video educa- tion. The incidence of postoperative DVT, compliant to ankle pump exercise and nursing satisfaction were compared between two groups. Results The observation group had lower incidence of lower limb swelling and ache compared with the control group （P 〈0.01 ）. There was 1 case of DVT in the obser- vation group and 5 cases of DVT in the control group, with no significant difference （ P 〉 0.05 ）. The observation group had a higher compliant to ankle pump exercise （P 〈0.01 ） and nursing satisfaction rate （P 〈 0.05 ） compared with the control group. Conclusion Video assisted education can effective- ly increase the compliance of patients to ankle pump exercise and to promote the recovery of patients with gynecologic malignant tumors.