延续性自我管理对下肢静脉功能不全术后患者生活质量的影响

Effects of Continuing Self-Management Education on Life Quality of Patients with Chronic Venous Insufficiency after Surgery

目的探讨延续性自我管理对下肢静脉功能不全(CVI)术后患者生活质量的影响。方法选取本院2013年6月到2015年5月收治的120例下肢静脉功能不全患者,按照随机数字表法分为对照组与实验组,每组60例。对照组给予一般健康教育,实验组在对照组基础上给予延续性自我管理教育。比较两组患者干预后的健康知识评分和两组患者干预前后的生活质量。结果实验组患者干预后CVI相关知识、弹力袜的使用、日常保健行为、日常生活管理评分均高于对照组患者,差异比较有统计学意义(P<0.05);干预前两组患者的生活质量评分比较差异无统计学意义(P>0.05)。干预后实验组患者下肢疼痛、体能活动、社会活动、精神心理等评分均优于对照组,差异比较有统计学意义(P<0.05)。结论延续性自我管理能够提高下肢静脉功能不全患者健康知识水平和自我管理能力,显著改善其术后生活质量。

Objective To explore the effects of continuing self-management education on life quality of patients with chronic venous insufficiency after surgery. Methods 120 patients with chronic venous insufficiency from June 2013 to May 2015 in our hospital were included and they were randomly divided into control group and treatment group with 60 cases respectively. The control group was given general health education while the treatment group was given self-management education on the basis of the control group. The health knowledge score of two groups after intervention and their life quality before and after intervention were compared. Results CVI related knowledge, the use of elastic stockings, daily health behavior and daily life management scores of patients in treatment group were higher than those in control group. The difference was statistically significant （P〈O.05）. Life quality score before intervention of two groups showed no statistical difference （P〉0.05. The scores of lower limbs pain, physical activity, social activities and mental psychology of treatment group were better than those of the control group. The difference was statistically significant （P〈0,05）. Conclusion Continuing self-management can improve the health knowledge level and self-management ability of CVI patients and significantly improve their life quality after surgery.