老年静脉血栓栓塞症患者医养结合信息化护理干预研究

Study on the nursing intervention of the elderly patients with venous thromboembolism by the combination of medical care and information

目的探讨信息化护理干预在老年静脉血栓栓塞症出院患者健康管理中的应用效果。方法选取2017年1月至2019年1月某三级甲等医院出院的静脉血栓栓塞症患者217例为研究对象,对照组采取血管外科常规出院患者护理方式,干预组采用信息化护理方案,比较两组患者治疗依从性、生活质量、并发症。结果干预组患者对静脉血栓栓塞症知识、行为、依从性以及生活质量水平均优于对照组(P<0.01或P<0.05);两组患者在静脉血栓栓塞症出血、复发、血栓后综合征、其他不良反应等并发症比较,差异无统计学意义(P>0.05)。结论信息化护理干预有利于提高静脉血栓栓塞症老年出院患者院外治疗依从性,并在一定程度上降低并发症的发生,改善生活质量。

Objective To explore the effects of information-based nursing intervention in health management of elderly patients discharged with venous thromboembolism(VTE).Methods A total of 217 patients with VTE who were discharged in a third grade class A hospital from January 2017 to January 2019 were selected by convenient sampling.The control group was treated with conventionally discharge patient routine nursing care,while the observation group was treated with extra information-based nursing intervention.Treatment compliance,quality of life and complications were compared between the two groups.Results The intervention group's VTE cognition behavior,continued treatment compliance,quality of life were significantly better than those in the control group(P<0.01 or P<0.05),but there were no statistical differences between the two groups in the comparison of complications such as bleeding,recurrence,post-thrombotic syndrome,other adverse reactions(P>0.05).Conclusion Information-based nursing intervention is helpful to promote continued treatment compliance,reduce the occurrence of complications to a certain extent and improve the life quality of patients.