基于情境领导理论的信息化延续护理在剖宫产术后VTE高风险患者中的应用价值

Application value of information-based continuous nursing based on situational leadership theory in patients with high risk of VTE after cesarean section

目的探讨基于情境领导理论的信息化延续护理在剖宫产术后静脉血栓栓塞症(VTE)高风险患者中的应用价值。方法选择2019年1月至12月新疆医科大学第一附属医院的剖宫产术后VTE高风险患者160例,依据便利抽样法将其随机分为对照组和观察组,每组各80例。对照组采用常规护理,观察组在对照组基础上实施基于情境领导理论的信息化延续护理,记录并分析知信行、静脉血栓发生率、生活质量评分以及护理满意度等指标。结果观察组知信行得分显著高于对照组,差异有统计学意义(P<0.05);下肢深静脉血栓发生率低于对照组,差异有统计学意义(P<0.05);观察组生活质量评分总均分显著高于对照组,差异有统计学意义(P<0.05);观察组护理满意度显著高于对照组,差异有统计学意义(P<0.05)。结论基于情境领导理论的信息化延续护理可显著提高剖宫产术后VTE高风险患者知信行水平,降低VTE发生率,改善生活质量,提高护理满意度,值得临床推广。

Objective To explore the application value of information-based continuous nursing based on situational leadership theory in high-risk patients of venous thromboembolism(VTE)after cesarean section.Methods A total of 160 patients with high risk of VTE were selected and randomly divided into control group and observation group according to convenience sampling method,with 80 cases in each group.The control group received conventional nursing,and on the basis of the control group,the observation group was given information continuing care based on situational leadership theory,then the knowledge and practice,incidence of venous thrombosis,quality of life score and nursing satisfaction were recorded and analyzed.Results The scores of knowledge and practice in observation group were higher than those in control group,the differences were statistically significant(P<0.05),and the incidence of deep venous thrombosis of lower extremities in lower extremity was lower than that in control group,the difference was statistically significant(P<0.05).The observational group were higher than the control group in quality of life score,the difference was statistically significant(P<0.05),and the nursing satisfaction of observational group was higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion Informational continuous nursing based on situational leadership theory can improve the knowledge and practice level of puerpera with high-risk VTE,reduce the incidence of VTE,improve the life quality,and improve nursing satisfaction,which is worthy of clinical promotion.