互联网+背景下不间断护理对骨科术后患者深静脉血栓 认知水平及健康行为的影响

Effects of continuous nursing under the background of Internet+ on cognitive level of deep vein thrombosis and healthy behaviors of patients after orthopedic surgery

目的探讨互联网+背景下不间断护理对骨科术后患者深静脉血栓、认知水平及健康行为的影响。方法将121例行下肢骨科手术的患者按照随机数字表法分为研究组61例与对照组60例。两组均给予常规护理干预,研究组在此基础上给予互联网+背景下不间断护理干预,观察住院全程。干预前后采用深静脉血栓知识调查问卷评定两组认知水平,采用健康行为问卷评定两组健康行为情况,比较两组遵医行为依从性、下肢静脉流速及深静脉血栓发生率。结果干预后两组深静脉血栓知识调查问卷及健康行为问卷各维度评分均显著高于干预前(P<0.01),研究组显著高于对照组(P<0.01)。研究组遵医行为总依从率显著高于对照组(P<0.05),下肢静脉流速显著高于对照组(P<0.05),深静脉血栓发生率显著低于对照组(P<0.05)。结论互联网+背景下不间断护理可有效提高骨科术后患者对深静脉血栓的认知水平及依从性,促进患者采取健康行为,预防术后深静脉血栓的发生。

Objective To explore the effects of continuous nursing under the background of Internet+ on cognitive level of deep vein thrombosis(DVT) and healthy behaviors of patients after orthopedic surgery.Methods A total of 121 patients who underwent lower limb orthopedic surgery were divided into study group(n=61) and control group(n=60) according to random number table method.Both groups were given routine nursing intervention,and the study group was given continuous nursing intervention under the background of Internet+ on this basis.The whole process of hospitalization was observed.Before and after the intervention,the cognitive level of the two groups was assessed by deep venous thrombosis knowledge questionnaire,and the health behavior of the two groups was assessed by health behavior questionnaire.The compliance behavior,lower extremity venous velocity and the incidence of DVT were compared between the two groups.Results After the intervention,the scores of deep venous thrombosis knowledge questionnaire and health behavior questionnaire in the two groups were significantly higher than those before the intervention,the study group was significantly higher than the control group(P<0.01).The total compliance rate of compliance behavior in the study group was significantly higher than that in the control group(P<0.05),the lower extremity venous velocity was significantly higher than that in the control group(P<0.05),and the incidence of DVT was significantly lower than that in the control group(P<0.05).Conclusions Continuous nursing under the background of Internet+can effectively improve the cognitive level and compliance of DVT patients after orthopedic surgery,and promote patients to take healthy behaviors and prevent postoperative deep venous thrombosis.