基于行为决策的预见性运动护理在预防阴式全子宫切除术后下肢静脉血栓中的应用效果

Application Effect of Predictive Exercise Nursing Based on Behavioral Decision in Prevention of Lower Extremity Venous Thrombosis after Vaginal Hysterectomy

目的探析基于行为决策的预见性运动护理在预防阴式全子宫切除术(TVH)后下肢深静脉血栓(DVT)中的应用效果。方法选择本院2021年3月至2022年5月择期行TVH的90例患者,采用随机数表序列法将患者分为两组,每组各45例。对照组实施常规护理,观察组在对照基础上实施基于行为决策的预见性运动护理。对比两组患者决策参与满意度、股静脉血流动力学指标比较平均血流峰速度(Vp)、血流量(BF)、血流平均速度(Va)、生活质量综合评定问卷(GQOLI-74)、DVT并发症发生情况。结果观察组患者决策参与满意度各项评分及总分均高于对照组(P<0.05)。干预前两组股静脉血Vp、BF、Va指标对比差异无统计学意义(P>0.05);干预后两组股静脉血Vp、BF、Va指标均升高,且观察组股静脉血Vp、BF、Va指标高于对照组(P<0.05)。干预前两组GQOLI-74评分对比差异无统计学意义(P>0.05);干预后两组均升高,且观察组GQOLI-74评分高于对照组(P<0.05)。两组DVT分型及严重程度对比差异无统计学意义(P>0.05);而观察组DVT发生率(2.22%)明显低于对照组(20.00%)(P<0.05)。结论基于行为决策的预见性运动护理在TVH中应用效果显著,可有效改善患者股静脉血流动力学指标,预防DVT发生风险,提高患者决策参与满意度及生活质量,值得临床推广。

Objective To explore the application effect of predictive exercise nursing based on behavioral decision making in the prevention of lower extremity deep vein thrombosis(DVT)after vaginal total hysterectomy(TVH).Methods A total of 90 patients who underwent elective TVH in our hospital from March 2021 to May 2022 were selected and divided into two groups by random number table sequence,with 45 cases in each group.The control group received routine nursing,while the observation group received predictive exercise nursing based on behavioral decision on the basis of the control group.The satisfaction of decision-making participation,mean peak flow velocity(Vp),blood flow(BF),mean flow velocity(Va),comprehensive quality of life assessment questionnaire(GQOLI-74),and the incidence of DVT complications were compared between the two groups.Results The scores and total scores of decision-making participation satisfaction in the observation group were higher than those in the control group(P<0.05).Before intervention,there was no significant difference in Vp,BF and Va of femoral venous blood between the two groups(P>0.05).After intervention,both groups were increased,and Vp,BF and Va of femoral venous blood in observation group were higher than those in control group(P<0.05).There was no significant difference in GQOLI-74 score between the two groups before intervention(P>0.05).After intervention,both groups were increased,and the GQOLI-74 score in the observation group was higher than that in the control group(P<0.05).There was no significant difference in the classification and severity of DVT between the two groups(P>0.05).The incidence of DVT in the observation group(2.22%)was significantly lower than that in the control group(20.00%)(P<0.05).Conclusions Predictive exercise nursing based on behavioral decision making has significant application effect in TVH,which can effectively improve patients'femoral vein hemodynamics indexes,prevent the risk of DVT,improve patients'satisfaction with decision-making participation and quality of life,and is worthy of clinical promotion.