以患者需求为导向的分阶段延续性护理在膝关节置换术后深静脉血栓患者中的应用效果

Application effects of patient demand-oriented phased continuous nursing in patients with deep venous thrombosis after knee arthroplasty

目的:观察以患者需求为导向的分阶段延续性护理在膝关节置换术后深静脉血栓(DVT)患者中的应用效果。方法:选取2020年2月至2022年3月该院收治的124例膝关节置换术后DVT患者进行前瞻性研究,按照随机数字表法将其分为对照组和研究组各62例。对照组实施常规护理,研究组在对照组基础上实施以需求为导向的分阶段延续性护理,比较两组护理前后健康行为[健康促进生活方式量表(HPLP)]评分、自护能力[自我护理能力测定表(ESCA)]评分、生命质量[生活质量综合评定问卷-74(GQOLI-74)]评分、应对方式及股总静脉血流峰值。结果:护理后,两组HPLP、ESCA、GQOLI-74评分均高于护理前,且研究组高于对照组,差异有统计学意义(P<0.05);两组积极应对评分均高于护理前,且研究组高于对照组,两组消极应对评分均低于护理前,且研究组低于对照组,差异有统计学意义(P<0.05);护理后,两组股总静脉血流峰值均高于护理前,且研究组高于对照组,差异有统计学意义(P<0.05)。结论:以患者需求为导向的分阶段延续性护理应用于膝关节置换术后DVT患者,可促进患者养成健康行为,提高自护能力和生命质量,改善疾病应对方式,提高股总静脉血流峰值,效果优于常规护理。

Objective:To observe application effects of patient demand-oriented phased continuous nursing in patients with deep venous thrombosis(DVT)after knee arthroplasty.Methods:A prospective study was conducted on 124 patients with DVT after knee arthroplasty admitted to this hospital from February 2020 to March 2022.They were divided into control group and study group according to the random number table method,62 cases in each group.The control group was given routine nursing,while the study group was given the patients demand-oriented phased continuous nursing on the basis of that of the control group.The health behavior[health promotion lifestyle profile(HPLP)]score,the self-nursing ability[exercise of self-care agency scale(ESCA)]score,the quality of life[general quality of life inventory-74(GQOLI-74)],the coping style,and the peak bloodflow of common femoral vein were compared between the two groups before and after the nursing.Results:After the nursing,the scores of HPLP,ESCA and GQOLI-74 in the two groups were higher than those before the nursing,those in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).The positive coping scores of the two groups were higher than those before the nursing,and that in the study group was higher than that in the control group;the negative coping scores of the two groups were lower than those before the nursing,and that in the study group was lower than that in the control group;and the differences were statistically significant(P<0.05).Further,after the nursing,the peak bloodflow values of common femoral vein in the two groups were higher than those before the nursing,that in the study group was higher than that in the control group,and the differences were statistically significant(P<0.05).Conclusions:The patient demand-oriented phased continuous nursing in the patients with DVT after knee arthroplasty can promote the patients to develop healthy behaviors,improve the self-nursing abilities and the quality of life,improve the disease coping style,and increase the peak bloodflow value of common femoral vein.Moreover,it is superior to the routine nursing.