健康教育对降低妇科腹腔镜术后下肢深静脉血栓形成的观察

Efficiency of Health Education on Decreasing Deep Vein Thrombosis after Gynecological Laparoscopic Operation

目的:探讨系统健康教育模式在预防妇科腹腔镜术后下肢深静脉血栓形成(deep venous thrombosis,DVT)中的效果。方法:选取160例妇科腹腔镜手术患者,按随机数字表法分为对照组(80例)和观察组(80例)。对照组实施常规健康教育,观察组实施系统健康教育。对比2组患者对DVT预防知识掌握程度及DVT、下肢疼痛或肿胀、浅静脉曲张发生情况。结果:观察组对DVT预防知识掌握程度各项评分(疾病知识、症状观察、术后早锻炼、穿弹力袜、饮食、生活习惯)均明显优于对照组(P<0.05),观察组DVT、下肢疼痛或肿胀、浅静脉曲张发生率明显低于观察组(P<0.05)。结论:系统健康教育模式可使患者自觉采取有利于健康的行为方式,有效预防DVT发生。

Objective: To explore the efficiency of systemic health education on preventing deep vein thrombosis( DVT)after gynecological laparoscopic operation. Methods: 160 patients undergoing gynecological laparoscopic operation were randomly divided into observation group( 80 cases) and control group( 80 cases). The control group received routine health education while the observation group received systemic health education. The knowledge mastering level of DVT prevention and the incidences of DVT,lower extremity pain or swelling and varicose vein were analyzed and compared. Results: After intervention,the knowledge mastering level of DVT prevention in observation group was better than that in control group( P < 0. 05),which included disease knowledge,symptom observation,early postoperative exercises,stretch socks,diet and lifestyle habits. The incidences of DVT,lower extremity pain or swelling and varicose vein( 2. 5%,3. 8%,2. 5%) in observation group were lower than those in control group( 8. 8%,15. 0%,11. 3%),respectively. Conclusion: The systemic health education can make patients self-consciously adopt healthy behaviors. Therefore,it can effectively prevent DVT.