程序化护理对下肢深静脉血栓介入溶栓患者生存质量的影响  

The programmed nursing care for lower extremity deep venous thrombus patients receiving interventional thrombolysis: its effect on living quality

作　　者：乔翠云[1] 王竹君[1] 兰桂云[1] 梁志强[1] 石友民[1] 

机构地区：[1]067000河北省承德医学院附属医院介入诊疗室

出　　处：《介入放射学杂志》2011年第12期1007-1009,共3页Journal of Interventional Radiology

摘　　要：目的探讨综合程序化护理干预对介入溶栓治疗下肢深静脉血栓患者生存质量的影响。方法将60例介入溶栓治疗下肢深静脉血栓患者随机分成两组,观察组30例,对照组30例。对照组仅予常规治疗和护理,即术前常规查对,介绍术中注意事项,术中观察生命体征,配合心理安慰,术后遵医嘱用药,观察病情变化。观察组在常规治疗护理的同时给予综合程序化护理干预,即术前对患者进行全面护理评估,依据评估资料制定出科学的护理计划,主要包涵认知干预,行为干预,心理护理及健康教育等护理措施。于术前、术中、术后系统实施。出院1个月后对60例患者进行回访,比较两组生存质量指标(Sf-36)。结果观察组生存质量较对照组明显提高。结论综合程序化护理干预可显著提高介入溶栓治疗下肢深静脉血栓患者的生存质量。Objective To study the effect of comprehensive programmed nursing intervention on the living quality in patients with lower extremity deep venous thrombus who receive interventional thrombolysis therapy. Methods A total of 60 patients receiving interventional thrombolysis due to lower extremity deep venous thrombus were randomly and equally divided into two groups. Patients in study group （n = 30） was treated with comprehensive programmed nursing intervention in addition to the conventional therapy and routine nursing care, while patients in control group （n = 30） was treated with the conventional therapy and routine nursing care only. The conventional therapy and routine nursing care included the nursing assessment before the operation, observation of the vital signs and the cooperation psychological care during the operation, the performance of medication according to the doctor＇s orders after the operation, etc. The comprehensive programmed nursing intervention included the nursing assessment of the patient before operation and the scientifically making of the nursing plan, which mainly referred to the cognitive behavior, the psychological care and the health education. They were systematically carried out during the perioperative period. One month after discharge the patients were asked to pay a return visit. The living quality was evaluated with relevant standards, and the results were compared between the two groups. Results The score of living quality in the study group was significantly higher than that in the control group （P 〈 0.01 ）. Conclusion The comprehensive programmed nursing intervention can significantly improve the living quality of lower extremity deep venous thrombosis patients who receive interventional thrombolysis therapy.

关 键 词：程序化护理 介入溶栓 生存质量 

分 类 号：R472[医药卫生—护理学]