气压治疗仪联合全程健康教育干预对宫颈癌术后患者下肢深静脉血栓形成的预防效果  

Preventive effect of pneumatic therapeutic apparatus combined with whole course health education intervention on deep venous thrombosis of lower extremities in postoperative cervical cancer patients

作　　者：武艳华[1] 王立新[1] 田培玲[1] WU Yanhua;WANG Lixin;TIAN Peiling(Department of Surgery,the Third Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,He’nan,China)

机构地区：[1]郑州大学第三附属医院手术部,郑州4500000

出　　处：《癌症进展》2021年第5期537-540,共4页Oncology Progress

摘　　要：目的探讨气压治疗仪联合全程健康教育干预对宫颈癌术后患者下肢深静脉血栓形成的预防效果。方法根据干预方式的不同将118例宫颈癌根治术后患者分为观察组和对照组,每组59例。对照组患者予以气压治疗仪治疗,观察组患者在对照组的基础上予以全程健康教育干预,两组患者均治疗1个月。比较干预前后两组患者的凝血指标[凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)、凝血酶时间(TT)以及纤维蛋白原(FIB)水平]和干预后的下肢深静脉血栓发生率。分别采用生活质量综合评定问卷-74(GQOL-74)和自制调查问卷评价两组患者的生活质量和护理满意度。结果干预后,观察组患者的TT、APTT、PT均短于对照组,FIB水平低于对照组,差异均有统计学意义(P﹤0.05)。观察组患者的下肢深静脉血栓总发生率为10.17%,低于对照组的25.42%(P﹤0.05)。干预后,观察组患者的社会功能、心理功能、躯体功能及物质生活评分均高于对照组,差异均有统计学意义(P﹤0.05)。观察组患者的护理满意度为89.83%,高于对照组的71.19%(P﹤0.05)。结论对宫颈癌术后患者予以气压治疗仪治疗联合全程健康教育干预,有利于降低凝血指标水平和下肢深静脉血栓发生率,提高术后生活质量和护理满意度。Objective To investigate the preventive effect of pneumatic therapeutic apparatus combined with whole course health education intervention on deep venous thrombosis of lower extremities in postoperative cervical cancer patients.Method A total of 118 patients with cervical cancer after radical hysterectomy were divided into the observation group and the control group,with 59 cases each according to different intervention regimens.Patients in the control group were treated with pneumatic therapeutic apparatus,and patients in the observation group were given whole course health education intervention based on the regimen taken by the control group.The duration of the treatment is one month for either group.The coagulation indicators[prothrombin time(PT),activated partial thromboplastin time(APTT),thrombin time(TT),and fibrinogen(FIB)]and the incidence of deep venous thrombosis after intervention were compared between the two groups.The quality of life and nursing satisfaction of patients in the two groups were evaluated by the generic quality of life inventory-74(GQOL-74)and self-made questionnaire.Result After the intervention,the TT,APTT,and PT of the observation group were shorter than those of the control group,and the FIB level was lower than that of the control group,and the differences were statistically significant(P<0.05).The total incidence of deep venous thrombosis of lower extremities in the observation group was 10.17%,which was lower than that of 25.42%in the control group(P<0.05).After the intervention,the scores of social function,psychological function,physical function,and material life of the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The nursing satisfaction of patients in the observation group was 89.83%,which was higher than that of 71.19%in the control group(P<0.05).Conclusion The combination of the employment of pneumatic therapeutic apparatus and whole course health education intervention can reduce the level of co

关 键 词：健康教育 气压治疗仪 宫颈癌 下肢深静脉血栓 预防 

分 类 号：R737.33[医药卫生—肿瘤]