健康信念模式在肺癌患者术后下肢深静脉血栓预防中的应用  

Effects of health belief model in prevention of lower extremity deep vein thrombosis in patients with lung cancer after operative

作　　者：刘捷凌[1] 陈鲁玉[1] 丁成智[1] Liu Jieing;Chen Luyu;Ding Chengzhi(Third Thoracic Surgery,Henan Provincial Chest Hospital,Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]河南省胸科医院,郑州大学附属胸科医院胸外三科,郑州450000

出　　处：《中华现代护理杂志》2023年第2期257-261,共5页Chinese Journal of Modern Nursing

基　　金：河南省科技攻关计划项目(202102310036)。

摘　　要：目的探讨健康信念模式在肺癌患者术后下肢深静脉血栓(DVT)预防中的应用效果。方法采用便利抽样法, 选取2019年1月—2020年6月河南省胸科医院收治的80例肺癌患者为研究对象。采用随机数字表法将患者分为对照组与研究组, 各40例。对照组采用常规健康宣教模式, 研究组在对照组基础上采用健康信念模式, 两组均干预至出院。比较两组患者干预前后预防DVT健康知识、健康信念水平, 并统计两组患者DVT发生率。结果干预后, 研究组预防DVT健康知识问卷各维度评分、DVT健康信念问卷评分均高于对照组, 差异有统计学意义(P<0.05);研究组DVT发生率低于对照组, 差异有统计学意义(P<0.05)。结论健康信念模式能提高肺癌患者预防DVT健康知识和健康信念水平, 减少DVT发生, 值得临床推广应用。Objective To explore the effect of health belief model in the prevention of lower extremity deep vein thrombosis(DVT)in patients with lung cancer after operative.MethodsFrom January 2019 to June 2020,80 lung cancer patients admitted to Henan Provincial Chest Hospital were selected as research objects by convenience sampling method.The patients were randomly divided into control group and research group with 40 cases each.The routine health education was used in the control group,and the health belief model was used in the research group on the basis of the control group.Both groups intervened until discharge.We compared the DVT prevention knowledge and health belief of the two groups of patients before and after the intervention,and counted the incidence of DVT in the two groups of patients.ResultsAfter intervention,the scores of all dimensions of the DVT Health Questionnaire and DVT Health Belief Questionnaire in the research group were higher than those in the control group,with statistically significant differences(P<0.05).The incidence of DVT in the research group was lower than that in the control group with a statistical difference(P<0.05).Conclusions The health belief model can improve the health knowledge and health belief of lung cancer patients to prevent DVT,reduce the occurrence of DVT,and is worthy of clinical promotion and application.

关 键 词：肺肿瘤 深静脉血栓 健康信念模式 

分 类 号：R473.73[医药卫生—护理学]