专病护士主导的延续护理模式在静脉血栓栓塞症介入术后患者中的应用效果  

Effects of transitional care led by special disease nurses in patients with venous thromboembolism after intervention

作　　者：张桂凌 肖影 张洁 宋静芬 王国华 Zhang Guiling;Xiao Ying;Zhang Jie;Song Jingfen;Wang Guohua(Second Department of General Surgery,Xinxiang Central Hospital&the Fourth Clinical College of Xinxiang Medical University,Xinxiang 453000,China)

机构地区：[1]新乡市中心医院、新乡医学院第四临床学院普通外科二,新乡453000

出　　处：《中华现代护理杂志》2023年第6期821-826,共6页Chinese Journal of Modern Nursing

基　　金：河南省医学科技攻关项目(LHGJ20200940)。

摘　　要：目的探讨专病护士主导的延续护理模式在静脉血栓栓塞症(VTE)介入术后患者中的应用效果。方法采用便利抽样法选择2020年2月—2021年4月在新乡市中心医院血管外科行VTE介入手术治疗的124例患者,按倾向性匹配评分1︰1配对分为对照组和观察组,各62例。对照组予以常规护理,观察组在对照组的基础上实施专病护士主导的延续护理,随访12个月。比较两组的静脉血栓后综合征严重程度(Villalta评分)、服药依从性、随访依从性及生活质量得分。结果对照组3、6、12个月末的随访完成率分别为95.16%(59/62)、82.26%(51/62)和70.97%(44/62),观察组3、6、12个月末的随访完成率分别为100.00%(62/62)、96.77%(60/62)、91.94%(57/62),观察组各时间点的随访完成率均高于对照组,且6、12个月末比较差异有统计学意义(P<0.05)。对照组和观察组的Villalta评分均逐渐升高,观察组3、6、12个月末时的Villalta评分均低于对照组,差异有统计学意义(P<0.05)。对照组的服药依从性评分逐渐下降,观察组的服药依从性评分逐渐升高,观察组3、6、12个月末时的服药依从性评分均高于对照组,差异有统计学意义(P<0.05)。观察组的生活质量得分逐渐升高,观察组6、12个月末时的生活质量得分高于对照组,差异有统计学意义(P<0.05)。结论专病护士主导的延续护理可以有效提高VTE患者的术后随访及服药依从性,减轻静脉血栓后综合征严重程度,改善生活质量。Objective To explore the effect of transitional care led by special disease nurses in patients with venous thromboembolism(VTE)after intervention.Methods From February 2020 to April 2021,124 patients undergoing VTE intervention in Vascular Surgery of Xinxiang Central Hospital were selected by convenient sampling.According to the propensity matching score of 1∶1,the patients were divided into the control group and the observation group,with 62 cases each.The control group was given routine nursing,and the observation group received transitional care led by special disease nurses on the basis of the control group.The follow-up lasted for 12 months.The severity of post-venous thrombosis syndrome(Villalta Scale score),medication compliance,follow-up compliance and quality of life score were compared between the two groups.Results The completion rates of follow-up at the end of 3,6 and 12 months in the control group were 95.16%(59/62),82.26%(51/62)and 70.97%(44/62),respectively.The completion rates of follow-up at the end of 3,6 and 12 months in the observation group were 100.00%(62/62),96.77%(60/62)and 91.94%(57/62),respectively.The completion rate of follow-up at each time point in the observation group was higher than that in the control group,and the differences were statistically significant at the end of 6 and 12 months(P<0.05).The Villalta score of the control group and the observation group increased gradually.The Villalta scores of the observation group at the end of 3,6 and 12 months were lower than that of the control group,with statistically significant differences(P<0.05).The score of medication compliance in the control group decreased gradually,while the score of medication compliance in the observation group increased gradually.The scores of medication compliance in the observation group at the end of 3,6 and 12 months were higher than that in the control group,with statistically significant differences(P<0.05).The quality of life score of the observation group gradually increased,and the quality of

关 键 词：静脉血栓栓塞症 延续护理 专病护士 专病数据库 

分 类 号：R473.5[医药卫生—护理学]