自我管理宣教结合血栓弹力图对预防卵巢癌患者术后深静脉血栓的效果  

Effect of self-management education combined with thromboelastography on the prevention of postoperative deep vein thrombosis in ovarian cancer patients

作　　者：董承彩 陈布泽 王海红 张榴红 DONG Chengcai;CHEN Buze;WANG Haihong;ZHANG Liuhong(Affiliated Hospital of Xuzhou Medical University,Xuzhou,221000,China)

机构地区：[1]徐州医科大学附属医院东院妇科,江苏省徐州市221000

出　　处：《护理实践与研究》2023年第7期1090-1095,共6页Nursing Practice and Research

基　　金：徐州市科技项目(编号:KC21190)。

摘　　要：目的探讨自我管理宣教模式结合血栓弹力图对预防卵巢癌患者术后深静脉血栓的效果。方法2021年1月—2021年12月选取卵巢癌患者116例,按照组间基线资料可比的原则,将患者分为观察组和对照组,各58例。对照组行常规血栓弹力图检测,观察组在对照组基础上行自我管理教育,比较两组自我管理健康行为、血栓疾病认知水平、肢体肿胀发生率、血栓发生率及患者满意度。结果干预后观察组自我管理健康行为总评分及血栓疾病认知评分高于对照组,组间差异有统计学意义(P<0.05)。两组干预后纤维蛋白原(FIB)、凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)、D-二聚体(D-D)较干预前明显下降,但组间比较差异无统计学意义(P>0.05)。观察组干预后肢体肿胀发生率、血栓发生率低于对照组,而患者护理满意率高于对照组,组间比较差异均有统计学意义(P<0.05)。结论自我管理教育结合血栓弹力图能有效提高卵巢癌患者自我管理能力及血栓认知水平,从而有效预防血栓发生,提高患者满意度。Objective To investigate the effect of self-management education model combined with thromboelastography on the prevention of postoperative deep vein thrombosis in ovarian cancer patients.Methods From January 2021 to December 2021,116 patients with ovarian cancer were selected and divided into an observation group and a control group mith 58 patients in each group according to the principle of comparable baseline data between groups.In the control group,routine thromboelastography was performed,in the observation group,self-management education was performed on the basis of the control group.The self-management health behaviours,the level of awareness of thrombophilia,the incidence of limb swelling,the incidence of thrombosis and patient satisfaction were compared between the two groups.Results After the intervention,the total score of self-management health behaviour and thrombosis awareness score of the observation group were higher than the control group,the difference between the groups was statistically significant(P<0.05).Fibrinogen(FIB),Prothrombin Time(PT),Activated Partial Thromboplastin Time(APTT)and D-Dimer(D-D)decreased significantly after the intervention in both groups compared to the pre-intervention period,but the difference between the groups was not statistically significant(P>0.05).The incidence of limb swelling and thrombosis in the observation group was lower than the control group,while the patient satisfaction rate was higher than the control group,the differences between the groups were statistically significant(P<0.05).Conclusion Self-management education combined with thromboelastography can effectively improve the self-management ability and thrombosis awareness level of ovarian cancer patients,thus effectively preventing the occurrence of thrombosis and improving patient satisfaction.

关 键 词：自我管理教育 血栓弹力图 卵巢癌 术后深静脉血栓 满意度 

分 类 号：R471[医药卫生—护理学]