分级心理干预联合气压泵气压治疗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 graded psychological intervention combined with pneumatic compression therapy on lower extremity deep vein thrombosis in patients with cervical cancer surgery

作　　者：张丽娜 王玉华 罗穗豫 曹蕾 ZHANG Li'na;WANG Yuhua;LUO Suiyu;CAO Lei(Department of Gynaecology and Obstetrics,He’nan Provincial Key Medicine Laboratory of Nursing,He’nan Provincial People’s Hospital,Zhengzhou University People’s Hospital,Zhengzhou 450003,He’nan,China)

机构地区：[1]河南省人民医院妇产科,河南省护理医学重点实验室,郑州大学人民医院,郑州450003

出　　处：《癌症进展》2023年第6期652-655,共4页Oncology Progress

摘　　要：目的探讨分级心理干预联合气压泵气压治疗对宫颈癌术后患者下肢深静脉血栓形成的预防效果。方法采用随机数字表法将108例宫颈癌手术患者分为对照组(n=54)和观察组(n=54),对照组患者予以气压泵气压治疗,观察组患者在对照组的基础上予以分级心理干预。比较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]、血流速度、下肢深静脉血栓发生率及满意度。结果干预后,两组患者PT、APTT、TT均短于本组干预前,FIB水平均低于本组干预前,观察组患者PT、APTT、TT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)。干预后,两组患者下肢股静脉和足背静脉血流速度均高于本组干预前,且观察组患者下肢股静脉和足背静脉血流速度均高于对照组,差异均有统计学意义(P﹤0.05)。观察组患者下肢深静脉血栓发生率低于对照组,满意度高于对照组,差异均有统计学意义(P﹤0.05)。结论对宫颈癌术后患者应用分级心理干预联合气压泵气压治疗,能够改善患者的凝血指标,加快患者血流速度,预防下肢深静脉血栓形成,且患者满意度较高,值得临床推广应用。Objective To investigate the preventive effect of graded psychological intervention combined with pneumatic compression therapy on lower extremity deep vein thrombosis in patients with cervical cancer surgery.Method A total of 108 patients undergoing cervical cancer surgery were randomly divided into the control group(n=54)and the observation group(n=54).The patients in the control group received pneumatic compression therapy,and the patients in the observation group received graded psychological intervention based on the control group.The coagulation indexes[prothrombin time(PT),activated partial thromboplastin time(APTT),thrombin time(TT),and fibrinogen(FIB)levels],blood flow velocity,incidence of lower extremity deep vein thrombosis,and satisfaction rate were compared between the two groups.Result After the intervention,the PT,APTT,and TT of the two groups were shorter than those before the intervention,and the FIB levels were lower than those before the intervention,the PT,APTT,and TT in the observation group were shorter than those in the control group,and the FIB level was lower than that in the control group,and the differences were statistically significant(P<0.05).After the intervention,the blood flow velocities of the femoral vein and dorsalis pedis of the two groups were higher than those before the intervention,and the blood flow velocities of the femoral vein and dorsalis pedis in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The incidence of lower extremity deep vein thrombosis in the observation group was lower than that in the control group,and the satisfaction rate was higher than that in the control group,and the differences were statistically significant(P<0.05).Conclusion The application of graded psychological intervention combined with pneumatic compression therapy to patients after cervical cancer surgery can improve the coagulation index,accelerate the blood flow velocity,prevent lower extremity deep vein thromb

关 键 词：分级心理干预 气压泵气压治疗 宫颈癌 术后 下肢深静脉血栓 满意度 

分 类 号：R737.33[医药卫生—肿瘤]