下肢深静脉血栓形成患者“互联网+”自我管理干预  

Effect of Internet plus based self-management intervention for patients with lower extremity deep vein thrombosis

作　　者：胡猛[1] 孙丽 褚婕[3] 汪欢[3] 辛萍 陈莹[3] 李至真 祁惊鸿 Hu Meng;Sun Li;Chu Jie;Wang Huan;Xin Ping;Chen Ying;Li Zhizhen;Qi Jinghong(Department of Vascular Surgery,Lake Campus of Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China)

机构地区：[1]华中科技大学同济医学院附属协和医院金银湖院区血管外科 [2]华中科技大学同济医学院附属协和医院护理部 [3]华中科技大学同济医学院附属协和医院血管外科

出　　处：《护理学杂志》2023年第23期95-98,共4页Journal of Nursing Science

摘　　要：目的探讨“互联网+”自我管理干预对下肢深静脉血栓形成患者出院后的干预效果。方法将400例血管外科住院的下肢深静脉血栓患者随机分为对照组与干预组各200例。对照组给予常规出院指导,干预组在对照组基础上实施“互联网+”自我管理干预。出院12个月比较两组疾病认知、疾病相关自我管理行为、血栓复发及血栓后综合征的发生情况。结果 对照组174例、干预组189例完成研究。干预后干预组疾病认知及疾病相关自我管理行为评分显著高于对照组,下肢深静脉血栓复发率及血栓形成后综合征发生率显著低于对照组(均P<0.05)。结论 “互联网+”自我管理干预可提高患者对下肢深静脉血栓的认知水平,促进患者疾病相关自我管理行为,降低血栓复发率及血栓后综合征发生率。Objective To explore the effect of applying Internet plus based out-of-hospital self-management intervention to patients with lower extremity deep vein thrombosis(DVT).Methods A total of 400 cases of DVT patients who were hospitalized in the department of vascular surgery were randomly divided into 2 groups of 200 cases each.The control group was given routine discharge guidance,while the intervention group was additionally subjected to an Internet plus based self-management intervention program.Twelves months after discharge,the disease-related knowledge level,disease-related self-management behaviors,the recurrence of DVT and the incidence rate of post-thrombosis syndrome(PTS) were compared between the two groups.Results A total of 174 cases in the control group and 189 cases in the intervention group completed the study.The scores of disease-related knowledge and disease-related self-management behavior in the intervention group were significantly higher than those of the control group,and the recurrence rate of DVT and the incidence of PTS were significantly lower in the former than in the latter(all P<0.05).Conclusion Internet plus based self-management intervention can improve patients′ knowledge of DVT,promote the formation of disease-related self-management behaviors,reduce the recurrence rate of thrombosis events and incidence of PTS.

关 键 词：下肢深静脉血栓形成 血栓形成后综合征 血管外科 “互联网+”护理 自我管理 信息化护理 

分 类 号：R473.6[医药卫生—护理学]