赋权用于下肢深静脉血栓形成导管溶栓治疗患者早期康复活动的效果  

Application of patient empowerment in early rehabilitation training for patients with deep vein thrombosis after receiving catheter-directed thrombolysis

作　　者：张慧敏 殷世武 陈君 朱莹莹 张娜 范贝贝 ZHANG Huimin;YIN Shiwu;CHEN Jun;ZHU Yingying;ZHANG Na;FAN Beibei(Affiliated Hefei Hospital of Anhui Medical University(Hefei Municipal Second People's Hospital),Hefei,Anhui Province 230011,China)

机构地区：[1]安徽医科大学附属合肥医院(合肥市第二人民医院),安徽合肥230011

出　　处：《介入放射学杂志》2024年第5期554-559,共6页Journal of Interventional Radiology

基　　金：安徽省科技攻关计划(1301zc04069)。

摘　　要：目的探讨赋权用于下肢深静脉血栓形成导管接触溶栓治疗患者早期康复的效果。方法选择下肢深静脉血栓形成拟行导管溶栓治疗患者110例,按随机数字表法分为对照组和干预组各55例。对照组常规实施康复活动,干预组用赋权指导早期康复活动。统计两组康复锻炼依从性、髌骨上/下缘腿围周径差、并发症发生率、置管溶栓时间及住院时间。采用慢性病自我效能感量表、中文版出院准备度量表、静脉功能不全生活质量问卷对两组患者进行评价。结果两组置管溶栓时间、并发症发生率、住院时间比较,差异无统计学意义(均P>0.05);干预组出院时髌骨上/下缘腿围周径差显著小于对照组,康复锻炼依从性、自我效能、出院准备度及出院后3个月生活质量显著优于对照组(均P<0.05)。结论赋权用于下肢深静脉血栓导管溶栓患者早期康复活动,能提高患者康复锻炼依从性和疾病自我效能感,改善患肢肿胀,提高出院准备度和出院后生活质量。Objective To explore the application of patient empowerment in early rehabilitation training for patients with lower extremity deep vein thrombosis(DVT)after receiving catheter-directed thrombolysis(CDT).Methods A total of 110 patients with lower extremity DVT,who were scheduled for CDT therapy,were enrolled in this study.Using random digital table method,the patients were divided into control group(n=55)and intervention group(n=55).Routine rehabilitation activities were implemented for patients of the control group,while patient empowerment-based early rehabilitation training program was carried out for patients of the intervention group.The compliance to rehabilitation exercise,difference of upper/lower patella leg circumference,incidence of complications,duration of catheterization and thrombolysis,and length of hospital stay in both groups were calculated.The Self-Efficacy for Managing Chronic Disease,Chinese version of the Readiness for Hospital Discharge Scale,and the VEnous INsufficiency Epidemiological and Economic Study(VEINES)Quality of Life scale were used to evaluate the rehabilitation results of the patients of two groups.Results There were no significant differences in the duration of catheterization and thrombolysis,incidence of complications,and length of hospital stay between the two groups(all P>0.05).At the time of discharge,the difference of upper/lower patella leg circumference in the intervention group was remarkably smaller than that in the control group,and the compliance with rehabilitation exercise,the self-efficacy,the readiness for discharge,and the quality of life in 3 months after discharge in the intervention group were strikingly better than those in the control group(all P<0.05).Conclusion The implementation of patient empowerment in early rehabilitation training for patients with lower extremity DVT after receiving CDT therapy can improve the compliance with rehabilitation exercise,self-efficacy,limb swelling,readiness for discharge,and quality of life after discharge from hospit

关 键 词：下肢深静脉血栓形成 导管接触溶栓 赋权 早期活动 自我效能 出院准备度 生活质量 

分 类 号：R473.5[医药卫生—护理学]