目标策略理论下的针对性护理干预对剖宫产产妇的影响  

Effect of Targeted Nursing Intervention on Cesarean Section of Parturient Under the Theory of Target Strategy

作　　者：赖春菊 LAI Chunju(Department of Obstetrics,The Second Hospital of Longyan City,Longyan 364000,China)

机构地区：[1]龙岩市第二医院产科,龙岩364000

出　　处：《中国医药指南》2024年第24期167-169,共3页Guide of China Medicine

摘　　要：目的在剖宫产术后实施目标策略理论下的针对性护理干预,旨在探究该护理模式对下肢深静脉血栓形成(DVT)的预防效果。方法本次研究对象为100例剖宫产术后产妇,均来源于龙岩市第二医院,入院时间为2021年1月至2022年12月,为确保科学分组,本次研究以随机数字表法分成两组,每组50例,对照组实施常规产后护理,观察组在对照组基础上行目标策略理论下的针对性护理干预。比较两组DVT率、护理前后凝血指标水平、生活质量。结果观察组DVT发生率低于对照组(P<0.05)。两组护理前血小板计数(PLT)、凝血酶原时间(PT)、D-二聚体(D-D)、活化部分凝血酶时间(APTT)水平对比无统计学意义(P>0.05);观察组护理后D-D水平低于对照组(P<0.05);观察组护理后PLT、APTT、PT水平均高于对照组(P<0.05)。两组护理前生活质量评分量表(QOL)评分对比无统计学意义(P>0.05);观察组护理后QOL评分高于对照组(P<0.05)。结论对产妇剖宫产术后实施目标策略理论下的针对性预防干预可以调节其凝血功能,减少发生下肢深静脉血栓,避免DVT影响其日常生活质量。Objective In order to explore the preventive effect of this nursing mode on deep vein thrombosis(DVT)after cesarean section,the targeted nursing intervention under the theory of target strategy was implemented.Methods The subjects of this study were 100 puerpera after cesarean section,all from the Second Hospital of Longyan City,and the admission time was from January 2021 to December 2022.In order to ensure scientific grouping,this study was divided into two groups by random number table method,with 50 cases in each group.The control group received routine postpartum nursing.Observation group on the basis of the control group of conventional postnatal care line target strategy under the theory of targeted nursing intervention.The DVT rate,coagulation index level and quality of life before and after nursing were compared between the two groups.Results The incidence of DVT in observation group was lower than that in control group(P<0.05).There was no significant difference in platelet count(PLT),prothrombin time(PT),D-dimer(D-D)and activated partial thrombin time(APTT)between the two groups before nursing(P>0.05).The level of D-D in observation group after nursing was lower than that in control group(P<0.05).The levels of PLT,APTT and PT in the observation group were higher than those in the control group(P<0.05).There was no significant difference in quality of life(QOL)scores between the two groups before nursing(P>0.05).The post-nursing QOL score of the observation group was higher than that of the control group(P<0.05).Conclusions The targeted preventive intervention under the theory of target strategy can regulate the coagulation function,reduce the occurrence of lower extremity deep vein thrombosis,and avoid the influence of DVT on the quality of daily life.

关 键 词：剖宫产 目标策略理论 下肢深静脉血栓 凝血功能 

分 类 号：R719.8[医药卫生—妇产科学] R473.71[医药卫生—临床医学]