预见性理论指导下的精细化护理对脑卒中偏瘫患者下肢深静脉血栓的预防探讨  

Exploring the Prevention of Lower Limb Venous Thromboembolism in Stroke Patients with Hemiplegia Guided by Predictive Theory of Refined Nursing

作　　者：吴勇修 WU Yongxiu(Department of Nursing,Yanzhou District People’s Hospital,Jining,Shandong 272100,China)

机构地区：[1]济宁市兖州区人民医院护理部,山东济宁272100

出　　处：《中国医药指南》2025年第2期177-180,共4页Guide of China Medicine

摘　　要：目的研究基于预见性理论对脑卒中偏瘫患者实施精细化护理的效果,并分析预防下肢深静脉血栓(DVT)的作用。方法选取2022年1月至2023年12月济宁市兖州区人民医院收治的100例脑卒中偏瘫患者。采用随机数字表法分为对照组(50例)与观察组(50例)。对照组施以常规护理,观察组在常规护理基础上实施预见性理论指导下的精细化护理。对两组患者的干预情况加以观察。结果观察组疾病认知程度评分高于对照组(P<0.05)。干预后,观察组的PT、APTT更长,D-D水平更低(P<0.05);观察组的RBC高于对照组,WBC和PLT低于对照组(P<0.05);观察组股静脉、胫后静脉和腘静脉血流速度比对照组快(P<0.05);观察组FMA评分、FAC评分和BI指数均比对照组高(P<0.05)。观察组下肢DVT发生率为4.00%,低于对照组的20.00%(P<0.05)。结论根据预见性理论进行精细化护理,能够提高脑卒中偏瘫患者的疾病认知程度,促进凝血功能与血常规的改善,有助于加快下肢静脉血流速度,还可有效预防下肢DVT的发生,提升患者的康复效果与满意度。Objective To investigate the effect of implementing refined nursing care for stroke patients with hemiplegia based on foresight theory,and analyze the role of preventing deep vein thrombosis(DVT)in the lower limbs.Methods A total of 100 patients of hemiplegic stroke patients were admitted to the People’s Hospital of Yanzhou District from January 2022 to December 2023.Patients were randomly divided into a control group(50 cases)and an observation group(50 cases)using the random number table method.The control group received routine nursing care,while the observation group received refined nursing care guided by anticipatory theory in addition to routine nursing care.The intervention status of both groups was observed.Results The disease cognition score of the observation group was higher than that of the control group(P<0.05).After intervention,the observation group had longer PT and APTT,and lower D-D levels(P<0.05).After intervention,the RBC in the observation group was higher than that in the control group,while the WBC and PLT were lower than those in the control group(P<0.05).After intervention,the blood flow velocity of the femoral vein,posterior tibial vein,and popliteal vein in the observation group was faster than that in the control group(P<0.05).After intervention,the FMA score,FAC score,and BI index of the observation group were higher than those of the control group(P<0.05).The incidence of lower limb DVT in the observation group was 4.00%,which was lower than the control group’s 20.00%(P<0.05).Conclusions Fine nursing based on the theory of foresight can improve the disease awareness of stroke patients with hemiplegia,promote the improvement of coagulation function and blood routine,accelerate the lower limb venous blood flow velocity,and also effectively improve their coagulation function and blood routine.Prevent the occurrence of lower limb venous thromboembolism,and improve the rehabilitation effect and satisfaction of patients.

关 键 词：脑卒中 偏瘫 下肢深静脉血栓 预见性理论 精细化护理 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R473.74[医药卫生—临床医学]