基于赋权理论的精细化干预联合踝泵训练对下肢深静脉血栓患者凝血功能及腿围的影响  

Effect of Fine-Tuned Intervention Based on Empowerment Theory Combined with Ankle Pump Training on Coagulation Function and Calf Circumference in Patients with Lower Extremity Deep Venous Thrombosis

作　　者：任洋波 方晓霞 马玲 王国华 肖影 张桂凌 Ren Yangbo;Fang Xiaoxia;Ma Ling;Wang Guohua;Xiao Ying;Zhang Guiling(Xinxiang Central Hospital,The Fourth Clinical College of Xinxiang Medical University,Xinxiang 453000,China;Cardiovascular Endocrine Digestive Syndrome Ward,Xinxiang Vascular Aging Management Laboratory,Xinxiang 453000,China)

机构地区：[1]新乡市中心医院新乡医学院第四临床学院,新乡453000 [2]新乡市血管衰老管理实验室心血管内分泌消化综合病区,新乡453000

出　　处：《成都医学院学报》2025年第2期303-307,共5页Journal of Chengdu Medical College

基　　金：河南省卫生健康委员会医学科技攻关计划项目(No:LHGJ20220990,No:LHGJ20200940)。

摘　　要：目的 探讨基于赋权理论的精细化干预联合踝泵训练对下肢深静脉血栓(DVT)患者凝血功能及腿围的影响。方法 选取2022年1月至2023年12月新乡市中心医院收治的DVT患者86例为研究对象,依据随机数字表法分为对照组、试验组,每组43例。对照组给予一般干预方案,试验组在对照组基础上给予基于赋权理论的精细化干预联合踝泵训练,两组均干预至出院。比较两组下地活动时间、平均住院时间、干预期间的并发症及出院时的护理满意度,对比两组干预前和出院时的负性情绪、疾病相关自我管理行为、生活质量、腿围及凝血功能。结果 与对照组比较,试验组下地活动及平均住院时间更短(P<0.05),干预期间的并发症总发生率更低(P<0.05),出院时的护理总满意率更高(P<0.05)。与干预前比较,两组出院时的特质焦虑量表(TAI)、状态焦虑量表(SAI)评分及血浆纤维蛋白原(FBG)、D-二聚体(D-D)水平降低(P<0.05),且试验组更低(P<0.05);两组疾病相关自我管理行为量表、健康状况调查简表(SF-36)评分升高(P<0.05),且试验组更高(P<0.05);两组脚踝围、小腿围、大腿围缩小(P<0.05),且试验组更小(P<0.05);两组凝血酶原时间(PT)延长(P<0.05),且试验组更长(P<0.05)。结论 基于赋权理论的精细化干预联合踝泵训练能有效改善DVT患者凝血功能,减小患者腿围,效果显著。Objective To investigate the effect of fine-tuned intervention based on empowerment theory combined with ankle pump training on the coagulation function and leg circumference in patients with deep venous thrombosis(DVT)of the lower extremities.Methods A total of 86 patients with DVT admitted to Xinxiang Central Hospital from January 2022 to December 2023 were selected as the study objects.They were divided into a control group(n=43)and an experimental group(n=43)according to random number table method.The control group was given general intervention program,while the experimental group was additionally given fine-tuned intervention based on empowerment theory combined with ankle pump training on the basis of general intervention program.And both groups were intervened until discharge.The two groups were compared in terms of postoperative first ambulation time,average length of stay(LOS),complications during intervention,and satisfaction of nursing care at discharge,as well as negative emotions,disease-related self-management behaviors,quality of life,calf circumference,and coagulation function before the intervention and at discharge.Results Compared with the control group,the experimental group exhibited earlier postoperative first ambulation,shorter average LOS,lower total incidence of complications during intervention,and higher overall satisfaction rate with nursing care upon discharge(P<0.05).At discharge,the scores of Trait Anxiety Inventory(TAI)and State Anxiety Inventory(SAI),as well as the levels of plasma fibrinogen(FBG)and D-Dimer(D-D)in both groups were lower than those before intervention(P<0.05),and the above indicators in the experimental group were lower than those in the control group(P<0.05);The scores of disease-related self-management behavior scale and the 36-Item Short Form Health Survey(SF-36)in both groups were higher than those before intervention(P<0.05),and the above indicators in the experimental group were higher than those in the control group(P<0.05);The ankle,calf,and thigh circumf

关 键 词：下肢深静脉血栓 赋权理论 精细化干预 踝泵训练 凝血功能 腿围 

分 类 号：R473.5[医药卫生—护理学]