基于“互联网+”自我管理模式对老年髋关节置换术患者院外深静脉血栓的干预效果研究  

Astudy on effects of self-management model based on“Internet+”on deep vein thrombosis in elderly patients undergoing hip replacement during post-discharge period

作　　者：李苹 李智尧 戴益科 Li Ping;Li Zhiyao;Dai Yike(Department of Orthopedics,Beijing Friendship Hospital Affiliated to Capital Medical University,Beijing,101100,P.R.China)

机构地区：[1]首都医科大学附属北京友谊医院骨科,北京101100

出　　处：《老年医学与保健》2025年第1期224-228,共5页Geriatrics & Health Care

摘　　要：目的探讨基于“互联网+”自我管理模式对老年髋关节置换术患者院外深静脉血栓的干预效果。方法回顾性选取2020年1月—2023年12月在首都医科大学附属北京友谊医院进行髋关节置换术的120例老年患者,依据患者术后不同的干预方式分为观察组(n=60)和对照组(n=60)。2组患者采用相同的治疗,对照组采用常规护理,观察组在与对照组相同处理的基础上加用基于“互联网+”自我管理模式。比较2组患者干预前后深静脉血栓等并发症发生率、凝血指标值、自我管理评分。结果观察组患者静脉血栓、下肢皮肤颜色改变及下肢肿胀发生率均低于对照组(P<0.05)。干预后,2组患者血清FIB、D-二聚体水平降低,APTT、PT、TT值、ESCA总分及各维度评分均高于同组干预前,且观察组APTT、PT、TT值、ESCA总分及各维度评分均高于对照组,血清FIB、D-二聚体水平均低于对照组,差异均有统计学意义(P<0.05)。结论基于“互联网+”自我管理模式可降低老年髋关节置换术后深静脉血栓发生率,改善患者凝血指标,提高其自我管理能力。Objective To explore the intervention effects of self-management model based on“Internet+”on deep vein thrombosis(DVT)in elderly patients undergoing hip replacement during post-discharge period.Methods A retrospective study included 120 elderly patients who underwent hip replacement in Beijing Friendship Hospital Affiliated to Capital Medical University from January 2020 to December 2023.They were divided into observation group(n=60)and control group(n=60)based on different post-operative intervention methods.Both groups received identical medical treatment.The control group received routine nursing care and the observation group did self-management model based on“Internet+”on the basis of the control group.The incidence of DVT and other complications,coagulation indicators,and self-management scores were compared between the two groups.Results The incidences of DVT,lower limb skin color change,and lower limb swelling in the observation group were significantly lower than those in the control group(P<0.05).After the intervention,the levels of serum FIB and D-dimer in both groups were lower than those in the same group before the intervention,while activated partial thromboplastin time(APTT),prothrombin time(PT),thrombin time(TT),and total score and all dimension scores of ESCA were longer or higher than those in the same group before the intervention.The levels of serum FIB and D-dimer in the observation group were lower than those in the control group,while APTT,PT,TT,and total score and all dimension scores of ESCA in the observation group were longer or higher than those in the control group(P<0.05).Conclusion The self-management model based on“Internet+”can reduce the incidence of DVT after hip replacement in the elderly,improve their coagulation indicators,and enhances self-management ability.

关 键 词：老年 髋关节置换术 互联网+ 自我管理模式 深静脉血栓 凝血指标 

分 类 号：R47[医药卫生—护理学]