预警干预方案联合自我肯定性训练对髋部骨折患者下肢静脉血栓发生率的影响  

Effect of predictive early warning intervention program combined with self-positive bias training on the incidence of lower limb venous thrombosis in patients with hip fractures

作　　者：蒋莹 韩静 罗菲 武桂芳[1] JIANG Ying;HAN Jing;LUO Fei(Department of Orthopaedics,Ziyang Central Hospital,Sichuan,Ziyang 641300,China)

机构地区：[1]四川省资阳市第一人民医院骨科,641300

出　　处：《河北医药》2025年第3期424-427,共4页Hebei Medical Journal

基　　金：资阳市医学科学课题(编号:KY2023084)。

摘　　要：目的分析预见性预警干预方案联合自我肯定性训练对髋部骨折患者下肢静脉血栓发生率的影响。方法研究对象选取2021年6月至2023年6月收治的184例髋部骨折,分为对照组和试验组,每组92例。对照组给予常规干预联合自我肯定性训练,试验组给予预见性预警干预方案联合自我肯定性训练。评估比较2组下肢静脉血栓、骨折愈合、住院时间、髋关节功能、心理弹性、自我效能、满意度。结果与对照组比较,试验组下肢静脉血栓发生率较低,骨折愈合、住院时间较短,总满意度较高,差异有统计学意义(P<0.05)。干预后2组畸形、疼痛程度、关节功能、关节活动、坚韧、乐观、力量、GSES评分均上升,且试验组较高,差异有统计学意义(P<0.05)。结论髋部骨折患者采用预见性预警干预方案联合自我肯定性训练干预后下肢静脉血栓发生率降低,骨折愈合时间缩短,髋关节功能改善,心理弹性、自我效能增强。Objective To analyze the effect of predictive early warning intervention program combined with self-positive bias training on the incidence of lower limb venous thrombosis in patients with hip fractures.Methods A total of 184 cases of hip fractures admitted to our hospital from June 2021 to June 2023 were randomly divided into the control group(92 cases,routine intervention combined with self-positive bias training)and the experimental group(92 cases,predictive early warning intervention program combined with self-positive bias training).Lower extremity venous thrombosis,fracture healing,length of stay,hip function,mental resilience,self-efficacy and satisfaction were evaluated and compared between the two groups.Results Compared with the control group,patients in the experimental group had significantly lower incidence of venous thrombosis,shorter time to fracture healing and length of stay,and higher overall satisfaction(P<0.05).After intervention,deformities,pain degree,joint function,joint movement,toughness,optimism,strength and the General Self-Efficacy Scale(GSES)scores significantly increased in both groups,which were significantly higher in the experimental group than the control group(P<0.05).Conclusion The intervention of predictive early warning intervention program combined with self-positive bias training decreases the incidence of lower limb vein thrombosis,shortens fracture healing time,and improves hip joint function,mental resilience and self-efficacy.

关 键 词：预见性预警干预方案 自我肯定性训练 髋部骨折 下肢静脉血栓 

分 类 号：R683.3[医药卫生—骨科学]