术中下肢保温联合计划行为理论DVT护理对结肠切除术患者下肢深静脉血栓形成的影响  

Effect of intraoperative lower limb thermal insulation combined with deep vein thrombosis(DVT)nursing based on the Theory of Planned Behaviour on the incidence of lower limb deep vein thrombosis in patients undergoing colectomy

作　　者：赵永丽 董楠[2] 逯燕[3] 王希方 刘晓庆 Zhao Yongli;Dong Nan;Lu Yan;Wang Xifang;Liu Xiaoqing(Department of Surgical Anesthesiology,Shaanxi Kangfu Hospital,Xi'an 710065,China;Department of Medical Oncology,Shaanxi Provincial People's Hospital,Xi'an 710068,China;Department of Medical Oncology,the First Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710061,China;Department of Tumor Rehabilitation,Shaanxi Kangfu Hospital,Xi'an 710065,China)

机构地区：[1]陕西省康复医院手术麻醉科,西安710065 [2]陕西省人民医院肿瘤内科,西安710068 [3]西安交通大学第一附属医院肿瘤内科,西安710061 [4]陕西省康复医院肿瘤康复科,西安710065

出　　处：《国际护理学杂志》2025年第6期1011-1015,共5页international journal of nursing

基　　金：陕西省自然科学基础研究计划项目(2022JM-601)。

摘　　要：目的研究术中下肢保温联合计划行为理论DVT护理对结肠切除术患者下肢深静脉血栓形成的影响。方法选取2021年12月至2023年12月在陕西省康复医院接受结肠切除术的80例结肠癌患者作为研究对象,根据随机数字表法分为对照组和研究组,每组患者40例,对照组行常规护理,研究组行术中下肢保温联合计划行为理论DVT护理,观察两组患者入组时、术后1 d、术后3 d凝血指标水平及DVT发生率。结果整体分析,两组患者PT、APTT、D-二聚体水平组间、时间、交互差异存在统计学意义(P<0.05)。组间、组内对比,患者入组时PT对比均无显著差异(P>0.05),术后1 d、术后3 d与术前对比均有下降(P<0.05),研究组下降幅度低于对照组(P<0.05);患者入组时APTT对比均无显著差异(P>0.05),术后1 d、术后3 d与术前对比均有下降(P<0.05),研究组下降幅度低于对照组(P<0.05);患者入组时D-二聚体对比均无显著差异(P>0.05),术后1 d、术后3 d与术前对比均有下降(P<0.05),研究组下降幅度低于对照组(P<0.05)。研究组术后DVT发生率低于对照组(P<0.05)。结论术中下肢保温联合计划行为理论DVT护理可有效改善结肠切除术患者凝血指标,降低术后DVT发生风险。ObjectiveTo study the effect of intraoperative lower limb warming combined with deep vein thrombosis(DVT)nursing based on the Theory of Planned Behaviour on lower limb deep vein thrombosis in patients undergoing colectomy.MethodsA total of 80 patients with colon cancer who underwent colectomy in Shaanxi Provincial Rehabilitation Hospital from December 2021 to December 2023 were selected as the research objects.According to the random number table method,they were divided into the control group and the study group,with 40 patients in each group.The control group received routine nursing care,while the study group received intraoperative lower limb thermal insulation combined with DVT nursing based on the Theory of Planned Behavior.The level of coagulation index and the incidence of DVT were observed at the time of admission,1 day and 3 days after operation.ResultsOverall analysis showed that there were statistically significant differences in the level of PT,APTT and D-dimer between groups,time and interaction(P<0.05).In the inter-group and intra-group comparisons,there were no significant differences in PT when patients were enrolled(P>0.05).There was a decrease at 1 day and 3 days after operation compared with that before operation(P<0.05),and the decline was lower in the study group than that in the control group(P<0.05).There was no significant difference in APTT when patients were enrolled(P>0.05).Satistically significant differences were observed on postoperative days 1 and 3 compared with preoperative values(P<0.05),and the decline was lower in the study group than in the control group(P<0.05).There was no significant difference in D-dimer between the two groups at the time of enrollment(P>0.05).Statistically significant differences were observed on postoperative days 1 and 3 compared with preoperative values(P<0.05),and the decline was lower in the study group than that in the control group(P<0.05).The incidence of postoperative DVT in the study group was lower than that in the control group(P<0.05).Conclu

关 键 词：下肢保温护理 计划行为理论DVT护理 结肠癌 结肠切除术 下肢深静脉血栓 

分 类 号：R473.6[医药卫生—护理学]