基于预防性理论导向的干预对骨科手术患者疾病认知、生活质量及深静脉血栓形成的影响  

Effects of Interventions Based on Preventive Theory on Disease Cognition Quality of Life and Deep Venous Thrombosis in Orthopedic Surgery Patients

作　　者：聂鑫晶 NIE Xinjing(Department of Orthopedics and Traumatology,Zhumadian Traditional Chinese Medicine Hospital,Zhumadian,Henan 463000)

机构地区：[1]驻马店市中医院骨伤科,河南驻马店463000

出　　处：《新疆医学》2025年第1期100-104,共5页Xinjiang Medical Journal

摘　　要：目的 探讨基于预防性理论导向的干预对骨科手术患者疾病认知、生活质量及深静脉血栓形成的影响研究。方法病例选取时间为2022年1月-2023年1月,共纳入符合入排标准的患者160例,160例患者在电脑随机分组方式下分为各有80例的对照组以及研究组。对照组接受常规护理,研究组接受基于预防性理论导向的干预,对比两组患者的护理效果。结果焦虑评分、抑郁评分对比,护理前,两组患者的均无差异(P>0.05);护理后,研究组低于对照组(P<0.05)。疾病认知、健康行为评分对,护理前,两组患者的均无差异(P>0.05);护理后,研究组高于对照组(P<0.05)健康促进生活方式量表评分对比,护理前无差异(P>0.05),护理后研究组的承受能力、营养、运动以及社会关系评分均低于对照组(P<0.05)。下肢深静脉血栓、肢体疼痛、肢体肿胀发生率对比,研究组低于对照组(P<0.05)。结论 骨科手术接受基于预防性理论导向的干预,在降低患者发生下肢深静脉血栓、肢体疼痛、肢体肿胀的风险,进一步改善患者对疾病认知程度,促进疾病的好转,达到改善生活质量的目的,此护理方法值得推广。ObjectiveTo explore the impact of preventive theory oriented interventions on disease cognition,quality of life,and deep vein thrombosis in orthopedic surgery patients.MethodThe case selection period was from January 2022 to January 2023,and a total of 160 patients who met the inclusion criteria were included.160 patients were randomly divided into a control group with 80 cases each and a study group under computer randomization.The control group received routine care,while the research group received intervention based on preventive theory.The nursing effects of the two groups of patients were compared.ResultsThere was no difference in anxiety and depression scores between the two groups of patients before nursing(P>0.05);After nursing,the study group was lower than the control group(P<0.05).There was no difference in disease cognition and health behavior scores between the two groups of patients before nursing(P>0.05);After nursing,the study group had higher scores than the control group(P<0.05)on the Health Promotion Lifestyle Scale,but there was no difference before nursing(P>0.05).After nursing,the study group had lower scores on affordability,nutrition,exercise,and social relations than the control group(P<0.05).The incidence of lower limb deep vein thrombosis,limb pain,and limb swelling in the study group was lower than that in the control group(P<0.05).ConclusionOrthopedic surgery receiving intervention based on preventive theory can reduce the risk of lower limb deep vein thrombosis,limb pain,and limb swelling in patients,further improve their understanding of the disease,promote disease improvement,and achieve the goal of improving quality of life.This nursing method is worth promoting.

关 键 词：基于预防性理论导向干预 骨科手术患者 疾病认知 生活质量 深静脉血栓形成 

分 类 号：R473.6[医药卫生—护理学]