基于行动研究法的护理干预在预防胸腔镜手术病人下肢深静脉血栓中的应用

    The application value of nursing intervention based on action research method in preventing deep vein thrombosis of the lower extremities in patients treated with thoracoscopic surgery

    • 摘要:
      目的: 探讨基于行动研究法的护理干预对胸外手术病人下肢深静脉血栓、下肢水肿、血凝指标、住院时间等方面的影响。
      方法: 选取胸外科手术病人80例为研究对象, 根据数字随机法分为观察组40例,对照组40例。对照组术后给予常规健康教育、术后床上抬高下肢、踝泵运动等常规护理干预;观察组实施基于行动研究法的护理干预。比较2组不同时间节点的血浆D-二聚体(D-D)、血栓形成前兆相关症状发生率、住院时间及病人满意度等指标。
      结果: 观察组术后1 d及术后4 d的血浆D-D水平均明显低于对照组(P < 0.05);观察组病人发生皮肤发红、下肢水肿、下肢疼痛等症状分别为1、3、1例次,均低于对照组的4、8、5例次,但2组差异无统计学意义(P > 0.05)。观察组对血栓相关知识的知晓率、知晓程度以及满意度均优于对照组(P < 0.05 ~ P < 0.01),观察组的住院时间短于对照组(P < 0.05)。
      结论: 基于行动研究法护理干预有助于预防胸腔镜手术病人术后血栓的发生,降低血栓形成前兆相关症状,可明显缩短住院时间,提升了病人对护理工作的满意度。

       

      Abstract:
      Objective To explore the effects of nursing interventions based on action research on lower limb deep vein thrombosis, lower limb edema, coagulation indicators and length of hospital stay in patients treated with thoracic surgery.
      Methods Eighty patients treated with thoracic surgery were selected as the research subjects, and divided into the observation group (40 cases) and control group (40 cases) according to the digital randomization method. The routine health education, postoperative bed elevation of the lower limbs, ankle pump exercise and other routine nursing interventions were given in the control group after the operation. The nursing intervention based on the action research method was implemented in the observation group. The indicators such as plasma D-dimer (D-D), incidence of symptoms related to thrombosis precursors, length of hospital stay and patient satisfaction at different time points were compared between two groups.
      Results The plasma D-D levels in the observation group were significantly lower than those in the control group after 1 and 4 days of operation (P < 0.05). The incidences of skin redness, lower limb edema and lower limb pain in the observation group patients were in 1 case, 3 cases, and 1 case, respectively, which were lower than whose in control group (4, 8, and 5 cases), but the difference between two groups was not statistically significant (P > 0.05). The awareness rate, level and satisfaction of thrombosis related knowledge in the observation group were better than those in the control group (P < 0.05 ~ P < 0.01), and the hospitalization time of the observation group was shorter than that of control group (P < 0.05).
      Conclusions Nursing intervention based on the action research method is helpful to prevent the occurrence of postoperative thrombosis in patients treated with thoracoscopic surgery, reduce the related symptoms of thrombosis precursors, significantly shorten the length of hospital stay, and improve patients' satisfaction with nursing work.

       

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