下肢深静脉血栓形成患者介入术后居家血管康复护理方案的构建及应用
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女,硕士在读,护士

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科研项目:南昌大学江西医学院第二附属医院院内资助项目(2023efyN11);中华医学会杂志社护理学科研究课题(CMAPH-NRG2025019)


Construction and application of a home-based vascular rehabilitation nursing program for patients after interventional treatment for deep vein thrombosis of the lower extremities
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    摘要:

    目的 构建下肢深静脉血栓形成患者介入术后居家血管康复护理方案,并评价其应用效果。 方法 采用便利抽样法,选取96例接受介入治疗的下肢深静脉血栓形成患者作为研究对象。将2024年1-6月入组患者列为对照组(n=48),接受常规出院指导和随访;2024年7-12月入组患者列为干预组(n=48),在对照组基础上构建并实施基于健康行为改变整合理论的居家血管康复护理方案。比较两组患者出院后1、3、6个月的深静脉血栓知信行、自我管理、运动效能及服药依从性得分,并统计6个月内并发症发生率。 结果 最终对照组47例、干预组45例完成研究。干预组在出院1、3、6个月的知信行、自我管理、运动效能及服药依从性得分显著高于对照组,两组比较的组间效应、时间效应及交互效应差异有统计学意义(均P<0.05)。干预组出院6个月内并发症总发生率显著低于对照组(P<0.05)。 结论 实施基于健康行为改变整合理论的居家血管康复护理方案,可有效提升下肢深静脉血栓介入术后患者的疾病认知、自我管理能力、运动效能及服药依从性,降低并发症发生率,促进患者居家康复。

    Abstract:

    Objective To develop a home-based vascular rehabilitation nursing program for patients after interventional therapy for lower extremity deep vein thrombosis (DVT) and to evaluate its application effects. Methods A total of 96 patients with DVT were selected by convenience sampling.Patients enrolled from January to June 2024 served as the control group (n=48) and received the routine discharge guidance and follow-up.Patients enrolled from July to December 2024 were assigned to the intervention group (n=48), for whom a home-based vascular rehabilitation nursing program based on Integrated Theoryof Health Behavior Change (ITHBC) theory was constructed and implemented on the basis of the control group′s regimen.Knowledge, attitude, and practice (KAP) related to DVT, self-management, exercise self-efficacy, and medication adherence scores were compared between the two groups at 1, 3, and 6 months after discharge.The incidence of complications within 6 months was also recorded. Results Ultimately, 47 patients in the control group and 45 in the intervention group completed the study.The intervention group demonstrated significantly higher scores in KAP, self-management, exercise self-efficacy, and medication adherence than the control group at 1, 3, and 6 months after discharge. The intergroup, time and interaction effects differed significantly between the two groups (all P<0.05).The total incidence of complications in the intervention group within 6 months after discharge was significantly lower than that in the control group (P<0.05). Conclusion The implementation of the home-based vascular rehabilitation nursing program based on the ITHBC theory can effectively enhance disease knowledge, self-management ability, exercise self-efficacy, and medication adherence in patients after interventional therapy for lower extremity DVT, reduce the incidence of complications, and promote home rehabilitation.

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彭菲津,王淑贞,杨玉金,郑春艳,蒋喜露,周为民,彭翔,王芸姣,李睿,张娜.下肢深静脉血栓形成患者介入术后居家血管康复护理方案的构建及应用[J].护理学杂志,2026,41(3):94-99

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  • 收稿日期:2025-09-16
  • 最后修改日期:2025-11-09
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  • 在线发布日期: 2026-03-09