摘要
目的探讨协同护理模式在血栓后综合征患者的应用。方法采用便利抽样法,选取2020年3月至2021年3月于郑州大学第一附属医院血管外科病区收治的98例血栓后综合征的患者作为研究对象。2020年3—8月入院的49例患者作为对照组,实施常规护理;2020年10月至2021年3月的49例患者作为试验组,实施协同护理模式。比较2组患者干预前后血栓后综合征症状、生命质量的差异。结果出院时及出院后1、3个月试验组Villalta临床评分分别为(6.90±1.39)、(6.88±0.67)、(5.67±1.44)分,低于对照组的(7.63±1.35)、(7.45±1.46)、(7.08±1.43)分,差异有统计学意义(t=2.66、2.50、4.87,均P<0.05);试验组静脉功能不全生命质量/症状问卷调查评分分别为(49.39±4.00)、(52.21±4.64)、(57.39±4.44)分,高于对照组的(46.99±3.93)、(48.60±4.13)、(51.48±3.73)分,差异有统计学意义(t=-2.99、-4.06、-7.14,均P<0.01)。重复测量方差分析显示,2组时间效应、组间效应和交互效应显著(F值为3.53~73.15,P<0.05)。结论协同护理模式可改善血栓后综合征患者的临床症状,提升患者生命质量,对血栓后综合征患者的护理有一定的借鉴意义。
Objective To explore the application of collaborative care model on patients with postthrombotic syndrome.Methods From March 2020 to March 2021,98 patients with postthrombotic syndrome admitted to the vascular surgery ward of The First Affiliated Hospital of Zhengzhou University were selected as the research objects by convenient sampling method.Among them,49 patients were admitted to the hospital from March to August 2020 as the control group to implement routine care;49 patients from October 2020 to March 2021 were considered as the experimental group to implement the collaborative care model.The differences in the level of postthrombotic syndrome,quality of life were compared between the two groups before and after intervention.Results The Villalta clinical score at discharge,1 month after discharge,and 3 months after discharge was(6.90±1.39),(6.88±0.67),(5.67±1.44)points respectively,(7.63±1.35),(7.45±1.46)and(7.08±1.43)points,respectively,the difference was significant(t=2.66,2.50,4.87,all P<0.05);the questionnaire scores of Venous Insufficiency Epidemiological and Economic Studies-the Quality of Life/Symptom in the experimental group(VEINES-QOL/SYM)were(49.39±4.00),(52.21±4.64),(57.39±4.44)points,higher than the control group of(46.99±3.93),(48.60±4.13),(51.48±3.73)points,the difference was significant(t=-2.99,-4.06,-7.14,all P<0.05).Repeated measures ANOVA results showed time,intergroup and interaction effects in 2 groups were significant(F values were 3.53 to 73.15,P<0.05).Conclusions The collaborative care model can improve the clinical symptoms of patients with postthrombotic syndrome,and the quality of life of patients.It has certain reference significance for the nursing of patients with postthrombotic syndrome.
作者
宋薇
李星
Song Wei;Li Xing(Department of Vascular Surgery,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;Department of Nursing,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)
出处
《中国实用护理杂志》
2022年第36期2863-2868,共6页
Chinese Journal of Practical Nursing
关键词
血栓后综合征
生活质量
康复护理
协同护理模式
Postthrombotic syndrome
Quality of life
Rehabilitation nursing
Collaborative care model
