摘要
目的探讨基于结构-过程-结果三维质量评价的延续性护理对下肢DVT患者华法林抗凝知识掌握率及自我管理能力的影响.方法选取2017年11月—2019年2月河南省南阳南石医院收治的DVT患者120例,随机分为对照组和观察组,每组60例.对照组采取常规护理,观察组采取基于结构-过程-结果三维质量评价的延续性护理,比较两组患者华法林抗凝知识掌握率、治疗依从性和自我管理能力.结果观察组患者华法林知识掌握率85.00%,对照组66.67%,两组比较差异有统计学意义(χ^2=5.502,P<0.05).观察组治疗依从性90.00%,对照组71.67%,差异有统计学意义(χ^2=6.508, P<0.05).干预1个月后,观察组组患者自我效能(19.90±2.11)分、饮食管理(22.02±2.17)分、运动管理(20.57±1.83)分,自我管理能力均高于对照组,差异有统计学意义(t值分别为10.294、9.452、4.929;P<0.05).结论出院DVT患者应用基于结构-过程-结果三维质量评价的延续性护理可提高华法林抗凝知识掌握率,提高治疗依从性,改善自我管理能力.
Objective To study the effect of continuous nursing based on structure-process-results three-dimensional quality evaluation on the knowledge mastering rate about warfarin anticoagulant therapy and self-management ability in patients with lower extremity deep vein thrombosis(DVT).Methods A total of 120 DVT patients admitted in Nanyang Nanshi Hospital,He'nan Province from November 2017 to February 2019 were selected and randomly divided into the control group and observation group with 60 cases in each group.The control group was given routine nursing care while the observation group was given the continuous nursing care based on the structure-process-outcome three dimensional quality evaluation.The two groups were compared in terms of the knowledge mastering rate,treatment compliance and self-management ability about warfarin anticoagulant therapy.Results The warfarin knowledge mastering rate in the observation group was 85.00%,and 66.67%in the control group,the difference between the two groups was statistically significan(χ^2=5.502,P<0.05).The treatment compliance in the observation group was 90.00%,and 71.67%in the control group,the difference between the two groups was statistically significan(χ^2=6.508,P<0.05).One month after intervention,the score of self-efficacy of the patients in the observation group was(19.90±2.11),diet management wa(s 22.02±2.17),exercise management wa(s 20.57±1.83),as well as the score of self-management ability were all higher than the control group with statistical differences(t=10.294,9.452,4.929;P<0.05).Conclusions Continuous nursing based on structure-process-outcome three-dimensional quality evaluation in discharged patients with DVT can improve the mastery rate of warfarin anticoagulant knowledge,strengthen treatment compliance and improve self-management ability.
作者
王玮
Wang Wei(Nursing Department,Nanshi Hospital of Hanyang,He'nan Province,Nanyang 473000,China)
出处
《中华现代护理杂志》
2019年第29期3830-3834,共5页
Chinese Journal of Modern Nursing
关键词
深静脉血栓形成
延续性护理
华法林
抗凝
结构-过程-结果三维质量评价
依从性
自我管理
Deep vein thrombosis formation
Continuous nursing care
Warfarin
Anticoagulants
Structure-process-outcome three dimensional quality evaluation
Compliance
Self-management
作者简介
通信作者:王玮,Email:nsyypxb@163.com。
