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健康教育路径在脑卒中并发急性下肢深静脉血栓形成患者康复期中的应用
健康教育路径在脑卒中并发急性下肢深静脉血栓形成患者康复期中的应用
舒丽娟 周富 吴春兰
成都医学院第一附属医院康复医学系
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摘????要:
目的 观察健康教育路径在脑卒中并发急性下肢深静脉血栓形成 (DVT) 患者康复期中的护理效果。方法取2014年12月至2016年10月医院收治脑卒中并发急性下肢DVT患者70例, 随机数字法分为对照组 (n=35) 和观察组 (n=35) 。对照组采用常规方法护理, 观察组在对照组基础上联合健康教育路径护理, 比较两组护理效果。结果观察组护理后健康教育掌握率为94.29%, 对照组为80.00% (P0.05) ;2组护理前PT、a PTT及Fbg水平比较差异无统计学意义 (P0.05) ;观察组护理后PT、a PTT水平, 高于对照组 (P0.05) ;观察组Fbg水平, 低于对照组 (P0.05) 。结论 脑卒中并发急性下肢DVT患者康复期在常规护理基础上联合健康教育路径护理可改善其高凝状态。
关键词:
健康教育路径; 脑卒中; 深静脉血栓形成;
收稿日期:2017-03-20
Application of Health Education Pathway in Patients with Stroke Complicated with Acute Lower Extremitydeep Venous Thrombosis
SHU Li-juan ZHOU Fu WU Chun-lan
Department of Rehabilitation Medicine, First Affiliated Hospital of Chengdu Medical College;
Abstract:
Objective To observe the nursing effect of health education pathway in the rehabilitation of patients with acute deep vein thrombosis complicated with stroke. Methods From December 2014 to October2016, 70 patients with acute deep venous thrombosis were treated with stroke. The random number method was divided into control group ( n = 35) and observation group ( n = 35) . The control group was treated by routine method. The observation group was combined with the health education path nursing on the control group, and the nursing effect was compared. Results The control rate of health education in the observation group was94. 29% and the control group was 80. 00%. There was significant difference between the two groups ( P 0. 05) . There were significant differences in PT, a PTT and Fbg levels between the two groups ( P 0. 05) . The level of PT and a PTT in the observation group was higher than that in the control group ( P 0. 05) . The level of Fbg in the observation group was lower than that in the control group ( P 0. 05) . Conclusion The rehabilitation of patients with acute deep venous thrombosis in the treatment of stroke is based on routine nursing. The effect of
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