门诊医护患一体化健康促进模式在下肢静脉血栓防控中的应用研究-当代护理-CSCIED科技核心评价数据库-手机版

门诊医护患一体化健康促进模式在下肢静脉血栓防控中的应用研究

Application of outpatient medical-nursing-patient integrated health promotion model in the prevention andcontrol of lower extremity venous thrombosis

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DOI	10.12208/j.cn.20230015
刊名	当代护理 Contemporary Nursing
年，卷(期)	2023, 4(1)
作者	于青*,姜丽丽,范海静,
作者单位	青岛大学附属青岛市中心医院门诊部山东青岛 ; 青岛大学附属青岛市中心医院护理部山东青岛 ; 青岛大学附属青岛市中心医院血管外科山东青岛 ;
摘要	探究门诊医护患一体化健康促进模式在下肢静脉血栓防控中的应用效果。方法选取2021年1月至2021年12月青岛大学附属青岛市中心医院门诊血常规检查报危急值的疑似下肢静脉血栓患者120例作为研究对象。2021年1月至2021年6月门诊就诊58例作为对照组，给予常规健康教育。2021年7月至2021年12月门诊就诊62例作为研究组，给予门诊医护患一体化健康促进干预。比较两组患者下肢静脉血栓发生率、患者门诊护理满意度（LOPSS）、医护合作满意度（NPCS）、患者健康行为（HPLP）情况。结果研究组下肢静脉血栓发生率（8.06%）低于对照组，差异有统计学意义，P＜0.05；护理后，研究组人际关系支持、对护理不满意方面及LOPSS总分均高于对照组，自我实现、压力应对、健康责任、运动行为、营养支持、人际支持等HPLP评分均高于对照组，差异有统计学意义，P＜0.05；研究组医护共同参与病人治疗和护理、医护信息共享、医护相互关心和协作及NPCS总分均高于对照组，差异有统计学意义，P＜0.05。结论门诊医护患一体化健康促进模式可有效防控下肢静脉血栓，改善患者健康行为，降低下肢静脉血栓发生率，并提高医护合作质量，提升患者满意度。
Abstract	Objective: To explore the application effect of outpatient medical-nursing-patient integrated health promotion model in the prevention and control of lower extremity venous thrombosis. Methods: From January 2021 to December 2021, 120 patients with suspected lower extremity venous thrombosis who reported critical value in outpatient blood routine examination of the affiliated qingdao central hospital of qingdao university were selected as the research subjects. From January 2021 to June 2021, 58 outpatients were treated as a control group and given routine health education. From July 2021 to December 2021, 62 outpatients were treated as the research group, and the outpatient doctor-nursing-patient integrated health promotion model was given. The incidence of lower extremity venous thrombosis, patient outpatient la monica-oberst patient satisfaction scalenursing satisfaction (LOPSS), nurse-physician collaboration scale (NPCS), and health promoting lifestyle profile (HPLP) were compared between the two groups. Results The incidence rate of lower extremity venous thrombosis (8.06%) in the study group was lower than that in the control group, the difference was statistically significant, P<0.05; After nursing, the research groups interpersonal support, dissatisfaction with nursing, and LOPSS total scores were higher than those of the control group, and the HPLP scores of self-actualization, stress coping, health responsibility, exercise behavior, nutritional support, and interpersonal support were all higher than those in the control group, and the difference was statistically significant, P<0.05; The joint participation of doctors and nurses in patient treatment and nursing, information sharing between doctors and nurses, mutual concern and cooperation between doctors and nurses, and the total score of NPCS were all higher than those of the control group, and the difference was statistically significant, P<0.05. Conclusion The outpatient medical-nursing-patient integrated health promotion model can effectively prevent and control lower extremity venous thrombosis, improve patients healthy behavior, reduce the incidence of lower extremity venous thrombosis, improve the quality of medical-nursing cooperation, and improve patient satisfaction.
关键词	门诊；医护患一体化；健康促进模式；下肢静脉血栓
KeyWord	outpatient clinic; integration of medical-nursing-patient; health promotion model; lower extremity venous thrombosis
基金项目
页码	45-51

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[1] 马培芳,李素云,余盈,等. 医护一体化健康教育模式预防胃肠癌症患者术后下肢深静脉血栓的效果观察[J]. 护理学报,2016,23(12):70-72.

[2] 中国医师协会介入医师分会,中华医学会放射学分会介入专业委员会,中国静脉介入联盟. 下肢深静脉血栓形成介入治疗规范的专家共识(第2版)[J]. 中华医学杂志,2018,98(23):1813-1821.

[3] 李一桔,倪启超,陆丽华,等. 基于智慧医疗系统的医护患一体化管理模式在预防乳腺癌术后淋巴水肿中的应用[J]. 中国实用护理杂志,2021,37(10):768-774.

[4] 许丽芬,张丽华,拔爱梅,等. 医护一体化构建骨科防栓病房模式的研究[J]. 昆明医科大学学报,2015,36(4):174-176.

[5] Barbara HM, Jacobsen BS, Brooten DA. Re-examination of the psychometric characteristics of the la monica-oberst patient satisfaction scale[J]. Res Nurs Health,1994,17(2):119-125.

[6] 廖春丽,刘艳,湖佩琳,等. 中文版医护合作量表的信效度研究[J]. 护理研究,2014(13):1652-1654.

[7] Pender NJ, Murdaughc L. Health Promotion in Nursing Practice[M].New Jersey:Pearson Prentice Hall, 2006:37.

[8]《中国血栓性疾病防治指南》专家委员会.中国血栓性疾病防治指南[J].中华医学杂志,2018,98(36):2861-2888.

[9] 黄琴,李惠敏,张晓钿. 医护一体化护理模式对卧床患者下肢深静脉血栓发生的影响[J]. 中国实用护理杂志,2019,35(12):920-923.

[10] 马军霞,刘娜. 医护一体化模式对预防老年髋部骨折患者围手术期静脉血栓栓塞症的应用价值[J]. 血栓与止血学,2022,28(1):175-176.

[11] 王钰,徐林燕,周英,等. 企业中青年急性心脑血管事件高危人群健康促进生活方式及影响因素研究[J]. 护理学杂志,2021,36(8):84-86,90.

[12] 曾丽,范天丽,庄泽香,等. 老年共病住院患者健康促进行为与疾病感知、健康信念的相关性[J]. 护理实践与研究,2021,18(17):2534-2537.

[13] 李军歌, 戴付敏, 陈瑞云, 等. 健康促进模式在老年慢病服务中的应用进展[J]. 中国老年学杂志, 2019, 39(4):1009-1012.

[14] Agide FD, Sadeghi R, Garmaroudi G, et al. A systematic re view of health promotion interventions to increase breast cancer screening uptake: from the last 12 years[J]. Eur J Public Health, 2018, 28(6): 1149-1155.

[15] 万丽红,潘俊豪,张小培,等. 健康信念在高血压合并脑卒中患者健康知识与健康行为间的中介效应[J]. 中华行为医学与脑科学杂志,2017,26(9):847-851.

[16] Sorensen G, Mclellan DL, Sabbath EL, et al. Integrating worksite health protection and health promotion: a concep tual model for intervention and research[J]. Prev Med, 2016, 91: 188-196.

引用本文

于青*,姜丽丽,范海静. 门诊医护患一体化健康促进模式在下肢静脉血栓防控中的应用研究 [J]. 当代护理. 2023; 4; (1). 45 - 51.

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