| 刘倩,黄桂玲,王璇,等.基于健康行为整合理论的VTE自我管理方案在脊柱围手术期病人中的应用.骨科,2025,16(5): 436-441. |
| 基于健康行为整合理论的VTE自我管理方案在脊柱围手术期病人中的应用 |
| Application of venous thromboembolism self-management program based on health behavior integration theory in patients with perioperative spine |
| 投稿时间：2025-03-25 |
| DOI：10.3969/j.issn.1674-8573.2025.05.009 |
| 中文关键词: 健康行为整合理论 静脉血栓栓塞症 自我管理 脊柱 围手术期 |
| 英文关键词: Integrated theory of health behavior Venous thromboembolism Self-management Spine Perioperative period |
| 基金项目:武汉大学中南医院临床护理研究项目（LCHLYJ202312） |
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| 中文摘要: |
| 目的 探讨基于健康行为整合理论的静脉血栓栓塞症（venous thromboembolism，VTE）自我管理方案在脊柱围手术期病人中的应用效果。方法 采用方便抽样法，选取2024年5月至12月拟在我院脊柱外科行手术治疗的112例围手术期病人作为研究对象。将2024年5月至8月收治的56例纳入对照组，实施脊柱外科VTE常规护理；2024年9月至12月收治的56例纳入观察组，在常规护理基础上实施基于健康行为整合理论的VTE自我管理方案。观察两组干预前后功能锻炼的依从性、骨科大手术病人VTE预防的知信行调查问卷得分以及VTE发生率。结果 出院后1个月，观察组病人在功能锻炼依从性、VTE预防知信行水平方面均显著高于对照组（P＜0.05），VTE发生率显著低于对照组（1.89% vs. 15.38%，P=0.014）。结论 基于健康行为整合理论的VTE自我管理方案能够显著增强脊柱围手术期病人的自我管理能力，提高病人的功能锻炼依从性和VTE预防知信行水平，进而有效降低VTE的发生率，具有较好的临床推广价值。 |
| 英文摘要: |
| Objective To explore the application effect of venous thromboembolism (VTE) self-management program based on health behavior integration theory in spinal perioperative patients. Methods Using convenience sampling method, 112 perioperative patients who were scheduled to undergo surgical treatment in our spinal surgery department from May to December 2024 were selected as the research subjects. A total of 56 cases admitted from May to August 2024 were included in the control group and received routine care for spinal surgery VTE; 56 cases admitted from September to December 2024 were included in the observation group and received VTE self-management program based on health behavior integration theory. The compliance of functional exercise before and after intervention in two groups, the scores of the knowledge, attitude, and behavior survey questionnaire on VTE prevention in orthopedic surgery patients, and the incidence of VTE were recorded. Results After intervention, the compliance of functional exercise and the level of knowledge and practice of VTE prevention in the observation group were significantly higher than those in the control group (P＜0.05), and the incidence of VTE in the intervention group was significantly lower than that in the control group (1.89% vs. 15.38%, P=0.014). Conclusion The VTE self-management program based on the theory of health behavior integration can significantly enhance the self-management ability of patients undergoing spinal surgery, improve the functional exercise compliance and the level of knowledge and practice of VTE prevention, and then effectively reduce the incidence of VTE, which has good clinical promotion value. |
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