基于授权赋能理论的功能锻炼预防剖宫产术后下肢深静脉血栓形成的效果
Effect of functional exercise based on empowerment theory on the prevention of lower extremity deep venous thrombosis after cesarean section
白贝 1马小凤1
作者信息
- 1. 西安安琪儿妇产医院,陕西西安,710000
- 折叠
摘要
目的 探究基于授权赋能理论的功能锻炼预防剖宫产术后下肢深静脉血栓形成(DVT)的效果.方法 选取2021年3月至2022年3月于本院行剖宫产术的98例产妇为研究对象,以随机数字表法将其分为对照组和研究组,各49例.对照组接受常规产后功能锻炼,研究组开展基于授权赋能理论的功能锻炼.比较两组预防效果.结果 术前,两组的血小板计数(PLT)、凝血酶时间(TT)、凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)及纤维蛋白原(FIB)水平比较,差异无统计学意义(P＞0.05);术后7 d,两组的PLT及FIB水平均降低,TT、PT及APTT均延长,且研究组优于对照组,差异具有统计学意义(P＜0.05).研究组的下肢DVT发生率为4.08％,低于对照组的16.33％,差异具有统计学意义(P＜0.05).研究组的并发症总发生率为8.16％,低于对照组的24.49％,差异具有统计学意义(P＜0.05).研究组的护理满意度为95.92％,高于对照组的79.59％,差异具有统计学意义(P＜0.05).结论 基于授权赋能理论的功能锻炼对预防剖宫产术后下肢DVT的形成有积极作用,能有效改善剖宫产产妇术后血液循环,降低术后并发症发生率,提高护理满意度.
Abstract
Objective To explore the effect of functional exercise based on empowerment theory on the prevention of lower extremity deep venous thrombosis(DVT)after cesarean section.Methods From March 2021 to March 2022,98 parturients undergoing cesarean section in our hospital were selected as the research objects,and the parturients were divided into control group and study group by random number table method,with 49 cases in each group.The control group received routine postpartum functional exercise,and the study group carried out functional exercise based on empowerment theory.The preventive effects of the two groups were compared.Results Before operation,there were no significant differences in platelet count(PLT),thrombin time(TT),prothrombin time(PT),activated partial thromboplastin time(APTT)and fibrinogen(FIB)levels between the two groups(P＞0.05);at 7 d after operation,the levels of PLT and FIB in the two groups decreased,and the TT,PT and APTT prolonged,and those in the study group were better than the control group,and the differences were statistically significant(P＜0.05).The incidence of lower extremity DVT in the study group was 4.08％,which was lower than 16.33％in the control group,and the difference was statistically significant(P＜0.05).The total incidence of complications in the study group was 8.16％,which was lower than 24.49％in the control group,and the difference was statistically significant(P＜0.05).The nursing satisfaction of the study group was 95.92％,which was higher than 79.59％of the control group,and the difference was statistically significant(P＜0.05).Conclusion Functional exercise based on the empowerment theory has a positive effect on preventing the formation of lower extremity DVT after cesarean section.It can effectively improve the blood circulation after cesarean section,reduce the incidence of postoperative complications and elevate nursing satisfaction.
关键词
授权赋能理论/功能锻炼/剖宫产术/下肢深静脉血栓/凝血功能Key words
empowerment theory/functional exercise/cesarean section/lower extremity deep venous thrombosis/coagulation function引用本文复制引用
出版年
2024
NETL
NSTL
万方数据