Application of patient empowerment in early rehabilitation training for patients with deep vein thrombosis after receiving catheter-directed thrombolysis
10.3969/j.issn.1008-794X.2024.05.017
- VernacularTitle:赋权用于下肢深静脉血栓形成导管溶栓治疗患者早期康复活动的效果
- Author:
Huimin ZHANG
1
;
Shiwu YIN
;
Jun CHEN
;
Yingying ZHU
;
Na ZHANG
;
Beibei FAN
Author Information
1. 230011 安徽合肥 安徽医科大学附属合肥医院(合肥市第二人民医院)
- Keywords:
deep vein thrombosis of lower limb;
catheter-directed thrombolysis;
patient empowerment;
early exercise training;
self-efficacy;
readiness for hospital discharge;
quality of life
- From:
Journal of Interventional Radiology
2024;33(5):554-559
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application of patient empowerment in early rehabilitation training for patients with lower extremity deep vein thrombosis(DVT)after receiving catheter-directed thrombolysis(CDT).Methods A total of 110 patients with lower extremity DVT,who were scheduled for CDT therapy,were enrolled in this study.Using random digital table method,the patients were divided into control group(n=55)and intervention group(n=55).Routine rehabilitation activities were implemented for patients of the control group,while patient empowerment-based early rehabilitation training program was carried out for patients of the intervention group.The compliance to rehabilitation exercise,difference of upper/lower patella leg circumference,incidence of complications,duration of catheterization and thrombolysis,and length of hospital stay in both groups were calculated.The Self-Efficacy for Managing Chronic Disease,Chinese version of the Readiness for Hospital Discharge Scale,and the VEnous INsufficiency Epidemiological and Economic Study(VEINES)Quality of Life scale were used to evaluate the rehabilitation results of the patients of two groups.Results There were no significant differences in the duration of catheterization and thrombolysis,incidence of complications,and length of hospital stay between the two groups(all P＞0.05).At the time of discharge,the difference of upper/lower patella leg circumference in the intervention group was remarkably smaller than that in the control group,and the compliance with rehabilitation exercise,the self-efficacy,the readiness for discharge,and the quality of life in 3 months after discharge in the intervention group were strikingly better than those in the control group(all P＜0.05).Conclusion The implementation of patient empowerment in early rehabilitation training for patients with lower extremity DVT after receiving CDT therapy can improve the compliance with rehabilitation exercise,self-efficacy,limb swelling,readiness for discharge,and quality of life after discharge from hospital.(J Intervent Radiol,2024,33:554-559)
