Construction of deep venous thrombosis nursing intervention model for gastrointestinal cancer patients based on the theory of planned behavior
10.3760/cma.j.issn.1674-2907.2019.26.020
- VernacularTitle:基于计划行为理论的DVT护理干预模型构建及其在胃肠道肿瘤术后患者中的应用
- Author:
Yiping LI
1
;
Haofen XIE
;
Zejun CAI
;
Qinhong XU
;
Jingxia QIU
Author Information
1. 浙江省宁波市第一医院胃肠外科
- Keywords:
Deep venous thrombosis;
Perioperative nursing;
Gastrointestinal neoplasm;
Prevention;
Theory of planned behavior
- From:
Chinese Journal of Modern Nursing
2019;25(26):3389-3394
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To construct a nursing intervention model based on the theory of planned behavio(r TPB), to prevent deep venous thrombosis (DVT) of lower extremities, and to explore its application in patients with gastrointestinal cancer after operation. Methods? By convenience sampling, a total of 163 patients admitted in the Department of Gastrointestinal Surgery, Ningbo First Hospital, Zhejiang Province who underwent gastrointestinal surgeries from January to December in 2018 were selected as the research objects in this study. The 79 patients admitted from January to June in 2018 were taken as the control group and the conventional perioperative DVT prevention nursing care was given. The other 84 patients admitted from July to December in 2018 were taken as the observation group and the TPB based DVT nursing intervention model was adopted. The two groups were compared in terms of the patient's scores in cognition about DVT, postoperative ankle pump movement, quadriceps femoris movement, first out-of-bed activity within 24 hours and compliance with walking target volume within 3 days after surgery, as well as the number of cases of DVT during hospitalization after surgery. Results? The score of DVT knowledge in the observation group was higher than that in the control group; the compliance of ankle pump movement, quadriceps femoris movement and the proportion of patients getting out of bed for the first time within 24 hours after operation in the observation group were higher than those in the control group; the differences between the two groups were statistically significant (P＜0.05). The rate of achieving 500 m walking goal in the observation group was higher than that in the control group 3 days after operation, but there was no significant difference between the two groups (P＞0.05). There were 7 cases of DVT in control group and 1 case in observation group after operation, and there was statistically significant difference between the two groups (P＜0.05). Conclusions? The DVT nursing intervention model based on TPB is helpful to improve the cognitive level of DVT in patients undergoing gastrointestinal cancer surgery, improve the compliance of lower limb activities and early ambulation, and reduce the incidence of DVT after surgery, establish good healthy behavior for patients undergoing gastrointestinal cancer surgery and effectively prevent DVT.
