【摘要】 目的探讨健康管理模式对下肢深静脉血栓出院患者的效果。方法方便选择2015年6月—2016年5月入住该院血管外科100例深静脉血栓患者按入院编号分为实验组50例和对照组50例,实验组患者采用连贯不间断的1年跟踪健康管理模式进行健康指导,对照组患者采用常规出院健康指导。对比遵医依从性及并发症。结果实验组患者复查凝血及穿弹力袜的依从性明显高于对照组患者,其中,实验组出院6个月复查凝血依从性84%、1年为80%,对照组分别为56%、50%;实验组出院6个月穿弹力袜依从性92%、1年为86%,对照组分别为48%、44%。血栓形成后综合征(PTS)的发生率4%低于对照组患者14%,差异有统计学意义(P<0.05),而两组患者口服抗凝药的依从性、出血及复发的并发症差异无统计学意义(P>0.05)。出院1年后Villata评分1~4分对照组有16例,实验组有12例(P>0.05),Villata评分总分值对照组(69±8.3)分,实验组(35±6.5)分(P<0.05)。结论下肢深静脉血栓患者出院后继续跟踪健康管理可提高患者的遵医行为,降低PTS,减轻PTS症状。更多还原

【Abstract】 Objective To study the effect of health management model in discharge patients with deep vein thrombosis.Methods 100 cases of patients with deep vein thrombosis admitted and treated in our hospital from June 2015 to May 2016 were convenient selected and divided into two groups with 50 cases in each according to the admission order, the experimental group adopted the trace health management model of consecutive 1 year for health guidance, while the control group adopted the routine discharge health guidance, and the compliance with medical treatment and complications were compared between the two groups. Results The compliance with review of blood coagulation and wearing stretch hose in the experimental group was obviously higher than that in the control group, and after 6-month and 1-year discharge, the compliance with review of blood coagulation in the experimental group and in the control group was respectively 84%, 80% and 56%and 50%, and the compliance with wearing stretch hose in the experimental group and in the control group was respectively92%, 86% and 48% and 44%, and the incidence rate of PTS was lower than that in the control group(4% vs 14%), and the difference was statistically significant(P<0.05), and the differences in the compliance with oral administration of anticoagulant drugs, bleeding and recurrent complications were not statistically significant(P>0.05), after 1-year discharge, in the control group, there were 16 cases whose Villata score was 1 to 4 points and 12 cases whose Villata score was 1 to 4 points,(P >0.05), and the total scores of Villata in the control group and in the experimental group were respectively(69 ±8.3)points and(35±6.5) points(P<0.05). Conclusion The trace health management of patients with deep vein thrombosis after discharge can improve the compliance with doctors, reduce the PTS and relieve the PTS symptoms.更多还原