【摘要】 目的 探讨前馈控制管理模式预防缺血性脑卒中合并房颤患者深静脉血栓（DVT）的效果。方法 采用便利抽样法，选取郑州大学第五附属医院心血管内科及神经内科住院接受治疗的缺血性脑卒中合并房颤患者为干预对象，将2023-01—06住院号偶数患者分为对照组，住院号奇数患者分为实验组，每组各58例。对照组采用常规护理，实验组在对照组的基础上实施前馈控制管理模式，分别在干预前及出院时对患者行彩超检查，并用DVT预防措施依从性量表及日常生活活动能力量表进行评定。结果出院时2组患者DVT发生率比较，实验组低于对照组，差异有统计学意义（χ~2=4.074,P<0.05）;DVT持续时间比较，实验组短于对照组，差异有统计学意义（t=7.160,P<0.05）。出院时2组患者DVT预防措施依从性比较，实验组优于对照组，差异有统计学意义（Z=1 200.000,P<0.05）；日常生活活动能力量表评分比较，实验组高于对照组，差异有统计学意义（t=15.142,P<0.05）。结论 前馈控制管理模式可降低缺血性脑卒中合并房颤患者DVT发生率，提高患者DVT预防措施依从性及日常生活活动能力。更多还原

【Abstract】 Objective To investigate the effect of feedforward control management mode on prevention of deep vein thrombosis(DVT)in patients with ischemic stroke complicated with atrial fibrillation.MethodsBy convenient sampling method, patients with ischemic stroke combined with atrial fibrillation who were hospitalized in the Department of Cardiovascular and Neurology of the Fifth Affiliated Hospital of Zhengzhou University were selected as intervention objects. Patients with even hospitalization numbers from January to June 2023 were divided into control group and patients with odd hospitalization numbers were divided into experimental group, 58 cases in each group. The control group was intervened by routine nursing, while the experimental group was intervened by feedforward control management mode on the basis of the control group. The patients were measured by color ultrasound before intervention and at discharge, and evaluated by DVT preventive measure compliance scale and daily living activity ability scale.ResultsAt discharge, the experimental group showed a reduced incidence of DVT compared to the control group, with a statistically significant difference（ χ~2=4.074, P<0.05）. Additionally, the duration of DVT episodes in the intervention cohort was markedly shorter(t=7.160, P<0.05). By the time of discharge, patients in the experimental group demonstrated higher adherence to DVT prevention protocols than those in the control group, with a statistically significant difference(Z=1 200.000, P<0.05). The experimental group achieved higher scores on activities of daily living(ADL)scale compared to the control group, the difference was statistically significant(t=15.142,P<0.05).ConclusionFeedforward control management mode can reduce the incidence of DVT in stroke patients with atrial fibrillation, and improve the adherence to DVT prevention protocols and the ability of daily living.更多还原