Application and Effect Evaluation of Integrated Intervention of Multiple Follow-up Methods in Discharged Patients with High Risk of Surgical Venous Thromboembolism
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摘要:
目的 探讨多种随访方式整合干预对静脉血栓栓塞症高风险出院患者的应用效果。 方法 选取昆明市延安医院普外二科病房192例患者为研究对象，随机分为实验组96例，对照组96例，对照组按医院规定流程进行出院宣教以及出院后的定期电话随访。实验组在对照组的基础上，由随访管理小组对其进行为期3个月的多种随访方式整合干预，观察2组患者3个月后院外预防行为依从性、健康教育有效性、满意度、VTE发生率有无差异。 结果 实验组与对照组在预防行为依从性（t = -14.913，P < 0.001）、健康教育有效性（χ2 = 71.314，P < 0.001）、满意度（t = -12.273，P < 0.001）3个方面存在差异，实验组均高于对照组。VTE的发生率实验组低于对照组（β = 0.22，t = 2.176，P < 0.05）。 结论 多种随访方式整合干预有效降低VTE的发生率，提高患者的生活质量，扩大VTE疾病预防覆盖面，可应用推广。 Abstract:Objective To explore the application effect of integrated intervention with multiple follow-up methods on high-risk discharged patients with venous thromboembolism. Methods A total of 192 patients in the Second Department of General Surgery of Yan’ an Hospital in Kunming were selected as the research objects. They were randomly divided into the experimental group of 96 cases and the control group of 96 cases. In the experimental group, on the basis of the control group, the follow-up management team carried out a 3-month integrated intervention of multiple follow-up methods to observe the compliance of the two groups of patients’ out-of-hospital prevention behaviors, the effectiveness of health education, satisfaction, Whether there is a difference in the incidence of VTE. Results The experimental group and the control group were in compliance with prevention behavior （t = -14.91, P < 0.001）, effectiveness of health education （χ2 = 71.31, P < 0.001）, satisfaction （t = -12.27, P < 0.001）. There are significant differences in these aspects, and the experimental group is significantly higher than the control group. The final incidence of VTE in the experimental group was significantly lower than that in the control group （χ2 = 5.13, P < 0.05）. Conclusion The integrated intervention of multiple follow-up methods can effectively reduce the incidence of VTE, improve the quality of life of patients, and expand the coverage of VTE disease prevention, which can be applied and promoted. -
Key words:
- Follow-up methods /
- Venous thromboembolism /
- Integrated intervention
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表 1 实验组对照组预防行为依从性t检验比较[（
${{\bar x}} \pm s $ ），分]Table 1. Independent sample t-test of prevent behavior in experiment group and control group[（
${{\bar x}} \pm s$ ），point]组别 n 预防行为依从性 t 实验组 96 69.79 ± 10.856 14.913*** 对照组 96 26.04 ± 26.615 与对照组比较，***P < 0.001。 
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表 2 实验组对照组健康教育有效性卡方检验[n（%）]
Table 2. Chi-square test of health education effect in experiment group and control group [n（%）]
组别 n 健康教育有效性 χ2 无效 有效 实验组 96 0 96 71.314*** 对照组 96 52 44 与对照组比较，***P < 0.001。
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表 3 实验组对照组护理满意率t检验比较[（
${{\bar x}}\pm s $ ），分]Table 3. Independent sample t-test of nursing satisfaction in experiment group and control group[（
${{\bar x}}\pm s $ ），point]组别 n 护理满意率 t 实验组 96 18.55 ± 1.569 12.273*** 对照组 96 13.15 ± 4.021 与对照组比较，***P < 0.001。
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表 4 实验组对照组VTE发生率线性回归分析
Table 4. Regression analysis of VTE rate in experiment group and control group
项目 B SE β t 对照组 0.05 0.03 0.22 2.176* 男 0.02 0.03 0.09 0.80 年龄 0.00 0.00 −0.05 −0.27 收入 0.00 0.02 0.03 0.21 F 3.368* R 0.26 回归系数，*P < 0.05。
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