Volume 42 Issue 6
Jul.  2021
Turn off MathJax
Article Contents
Ying YANG, Ren-lan LI, Lei SONG, Bin HE, Dong-mei ZHUANG. Application and Effect Evaluation of Integrated Intervention of Multiple Follow-up Methods in Discharged Patients with High Risk of Surgical Venous Thromboembolism[J]. Journal of Kunming Medical University, 2021, 42(6): 170-174. doi: 10.12259/j.issn.2095-610X.S20210636
Citation: Ying YANG, Ren-lan LI, Lei SONG, Bin HE, Dong-mei ZHUANG. Application and Effect Evaluation of Integrated Intervention of Multiple Follow-up Methods in Discharged Patients with High Risk of Surgical Venous Thromboembolism[J]. Journal of Kunming Medical University, 2021, 42(6): 170-174. doi: 10.12259/j.issn.2095-610X.S20210636

Application and Effect Evaluation of Integrated Intervention of Multiple Follow-up Methods in Discharged Patients with High Risk of Surgical Venous Thromboembolism

doi: 10.12259/j.issn.2095-610X.S20210636
  • Received Date: 2021-03-26
    Available Online: 2021-07-09
  • Publish Date: 2021-07-21
  •   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.
  • loading
  • [1]
    中华医学会外科学分会血管外科学组. 深静脉血栓形成的诊断和治疗指南[J]. 中国血管外科杂志:电子版,2013,5(1):23-26.
    [2]
    Heit J A,Crusan D J,Ashrani A A,et al. Effect of a near-universal hospitalization-based prophylaxis regimen on annual number of venous thromboembolism events in the US[J]. Blood,2017,130(2):109-114. doi: 10.1182/blood-2016-12-758995
    [3]
    Stubbs J M,Hassan A,Jennifer C,et al. Variation in the incidence and timing of diagnosis of hospital‐associated venous thromboembolism using linked administrative data[J]. Internal Medicine Journal,2018,48(9):1137-1141. doi: 10.1111/imj.14019
    [4]
    邵翔,司超增,甄凯元,等. 医院相关性静脉血栓栓塞症的临床特征及相关危险因素分析[J]. 中华医学杂志,2020,100(20):1539-1543. doi: 10.3760/cma.j.cn112137-20200223-00407
    [5]
    赵梦华,石建平. 静脉血栓栓塞症治疗的研究进展[J]. 中国心血管病研究,2014,10(12):953-955.
    [6]
    崔釜萍,王春玲. 住院患者深静脉血栓形成的预防进展[J]. 中国心血管病研究,2015,13(3):208-211. doi: 10.3969/j.issn.1672-5301.2015.03.005
    [7]
    中华医学会血栓栓塞性疾病防治委员会. 医院内静脉血栓栓塞症预防与管理建议[J]. 中华医学杂志,2012,92(40):2816-2819. doi: 10.3760/cma.j.issn.0376-2491.2012.40.004
    [8]
    Cohen A T,Tapson V F,Bergmann J F. Venous thromboembolism risk and prophylaxis in the acute hospital care setting(ENDORSE study)[J]. Lancet,2008,371(9628):1914-1914.
    [9]
    Hsing-Ting Y,Dylan M L,Lin J,et al. Hospitals’ compliance with prophylaxis guidelines for venous thromboembolism[J]. Am J Health Syst Pharm,2007,卷(1):69-76.
    [10]
    中华医学会呼吸病学分会肺栓塞与肺血管病学组,中国医师协会呼吸医师分会肺栓塞与肺血管病工作委员会,全国肺栓塞与肺血管病防治协作组. 肺血栓栓塞症诊治与预防指南[J]. 中华医学杂志,2018,98(14):1060-1087. doi: 10.3760/cma.j.issn.0376-2491.2018.14.007
    [11]
    Acute N C G C,Conditions C. Venous Thromboembolism:Reducing the Risk of Venous Thromboembolism(Deep Vein Thrombosis and Pulmonary Embolism)in Patients Admitted to Hospital[J]. Bmj,2010,334(334):1053-4.
    [12]
    Kahn S R,Lim W,Dunn A S,et al. Prevention of VTE in nonsurgical patients:Antithrombotic Therapy and Prevention of Thrombosis,9th ed:American College of Chest Physicians Evidence-Based Clinical Practice Guidelines[J]. Chest,2012,141(2):e195 S. doi: 10.1378/chest.11-2296
    [13]
    Caprini J A. Thrombosis risk assessment as a guide to quality patient care[J]. Dis Mon,2005,51(2-3):70-78. doi: 10.1016/j.disamonth.2005.02.003
    [14]
    唐颖,郭庆山,赵玉峰,等. 创伤骨折并发下肢深静脉血栓的危险因素分析[J]. 中华创伤杂志,2010,26(12):1122-1125.
    [15]
    徐周纬,万圣云,丁洋,等. 高血压与下肢深静脉血栓形成的相关性研究[J]. 中国现代医学杂志,2010(22):129-131.
    [16]
    杨媛华,郭晓娟,翟振国,等. 急性肺栓塞患者深静脉血栓形成的危险因素分析[J]. 中华流行病学杂志,2008,29(7):716-719. doi: 10.3321/j.issn:0254-6450.2008.07.023
    [17]
    中华医学会外科学分会血管外科学组. 深静脉血栓形成的诊断和治疗指南(第三版)[J]. 中华血管外科杂志,2017,2(4):201-208.
    [18]
    谭峰,曹允芳,许翠萍,等. 住院患者健康教育评价体系研究进展[J]. 中华护理教育,2011,8(12):571-572. doi: 10.3761/j.issn.1672-9234.2011.12.018
    [19]
    Johnson M,Maas M. The Nursing Outcomes Classification[J]. Journal of Nursing Care Quality,1998,12(5):85-87.
    [20]
    Crispin J,Angela C,Stephen B. The Picker Patient Experience Questionnaire:development and validation using data from in-patient surveys in five countries[J]. Int J Qual Health Care,2002(5):353-358.
    [21]
    Simon,Frostick. Pharmacological thromboprophylaxis and total hip or knee replacement[J]. British Journal of Nursing,2016,25(1):45-53. doi: 10.12968/bjon.2016.25.1.45
    [22]
    Cheng S H,Yang M C,Tung-Liang C. Patient satisfaction with and recommendation of a hospital:effects of interpersonal and technical aspects of hospital care[J]. International Journal for Quality in Health Care,2003(4):4.
    [23]
    Arshad S,Andrabi H,Masooda S. Measuring patients satisfaction:a cross sectional study to improve quality of care at a tertiary care hospital[J]. East African Journal of Public Health,2012,9(1):26-28.
  • Relative Articles

    [1] Bin LIN, Kai ZHANG, Jie WANG, Xinmin CHEN. Changes and Significance of D-D,F1+2 and P-selectin in Patients with Acute Deep Venous Thrombosis of Lower Extremities before and after Catheter-thrombolysis. Journal of Kunming Medical University, 2024, 45(1): 93-99.  doi: 10.12259/j.issn.2095-610X.S20240116
    [2] Binbin MA, Ning WANG, Jianping LIU, Kaiquan ZHANG, Yongli GAO, Gaohui LI, Chen ZHANG. Risk Factors of Deep Vein Thrombosis after Soft Tissue Trauma of Lower Extremities. Journal of Kunming Medical University, 2023, 44(8): 110-116.  doi: 10.12259/j.issn.2095-610X.S20230817
    [3] Juli SHEN, Huifang JIA, Mei GAO, Jinmei DUAN, Ping LIU, Zuyan SUN, Huixian LIN. Application of Cluster Nursing based on Risk Assessment in Prevention of Deep Vein Thrombosis of Lower Extremity after Total Hysterectomy. Journal of Kunming Medical University, 2022, 43(2): 160-165.  doi: 10.12259/j.issn.2095-610X.S20220212
    [4] Jie WU, Jun LIU, Yan ZHANG, Li REN, Yan-li DANG. The Mechanism of Histones and TLRs in Venous Thrombotic Diseases. Journal of Kunming Medical University, 2021, 42(5): 165-169.  doi: 10.12259/j.issn.2095-610X.S20210530
    [5] Yang Ying , He Bin , Zhuang Dong Mei , Song Lei , Gu Yan Hua , Li Cai E , Li Xia . . Journal of Kunming Medical University, 2020, 41(07): 175-178.
    [6] Zhuang Nai Jun , Di Xiao Dong , Wan Hong Yan , Fu Deng Li , Zhang Li Li . The Analysis of Missed Diagnosis and Misdiagnosis in the First Imaging Diagnosis of Cerebral Venous Thrombosis. Journal of Kunming Medical University, 2018, 39(01): 118-122.
    [7] Yuan Ying , Li Yuan Yuan , Guo Fang Yuan , Yang Hong Ying . D-dimer Monitoring and Application of Low Molecular Weight Heparin in Prevention of Venous Thrombotic Disease after Gynecological Operation. Journal of Kunming Medical University, 2017, 38(04): 109-112.
    [8] Dong Zhong Li . Monocytes/Macrophages Promote Venous Thrombosis Organization and Recanalization:Mechanism and Research Progress. Journal of Kunming Medical University,
    [9] Liu De Hong , Shao Ju Wei , Xiang Shu Tian , Liu Chen , Wang Peng , Li Ying Wen . Comparison of BRAVO Sequence and TRICKS Sequence on Cerebral Venous Sinus Thrombosis. Journal of Kunming Medical University, 2016, 37(11): 121-125.
    [10] Zhang Fu Hou . Research Progress of Galectin in Mchanism of Venous Trombosis. Journal of Kunming Medical University,
    [11] Geng Yu Liu . . Journal of Kunming Medical University,
    [12] Wen Wei . . Journal of Kunming Medical University,
    [13] Wang Hong . . Journal of Kunming Medical University,
    [14] Duo Lin . . Journal of Kunming Medical University,
    [15] Jian Bin . . Journal of Kunming Medical University,
    [16] Bu Rui . . Journal of Kunming Medical University,
    [17] Liu Jun . . Journal of Kunming Medical University,
    [18] . . Journal of Kunming Medical University,
    [19] . The Treatment of Liver Cirrhosis Complicated with Portal Hypertension by Transjugalar Intrahepatic Portosystemic Shunt (a Follow-up Study of 126 Cases). Journal of Kunming Medical University,
    [20] Yang Li Chuan . . Journal of Kunming Medical University,
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(4)

    Article Metrics

    Article views (3035) PDF downloads(5) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return