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护士主导的患者培训可提高深静脉血栓形成知识和自我护理实践能力。

Nurse-led patient training improves deep vein thrombosis knowledge and self-care practices.

作者信息

Serpici Ayşe, Gürsoy Ayla

机构信息

Karadeniz Technical University, Faculty of Health Sciences, Nursing Department, Surgical Nursing, Trabzon, Turkey.

Cyprus International University, Faculty of Health Sciences, Nursing Department, Surgical Nursing, Lefkoşa, Turkish Republic of Northern Cyprus.

出版信息

J Vasc Nurs. 2018 Jun;36(2):53-63. doi: 10.1016/j.jvn.2018.03.002. Epub 2018 Apr 22.

Abstract

The study focused on assessing the effect of nurse-led deep vein thrombosis prevention training on patients' knowledge and self-care practices. Forty patients participated in this quasi-experimental study. Participants were trained by the guidebook prepared by the researchers before the surgery. Data were collected with Autar Deep Vein Thrombosis Risk Assessment Scale and questionnaires before and after the training. The questionnaires were prepared by the researcher. Data were evaluated with Mann-Whitney U, Wilcoxon, Kruskal-Wallis variance analysis, significance of difference test between two means, and one-way variance analysis tests. The average deep vein thrombosis knowledge score was 0.1 ± 0.5 over 54 before the training, whereas it was 20.2 ± 5.7 after the training, and there was a statistically significant difference in patients' deep vein thrombosis knowledge scores after training period (P = .000). Patients performed an average of 8.8 out of 13 protective self-care practices during the postsurgery period. The majority of the patients were satisfied with the training. The training provided by the nurse contributed to the fact that the patients had knowledge about their own health problems and took responsibility for self-care. We have not been able to increase the awareness we want on some groups such as those older than 52 years. Other studies should be carried out, especially in these groups, with different training methods.

摘要

该研究聚焦于评估由护士主导的深静脉血栓形成预防培训对患者知识及自我护理行为的影响。40名患者参与了这项准实验研究。在手术前,参与者接受了研究人员编写的指南培训。在培训前后,使用Autar深静脉血栓形成风险评估量表及问卷收集数据。问卷由研究人员编制。数据采用曼-惠特尼U检验、威尔科克森检验、克鲁斯卡尔-沃利斯方差分析、两均值差异显著性检验及单因素方差分析进行评估。培训前,深静脉血栓形成知识平均得分在54分中为0.1±0.5,而培训后为20.2±5.7,培训期后患者的深静脉血栓形成知识得分存在统计学显著差异(P = 0.000)。术后期间,患者在13项保护性自我护理行为中平均执行了8.8项。大多数患者对培训感到满意。护士提供的培训促使患者了解自身健康问题并对自我护理负责。我们未能提高52岁以上等某些群体的预期意识。应开展其他研究,尤其是针对这些群体,采用不同的培训方法。

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