本文選題：泌尿外科手術(shù) + 老年人　； 參考：《中華護(hù)理雜志》2013年09期

【摘要】：目的通過(guò)研究發(fā)現(xiàn)影響泌尿外科老年患者下肢活動(dòng)依從性的因素,制訂切實(shí)可行的下肢活動(dòng)方案,預(yù)防患者術(shù)后下肢靜脈血栓的形成。方法在泌尿外科病房選取研究者所在責(zé)任組內(nèi)行手術(shù)治療患者共22例進(jìn)行下肢活動(dòng)指導(dǎo),根據(jù)Lewin提出的行動(dòng)研究框架,以計(jì)劃、行動(dòng)、觀察、反思4個(gè)步驟進(jìn)行螺旋式循環(huán),評(píng)價(jià)活動(dòng)方案的有效性和可行性,采用詢(xún)問(wèn)法評(píng)估患者的依從性。結(jié)果實(shí)踐10周,共完成4輪循環(huán),經(jīng)過(guò)實(shí)踐細(xì)化護(hù)理程序,完善危險(xiǎn)因素評(píng)估表,調(diào)整宣教時(shí)間等,使被干預(yù)患者對(duì)下肢活動(dòng)重要性的認(rèn)知程度和接受程度得到了提高,活動(dòng)的依從性良好。結(jié)論本研究所制訂的下肢活動(dòng)方案經(jīng)過(guò)行動(dòng)研究實(shí)踐的修改及完善,能夠提高患者下肢活動(dòng)的依從性,以預(yù)防深靜脈血栓的發(fā)生。
[Abstract]:Objective to find out the factors that influence the lower extremity movement compliance of the elderly patients in urological surgery, and to establish a feasible scheme of lower extremity movement to prevent the formation of lower extremity venous thrombosis after operation. Methods A total of 22 patients with lower extremity movement were selected from the urological ward in the responsibility group. According to the framework of action research proposed by Lewin, four steps of spiral circulation were carried out in order to plan, act, observe and reflect. To evaluate the effectiveness and feasibility of the program of activities, the compliance of patients was assessed by means of inquiry. Results after 10 weeks of practice, four rounds of circulation were completed. The nursing procedure was refined, the risk factor assessment table was improved, and the time of education was adjusted. The cognition and acceptance of the importance of lower extremity activities of the patients were improved. Activity compliance is good. Conclusion the scheme of lower extremity activity developed by this study can improve the compliance of patients with lower extremity activity and prevent the occurrence of deep venous thrombosis through the modification and perfection of action research practice.
【作者單位】： 首都醫(yī)科大學(xué)護(hù)理學(xué)院;首都醫(yī)科大學(xué)附屬友誼醫(yī)院泌尿外科;
【分類(lèi)號(hào)】：R473.6

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 李文君;劉雪蘭;;經(jīng)尿道前列腺等離子電切265例術(shù)后下肢深靜脈血栓形成的預(yù)防及護(hù)理[J];當(dāng)代醫(yī)學(xué);2010年28期

2 李妍芹,張春賢,馮淑嫻,邊麗華,劉菁,李娟;二氧化碳?xì)飧箷r(shí)血管緊張素醛固酮系統(tǒng)的變化[J];第四軍醫(yī)大學(xué)學(xué)報(bào);2005年18期

3 羅春梅;任敏;;下肢深靜脈血栓行下腔靜脈濾器置入術(shù)加靜脈溶栓術(shù)后病人的護(hù)理[J];護(hù)士進(jìn)修雜志;2009年11期

4 古成t，

本文編號(hào)：1839400