摘要
目的 探究门诊医护患一体化健康促进模式在下肢静脉血栓防控中的应用效果。方法 选取2021年1月至2021年12月青岛大学附属青岛市中心医院门诊血常规检查报危急值的疑似下肢静脉血栓患者120例作为研究对象。2021年1月至2021年6月门诊就诊58例作为对照组，给予常规健康教育。2021年7月至2021年12月门诊就诊62例作为研究组，给予门诊医护患一体化健康促进干预。比较两组患者下肢静脉血栓发生率、患者门诊护理满意度（LOPSS）、医护合作满意度（NPCS）、患者健康行为（HPLP）情况。结果 研究组下肢静脉血栓发生率（8.06%）低于对照组，差异有统计学意义，P＜0.05；护理后，研究组人际关系支持、对护理不满意方面及LOPSS总分均高于对照组，自我实现、压力应对、健康责任、运动行为、营养支持、人际支持等HPLP评分均高于对照组，差异有统计学意义，P＜0.05；研究组医护共同参与病人治疗和护理、医护信息共享、医护相互关心和协作及NPCS总分均高于对照组，差异有统计学意义，P＜0.05。结论 门诊医护患一体化健康促进模式可有效防控下肢静脉血栓，改善患者健康行为，降低下肢静脉血栓发生率，并提高医护合作质量，提升患者满意度。
关键词： 门诊；医护患一体化；健康促进模式；下肢静脉血栓
Abstract
Objective: To explore the application effect of outpatient medical-nursing-patient integrated health promotion model in the prevention and control of lower extremity venous thrombosis. Methods: From January 2021 to December 2021, 120 patients with suspected lower extremity venous thrombosis who reported critical value in outpatient blood routine examination of the affiliated qingdao central hospital of qingdao university were selected as the research subjects. From January 2021 to June 2021, 58 outpatients were treated as a control group and given routine health education. From July 2021 to December 2021, 62 outpatients were treated as the research group, and the outpatient doctor-nursing-patient integrated health promotion model was given. The incidence of lower extremity venous thrombosis, patient outpatient la monica-oberst patient satisfaction scalenursing satisfaction (LOPSS), nurse-physician collaboration scale (NPCS), and health promoting lifestyle profile (HPLP) were compared between the two groups. Results The incidence rate of lower extremity venous thrombosis (8.06%) in the study group was lower than that in the control group, the difference was statistically significant, P<0.05; After nursing, the research group's interpersonal support, dissatisfaction with nursing, and LOPSS total scores were higher than those of the control group, and the HPLP scores of self-actualization, stress coping, health responsibility, exercise behavior, nutritional support, and interpersonal support were all higher than those in the control group, and the difference was statistically significant, P<0.05; The joint participation of doctors and nurses in patient treatment and nursing, information sharing between doctors and nurses, mutual concern and cooperation between doctors and nurses, and the total score of NPCS were all higher than those of the control group, and the difference was statistically significant, P<0.05. Conclusion The outpatient medical-nursing-patient integrated health promotion model can effectively prevent and control lower extremity venous thrombosis, improve patients' healthy behavior, reduce the incidence of lower extremity venous thrombosis, improve the quality of medical-nursing cooperation, and improve patient satisfaction.
Key words： outpatient clinic; integration of medical-nursing-patient; health promotion model; lower extremity venous thrombosis
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