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目的:探讨妇科手术后下肢深静脉血栓形成的认知行为干预模式,并评价其应用效果。方法:选择河源市妇幼保健院2016年6月至2016年10月66例妇科手术病例,设置对照组与观察组,每组33例,对照组在手术前后只进行低分子右旋糖酐静脉注射及护理,而观察组在其基础上还需强化认知行为干预,术后立即注射低分子右旋糖酐后并进行皮下低分子肝素钙5000~10000 U/d的注射,并进行相关的运动训练及认知行为干预,比较分析两组患者的下肢深静脉血栓形成发生概率。结果:(1)观察组妇科手术后下肢深静脉血栓的发生概率远远低于对照组(P<0.05);(2)观察组下肢肿胀、术后疼痛情况及凝血指标等优于对照组(P<0.05);(3)观察组患者护理干预前后SAS与SDS评分在不同组、不同时间等方面的抑郁及焦虑症状皆低于对照组(P<0.05);(4)观察组护理满意度情况优于对照组(P<0.05)。。结论:通过认知行为干预可以有效提高妇科患者的心理水平,预防妇科手术后下肢深静脉血栓形成。
Objective: To investigate the cognitive and behavioral intervention model of lower extremity deep venous thrombosis after gynecological surgery and to evaluate its application effect. Methods: 66 cases of gynecological operation were selected from June 2016 to October 2016 in Heyuan MCH, and the control group and observation group were given 33 cases in each group. The control group received only intravenous injection of low molecular dextran and nursing before and after operation. On the basis of this, the observation group needed to strengthen the intervention of cognitive behavior. Immediately after the injection of low molecular weight dextran, subcutaneous injection of low molecular weight heparin 5000 ~ 10000 U / d was injected, and relevant exercise training and cognitive behavior intervention , Comparative analysis of two groups of patients with deep venous thrombosis probability. Results: (1) The incidence of lower extremity deep venous thrombosis in the observation group was much lower than that in the control group (P <0.05). (2) The lower limb swelling, postoperative pain and coagulation indexes in the observation group were better than those in the control group P <0.05); (3) The depression and anxiety symptoms of SAS and SDS in the observation group before and after nursing intervention were lower than those in the control group (P <0.05); (4) The nursing satisfaction The situation is better than the control group (P <0.05). . Conclusion: Cognitive and behavioral intervention can effectively improve the psychological level of gynecological patients and prevent deep venous thrombosis of lower extremities after gynecological surgery.