|
|
Analysis of status quo and influencing factors of self-perceived burden in patients with lower extremity deep vein thrombosis#br# |
XIAO Mian1 JIA Rufu1 YIN Guimei2 WANG Yafei2 |
1.College of Nursing and Rehabilitation, North China University of Technology, Hebei Province, Tangshan 063210, China;
2.Department of Nursing, Cangzhou Central Hospital, Hebei Province, Cangzhou 061000, China |
|
|
Abstract Objective To investigate the level of self-perceived burden (SPB) in patients with lower extremity deep vein thrombosis (DVT) and to explore the influencing factors. Methods A total of 280 patients with lower extremity DVT who were hospitalized in Cangzhou Central Hospital, Hospital of Integrated Traditional Chinese and Western Medicine, and People’s Hospital of Vascular Surgery in Hebei Province from September 2020 to April 2021 were selected as the research subjects. General information questionnaire, self-perceived burden scale (SPBS), perceived social support scale, and venous insufficiency quality of life / symptom questionnaire were used to investigate. Results The SPB score of lower extremity DVT patients was (28.83±7.43) points. There were statistically significant differences in the SPBS total scores of lower extremity DVT patients with different age, marital status, work situation, payment method, per capita monthly income of family, caregivers and their health status, time in bed, and chronic diseases (P < 0.05). The results of Pearson correlation analysis showed that except physiological functions the SPBS score and each dimension score of patients with lower extremity DVT were negatively correlated with PSSS and venous insufficiency symptoms (P < 0.05 or P < 0.01). The results of multiple linear regression analysis showed that work status, payment method, health status of caregivers, time in bed, combined chronic diseases, venous insufficiency quality of life / symptoms, and perception of social support were the influencing factors of SPB in patients with lower extremity DVT (P < 0.05). A total of 43% of the total variance in variance was explained. Conclusion SPB in patients with lower extremity DVT is in the mild to moderate level. Clinical medical staff should formulate targeted nursing strategies to reduce the burden of self-perceived patients, thereby reducing the impact of psychological factors on the disease.
|
|
|
|
|
[1] 中华医学会外科学分会.中国普通外科围手术期血栓预防与管理指南[J].中华外科杂志,2016,54(5):321-327.
[2] 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.
[3] Weitz JI,Lensing AWA,Prins MH,et al. Rivaroxaban or aspirin for extended treatment of venous thromboembolism [J]. N Engl J Med,2017,376(13):1211-1222.
[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.
[5] Cousineau N,McDowell I,Hotz S,et al. Measuring chronic patients’ feelings of being a burdento their caregivers: development and preliminary validation of a scale [J]. Med Care,2003,41(1):110-118.
[6] 胥平平,付增丽.肺栓塞抗凝治疗患者负性情绪与疾病认知水平的相关性[J].护理实践与研究,2020,17(16):54-56.
[7] 徐园,杨旭,邓海波,等.下肢DVT患者疾病认知水平及影响因素分析[J].中华现代护理杂志,2020,26(2):173-177.
[8] 杨倩,刘丽萍,李凯平,等.长期留置下腔静脉滤器病人并发症与生活质量现状及其相关因素[J].护理研究,2019, 33(14):2391-2395.
[9] 武燕燕,姜亚芳.癌症患者自我感受负担的调查与分析[J].护理管理杂志,2010,10(6):405-407.
[10] 姜乾金.领悟社会支持量表[J].中国行为医学科学,2001, 10(10):41-43.
[11] Lamping DL,Schroter S,Kurz X,et al. Evaluation of outcomes in chronic venous disorders of the leg: development of a scientifically rigorous,patient-reported measure of symptoms and quality of life [J]. J Vasc Surg,2003, 37(2):410-419.
[12] 李奉玲.静脉功能不全生活质量/症状问卷的汉化及临床初步应用[D].南充:川北医学院,2018.
[13] 李四金,龚二秀,郑小伟.下肢深静脉血栓患者疾病不确定感与自我感受负担相关性研究[J].中国卫生产业,2017,14(4):9-11.
[14] 陈胜男,张迎红,黎茂琴,等.老年患者冠脉搭桥术后自我感受负担及影响因素研究[J].现代预防医学,2020, 47(3):466-470.
[15] 郑红,韩凤,杨信才,等.脑卒中患者自我感受负担与希望水平的关系[J].广东医学,2019,40(20):2907-2911.
[16] 王竹馨,毕清泉,陈秀云,等.老年冠心病患者自我感受负担现状分析及影响因素研究[J].中国医药导报,2019, 16(19):173-176.
[17] 张翠翠,封艳,沙晶.老年癌症患者的自我感受负担现状及其影响因素分析[J].中华现代护理杂志,2018,24(12):1419-1421.
[18] 唐浪娟,岳丽春,刘聪香,等.帕金森病患者自我感受负担现状及其影响因素[J].中国老年学杂志,2020,40(9):1986-1989.
[19] 刘秀,陈跃鑫,曾嵘,等.利伐沙班与华法林治疗下肢深静脉血栓的临床效果对比[J].中华普通外科杂志,2017, 32(6):512-515.
[20] Dan G,Ru WO,Xiao HM,et al. Patients’ self-perceived burden,caregivers’ burden and quality of life for amyotrophic lateral sclerosis patients:a cross-sectional study [J]. J Clin Nursi,2017,26(19/20):3188-3199.
[21] 叶圣昌,刘敏.癌症患者自我感受负担相关影响因素调查及支持性心理治疗效果[J].中国医药导报,2018,15(31):176-180.
[22] Rabinovich A,Kahn SR. The postthrombotic syndrome:current evidence and future challenges [J]. J Thromb Haemost,2017,15(2):230-241.
[23] Barco S,Corti M,Trinchero A,et al. Survival and recurrent venous thromboembolism in patients with first proximal or isolated distal deep vein thrombosis and no pulmonary embolism [J]. J Thromb Haemost,2017,15(7):1436-1442.
[24] 田秀丽,刘化侠,柴士美.晚期癌症患者自我感受负担的研究进展[J].中华护理杂志,2008,43(10):955-958.
[25] 覃利亚,黄耀凯,张昌碧.急诊创伤性骨盆骨折合并多发伤患者发生下肢深静脉血栓的影响因素分析[J].中国急救复苏与灾害医学杂志,2021,16(3):278-281.
[26] 王艾玲,师晶晶.骨关节术后发生下肢深静脉血栓的危险因素及护理对策[J].中外医学研究,2021,19(22):93-95.
[27] 蔡爽,魏琳,彭雪婷,等.广州市社区老人衰弱情况与社会支持度、自我感受负担[J].中国老年学杂志,2021,41(7):1520-1524. |
|
|
|