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

【摘要】：目的通過研究發(fā)現(xiàn)影響泌尿外科老年患者下肢活動依從性的因素,制訂切實可行的下肢活動方案,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任組內(nèi)行手術(shù)治療患者共22例進行下肢活動指導(dǎo),根據(jù)Lewin提出的行動研究框架,以計劃、行動、觀察、反思4個步驟進行螺旋式循環(huán),評價活動方案的有效性和可行性,采用詢問法評估患者的依從性。結(jié)果實踐10周,共完成4輪循環(huán),經(jīng)過實踐細化護理程序,完善危險因素評估表,調(diào)整宣教時間等,使被干預(yù)患者對下肢活動重要性的認知程度和接受程度得到了提高,活動的依從性良好。結(jié)論本研究所制訂的下肢活動方案經(jīng)過行動研究實踐的修改及完善,能夠提高患者下肢活動的依從性,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)科大學護理學院;首都醫(yī)科大學附屬友誼醫(yī)院泌尿外科;
【分類號】：R473.6

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本文編號：1839400