中国实用神经疾病杂志2024，Vol.27Issue(7)：892-896,5.DOI:10.12083/SYSJ.231632
脑卒中后下肢深静脉血栓形成的危险因素及基于IMB模式下康复训练的效果
Risk factors for deep venous thrombosis of lower limbs after stroke and effect of rehabilitation training based on IMB model
摘要
Abstract
Objective To investigate the risk factors for deep venous thrombosis(DVT)of lower limbs after stroke and the application effect of rehabilitation training based on information-motivation-behavioral skills(IMB)model nursing mode.Methods Clinical data of 170 cases of stroke were retrospectively analyzed.Patients were divided into no DVT group(n=149)and DVT group(n=21)according to whether DVT occurred within 3 weeks of hospitalization.Independent influencing factors for DVT of lower limbs after stroke were investigated.In addition,82 stroke cases were included as the study targets and averagely grouped into the control group(n=41)and the observation group(n=41).Routine nursing was utilized in the control group,and intervention plan based on rehabilitation training under IMB mode was utilized in the observation group.The prevention effects of routine nursing and rehabilitation training based on IMB mode on lower limb DVT after stroke were analyzed.Results Age≥65 years old,bed duration≥3 days after admission,no anticoagulant therapy,diabetes,hypertension,high level of Hcy,high level of D-dimer,low level of ApoA-Ⅰ,and high level of TG were all independent risk factors for DVT of lower limbs after stroke(OR>1).After intervention,PT and aPTT abundance increased and D-dimer level lessened in both groups.After intervention,the contents of PT,aPTT,and D-dimer in observation group changed more widely(P<0.05).The incidence of DVT in the observation group(2.44%)was significantly lower than that in the control group(14.63%,P<0.05).The nursing satisfaction score of observation group(92.15±5.17)was significantly higher than that of control group(83.48±4.93,P<0.05).Conclusion Rehabilitation training based on IMB model could effectively improve the coagulation function indexes of stroke patients,reduce the risk of lower limb DVT,and increase patients'nursing satisfaction.关键词
脑卒中/下肢深静脉血栓/危险因素/信息-动机-行为技巧模式/康复训练/凝血功能Key words
Stroke/Deep venous thrombosis of lower limbs/Risk factors/Information-motivation-behavior skill model/Rehabilitation training/Coagulation function分类
医药卫生引用本文复制引用
鲍玥,季学丽,张丽,卞思文,赵胜军..脑卒中后下肢深静脉血栓形成的危险因素及基于IMB模式下康复训练的效果[J].中国实用神经疾病杂志,2024,27(7):892-896,5.基金项目
国家自然科学基金项目(编号:81871818) （编号:81871818）
