基于患者需求的階段性干預(yù)對(duì)深靜脈血栓患者睡眠和疾病轉(zhuǎn)歸的影響

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AbstractObjective：Toinvestigatetheefectof phasednursing interventionbasedonpatientneedsonslepqualityanddisease outcome inpatients withdeepveinthrombosis（DVT）.Methods：Atotalof148DVTpatients treated inthehospitalfromNovember 2022 to November2O24 weredividedinto thecontrol group（74cases with routinenursingcare）andtheobservationgroup（74 cases with routine nursingcareplusphasednursing intervention）.Both groupswere intervenedfor3months.Theresultsof Pitsburgh SleepQuality Index（PSQI）score，sleep eficiency（SE），total sleep Time（TST），numberof wakefulness（NW），rehabilitationindicatorsoflowerlimbswelling（differenceofthighcircumferenceandcalfcircumference）beforetheinterventionand3- monthafter intervention werecomparedbetween thetwo groups，andtheincidenceof adverseeventswascompared.Results：The PSQI scoreandNWofboth groups 3monthsafter theintervention were lower thanthosebeforethe intervention，SEandTSTof the observation group were higher than those the control group and the diferences were statistically significant（ P<0.01 ）. After 3 monthsof intervention，thediferenceinthighandcalfcircumferenceinbothgroupswaslowerthanthatbeforetheintervention and lower in the observation group，with statistically significant difference（ P<0.01 ） P<0.05 ）. The total incidence of adverse events（sweling，ongestion，fection，skincyanosis）inthebservationgroupwaslowerthanthatintecontrolgroup，owing that the difference was statistically significant（ P<0.05. ）. Conclusion：The phased nursing intervention based on patient needs for DVT patientscansignificantlyimprove thesleepqualityreduce the diference betwee thecircumferenceofthighandcalf，pro mote disease prognosis，and ensure the safety.

KeywordsDeepvein thrombosis；Patient needs;；Phased nursing;Sleepquality；Sleep effciency；Total sleeptime;Numberof wakefulness； Adverse event

中圖分類號(hào)：R473.6;R338.63 文獻(xiàn)標(biāo)識(shí)碼：A doi：10.3969/j. issn.2095-7130.2025.04.027

深靜脈血栓（DeepVenousThrombosis，DVT）的典型癥狀為患肢疼痛、腫脹及活動(dòng)后加重，疼痛可能會(huì)導(dǎo)致患者難以進(jìn)入睡眠狀態(tài)，或者在睡眠過(guò)程中因疼痛加劇而驚醒；而腫脹帶來(lái)的不適感也會(huì)降低睡眠舒適度，容易導(dǎo)致患者入睡困難、睡眠中斷等，影響患者睡眠質(zhì)量；而睡眠障礙可能通過(guò)影響血流、炎癥、凝血功能、自主神經(jīng)調(diào)節(jié)及行為習(xí)慣等，增加深靜脈血栓惡化風(fēng)險(xiǎn)[14]。（剩余5179字）