基于患者需求的阶段性干预对深静脉血栓患者睡眠和疾病转归的影响

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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

中图分类号：R473.6;R338.63 文献标识码：A doi：10.3969/j. issn.2095-7130.2025.04.027

深静脉血栓（DeepVenousThrombosis，DVT）的典型症状为患肢疼痛、肿胀及活动后加重，疼痛可能会导致患者难以进入睡眠状态，或者在睡眠过程中因疼痛加剧而惊醒；而肿胀带来的不适感也会降低睡眠舒适度，容易导致患者入睡困难、睡眠中断等，影响患者睡眠质量；而睡眠障碍可能通过影响血流、炎症、凝血功能、自主神经调节及行为习惯等，增加深静脉血栓恶化风险[14]。（剩余5179字）