Research on the Application of Nursing Intervention Based on ITHBC Theory in Postoperative Self-Management of Patients With Varicose Veins of the Lower Extremities
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 104
- 试验地点
- 1
- 主要终点
- Postoperative Self-Management Scale for Lower Extremity Varicose Veins
研究概览
简要总结
This study constructed a postoperative self-management nursing intervention program for VVLE patients based on the ITHBC theory, and explored the impact of this program on the patients' postoperative self-management ability, self-efficacy, complication rate and quality of life.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •It meets the diagnostic criteria for varicose veins of the lower extremities in the "Chinese Guidelines for the Diagnosis and Treatment of Chronic Venous Diseases";
- •The first surgical treatment for varicose veins of the lower extremities was received;
- •Age >18 years old;
- •The patient is conscious, has no language communication barriers, possesses certain reading and writing abilities, and is proficient in using intelligent devices;
- •Informed consent and voluntary participation.
排除标准
- •Secondary varicose veins of the lower extremities ;
- •Patients with a history of severe organ diseases or mental illness;
- •Patients with combined lower extremity arterial diseases, acute infections and malignant tumors;
- •Participate in other researchers.
研究组 & 干预措施
Routine nursing
After admission, the responsible nurse introduces the hospital's rules and regulations, conducts a routine assessment of the patient (including age, vital signs, weight, self-care ability, health history, etc.), assesses the psychological and social support status, proposes a nursing diagnosis and formulates nursing measures. (2) Complete the preoperative preparations before the operation and inform the patient of the preoperative precautions. (3) After the operation, explain the postoperative precautions, guide the patient to get out of bed and move around as soon as possible, and perform ankle pump exercises (such as extension, flexion, and circular rotation) while lying in bed. (4) Before (at) discharge, guide the patient to undergo stress therapy and exercise, and suggest changing bad living habits (such as standing or sitting for long periods, smoking and drinking, carrying heavy loads for long periods, crossing legs, etc.). Instruct the patient to take the medicine strictly as p
干预措施: Routine nursing (Behavioral)
Experimental group
干预措施: ITHBC-based self-management intervention for postoperative varicose veins (Behavioral)
结局指标
主要结局
Postoperative Self-Management Scale for Lower Extremity Varicose Veins
时间窗: Baseline (pre-intervention), 1 month post-intervention, and 3 months post-intervention
This scale was developed by Wang Sumin et al in 2021. It consists of three dimensions: daily living, medical disease management, and self-management efficacy, with a total of 25 items. The scale adopts a 5-point Likert scoring system, with total scores ranging from 25 to 125. A higher score indicates a stronger self-management ability
次要结局
- Self-Efficiacy Scale for Chronic(SESC)(Baseline (pre-intervention), 1 month post-intervention, and 3 months post-intervention)
- ChronIc Venous dIsease quality of life Questionnaire（CIVIQ-20）(Baseline (pre-intervention), 1 month post-intervention, and 3 months post-intervention)
- Incidence of complications(3 months post-intervention)