RESUMEN
Objective:To observe the effects of self-regulation combined with health education on postoperative deep vein thrombosis (DVT) and emotion in patients with cerebral hemorrhage, so as to provide reference for the formulation of clinical nursing plan.Methods:A total of 118 patients with cerebral hemorrhage underwent surgery in Qinghai Provincial People′s Hospital from January 2019 to January 2020 were enrolled, and divided into two groups by random number table method, each group with 59 cases. The patients in the routine group received routine nursing and health education and the patients in the combined group received self-regulation based on the routine group. Then the cerebral edema, hematoma volume, National Institutes of Health Stroke Scale (NIHSS) score, Self-rating Anxiety Scale(SAS) score, Self-rating Depression Scale (SDS) score, postoperative DVT rate, and blood coagulation indexes were compared between the two groups.Results:There was no significant difference in the cerebral edema, hematoma volume, NIHSS score, SAS score, SDS score before nursing between the two groups( P>0.05). After nursing, the cerebral edema volume, hematoma volume and NIHSS score were (16.42 ± 6.41) ml, (6.74 ± 0.81) ml, (11.30 ± 4.43) points in the combined group, which were lower than those in the routine group (20.44 ± 5.04) ml, (9.93 ± 1.30) ml, (15.31 ± 4.65) points, the differences were statistical significant( t=3.79, 16.00, 4.80, all P<0.05). The SAS and SDS scores after nursing were (37.21 ± 2.71), (41.32 ± 3.26) points in the combined group, which were significantly lower than those in the routine group (45.23 ± 4.65), (46.56 ± 4.66) points, the differences were statistical significant ( t=11.45, 7.08, both P<0.05). The incidence of DVT during nursing in the combined group was 1.69%(1/59), which was significantly lower than that in the routine group 13.56%(8/59), the difference was statistical significant ( χ2=4.33, P<0.05). The prothrombin time, thrombin time, activated partial thrombin time and fibrinogen had no significant difference after nursing between the two groups ( P>0.05). Conclusions:Application of self-regulation combined with health education for patients with cerebral hemorrhage can effectively alleviate the negative emotions, ameliorate the neurologic deficits, cerebral hematoma and cerebral edema, and prevent DVT of lower extremity without affecting blood coagulation indexes of patients.