关键词: 下肢深静脉血栓, 踝泵运动, 依从性, 因素分析

Abstract: Objective To investigate the compliance status of ankle pump movement (APM) in high-risk patients with deep venous thrombosis (DVT) of the lower limbs and analysis the related influencing factors.Methods From January 2019 to March 2023,a total of 302 patients with high-risk lower limb DVT who admitted to our hospital were selected as the research objects.The APM compliance scale,clinical data sheet,visual analog scale (VAS),family support scale,self-efficacy scale,self-rating anxiety scale,and self-rating depression scale were used to evaluate the research subjects,and the evaluation results were analyzed.Results Among the 302 patients with high-risk DVT,171 patients had APM compliance,with a compliance rate of 56.62%.The results of univariate analysis showed that there were statistically significant differences in APM compliance among patients of different age groups,gender,education level,marital status,family economic income,work status,family support,medical insurance type,place of residence,reason for hospitalization,comorbidities,pain level,APM prescription time,self-efficacy,and psychological status (all P<0.05).The results of multivariate Logistic analysis showed that comorbidities (≥2 types),pain (moderate and above),and prescription time (≥ 7 d) were risk factors for APM compliance in DVT high-risk patients (all P<0.05),while education level (college or above),family support (moderate and above),and self-efficacy (moderate and above) were protective factors for APM compliance (all P<0.05).Conclusion The comorbidities,degree of pain,APM prescription time,educational level,family support,and patient self-efficacy can affect ankle pump compliance in high-risk patients with lower limb deep vein thrombosis,and should be given attention and targeted intervention.

Key words: lower limb deep vein thrombosis, ankle pump movement, compliance, factor analysis