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NCT Number: NCT07570277

Research on the Application of Nursing Intervention Based on ITHBC Theory in Postoperative Self-Management of Patients With Varicose Veins of the Lower Extremities

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.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

The Second Affiliated Hospital of Nanchang University

Nanchang, Jang XI, 330006, China

Location status: Recruiting

Location contact

Chunyan zheng

CONTACT

[email protected]

8618979136718

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • 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.

Exclusion criteria

  • 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.

Treatment and study plan

Routine nursing

Behavioral

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 pr

ITHBC-based self-management intervention for postoperative varicose veins

Behavioral

The postoperative self-management intervention for patients with varicose veins of the lower extremities based on the ITHBC theory is mainly carried out from the following four aspects: (1) Individualized assessment: including the assessment of patients' poor health behaviors, disease perception, and the stage of change the patients are in. (2) Based on the assessment results, provide targeted knowledge and belief education to patients: on the basis of increasing knowledge, help patients build confidence and motivation for recovery, enhance their knowledge and skills in dealing with diseases, and promote the establishment of disease management behaviors. (3) Set corresponding goals based on the patient's condition: Jointly formulate short-term rehabilitation goals with the patient, guide and supervise the establishment and maintenance of the patient's self-management behavior. (4) Creative social support: Create a supportive social environment for patients by providing supp.

Primary outcomes

  1. Postoperative Self-Management Scale for Lower Extremity Varicose Veins

    Time frame: 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

Secondary outcomes

  1. Self-Efficiacy Scale for Chronic(SESC)

    Time frame: Baseline (pre-intervention), 1 month post-intervention, and 3 months post-intervention

    This scale was developed by Lorig et al and later adapted into Chinese by Zhang Meixia. The scale consists of 6 items, each scored from 1 to 10. The mean score of all items is used as the total score for self-efficacy, with a higher score indicating greater confidence.

  2. ChronIc Venous dIsease quality of life Questionnaire(CIVIQ-20)

    Time frame: Baseline (pre-intervention), 1 month post-intervention, and 3 months post-intervention

    This scale was developed by Launois et al. in 1996. It consists of four dimensions: physical function (4 items), psychological state (9 items), social activity (3 items), and pain level (4 items), with a total of 20 items. A 5-point Likert scale is used for scoring, with total scores ranging from 20 to 100. A lower score indicates a better quality of life.

  3. Incidence of complications

    Time frame: 3 months post-intervention

    "Record and compare the incidence of complications such as limb swelling, skin ecchymosis, incision infection, DVT, and disease recurrence within three months after surgery between the two groups of patients. The complication rate = (number of cases with complications / total number of cases in each group) × 100%."

Study contacts

Contact information is provided by the study sponsor or research team.

Yujin Yang

CONTACT

[email protected]

86 18979136718

Sponsors and collaborators

Lead sponsor

Second Affiliated Hospital of Nanchang University

Other

Registry information

Important dates

Study start
2025
Primary completion
2026
Study completion
2026
First posted
May 6, 2026
Registry last updated
May 6, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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