综合护理干预在预防卧床患者静脉血栓栓塞症中的应用效果分析  

Effect of comprehensive nursing intervention in the prevention of venous thromboembolism in bedridden patients

作　　者：宋丽艳[1] 臧雪红[2] 孙忠玲[3] 臧正明[4] SONG Li-yan;ZANG Xue-hong;SUN Zhong-ling;Zang Zheng-ming(Yantai Municipal Laiyang Central Hospital,Laiyang 265200,China)

机构地区：[1]烟台市莱阳中心医院护理部,山东莱阳265200 [2]烟台市莱阳中心医院医院办公室,山东莱阳265200 [3]烟台市莱阳中心医院创伤脊柱外科,山东莱阳265200 [4]烟台市莱阳中心医院重症医学科,山东莱阳265200

出　　处：《社区医学杂志》2022年第9期515-518,523,共5页Journal Of Community Medicine

摘　　要：目的探讨综合护理干预在卧床患者预防静脉血栓栓塞症(VTE)中的应用效果。方法选取烟台市莱阳中心医院2020-07-01-2020-10-31收治的卧床患者212例作为研究对象,根据护理方案按随机数字表法分为对照组和观察组,每组106例。对照组给予常规宣教及常规护理,观察组在常规宣教基础上给予综合护理干预,对比2组患者VTE预防措施落实率、依从性及VTE发生率。结果观察组的VTE预防措施落实率为83.33%,高于对照组的67.09%,差异有统计学意义,χ^(2)=67.535,P<0.001;踝泵运动依从率为84.91%,高于对照组的59.43%,差异有统计学意义,χ^(2)=17.121,P<0.001;VTE发生率为5.66%,低于对照组的14.15%,差异有统计学意义,χ^(2)=4.281,P=0.039;深静脉血栓形成发生率为3.77%,低于对照组的12.26%,差异有统计学意义,χ^(2)=5.180,P=0.023。结论给予卧床患者针对性的综合护理干预,能够有效提高卧床患者VTE预防措施落实情况,有效预防VTE的发生,具有较好的临床应用效果。Objective To explore the application effect of comprehensive nursing intervention in the prevention of venous thromboembolism(VTE)in bedridden patients.Methods A total of 212 bedridden patients from July 1,2020 to October 31,2020 were enrolled as the research subjects.The patients were randomly divided into the control group and the observation group according to the nursing plan,with 106 cases in each group.The control group was received routine education and routine nursing,while the observation group underwent comprehensive nursing intervention on the basis of routine education.The implementation rate of VTE preventive measures,compliance and incidence of VTE were compared between the two groups.Results The implementation rate of VTE preventive measures in the observation group was 83.33%,which was higher than 67.09%in the control group,χ^(2)=67.535,P<0.001.The compliance rate of ankle pump exercise in the observation group was 84.91%,higher than 59.43%in the control group,χ^(2)=17.121,P<0.001.The incidence of VTE in the observation group was 5.66%,lower than 14.15%in the control group,χ^(2)=4.281,P=0.039.The incidence of deep vein thrombosis in the observation group was 3.77%,which was lower than 12.26%in the control group,χ^(2)=5.180,P=0.023.Conclusion Targeted comprehensive nursing interventions for bedridden patients can effectively prevent the occurrence of VTE and has good clinical application effect.

关 键 词：综合护理干预 静脉血栓栓塞症 踝泵运动 依从性 

分 类 号：R473.5[医药卫生—护理学]