医护一体化模式降低脊柱患者深静脉血栓发生率效果研究  

Effect Research of Integrated Health Care Model Reducing Deep Vein Thrombosis in Patients with Spine Surgery

作　　者：陈黎[1] 张志鹏[1] 

机构地区：[1]玉溪市人民医院,云南玉溪653100

出　　处：《大理学院学报（综合版）》2015年第8期65-69,共5页Journal of Dali University

摘　　要：目的:探讨医护一体化模式降低脊柱手术患者术后深静脉血栓(DVT)发生率的效果。方法:成立医护一体化管理小组,制定其管理流程,分析脊柱手术所致深静脉血栓发生原因并找出对策,医护人员共同培训学习,明确职责,共同协助、监督、反馈、持续改进。对比分析实施医护一体化模式前后脊柱手术患者术后DVT发生率。结果:实施前脊柱手术患者术后DVT发生率为7.19%,经两轮持续质量改进,DVT发生率降低至0,实施前后比较差异有统计学意义(P<0.05)。结论:医护一体化模式可降低脊柱手术患者DVT发生率,提高医疗护理质量。Objective： To discuss the effect of integrated health care model reducing the incidence of postoperative deep vein thrombosis （DVT） in patients with spine surgery. Methods： Integrated health care group was set up and management procedure was made. The reasons and countermeasures of deep vein thrombosis caused by spine surgery were analyzed. Doctors and participated in training with clear responsibility and mutual assistance. The incidence of postoperative DVT before and after this new model was compared. Results： The incidence of DVT after anterior spinal surgery was 7.19%, which after two rounds of quality improvement was reduced to zero. The difference before and after was statistically significant （P 〈 0.05）. Conclusion： Integrated health care model can reduce the incidence of spinal surgery patients with DVT and improve the quality of medical care.

关 键 词：脊柱手术 医护一体化 深静脉血栓 模式 

分 类 号：R68[医药卫生—骨科学]