脑卒中患者集束化下肢深静脉血栓预防的护理效果  

Nursing Effect of deep vein Thrombosis Prevention of Stroke Patients with Stroke

作　　者：刘亚红[1] 赵义娟 朱小敏 李婷[1] 

机构地区：[1]中国人民解放军南京总医院神经内科,210002

出　　处：《血栓与止血学》2017年第6期1049-1051,共3页Chinese Journal of Thrombosis and Hemostasis

摘　　要：目的探究脑卒中患者集束化下肢深静脉血栓预防的护理效果。方法选择2014年7月至2015年5月收治的需卧床或者有肢体功能障碍的脑卒中患者100例采取集束化的管理,为集束化组。2013年7月至2014年5月收治的需卧床或者有肢体功能障碍的脑卒中患者100例采取常规护理管理,为常规组。均护理两周,比较两组患者7 d、14 d血栓发生率,MCMQ评分及满意度。结果常规组血栓总发生率为8%,集束化组血栓总发生率为2%,(P<0.05);护理前,常规组与集束化组患者面对、回避、屈服评分无差异,护理后,集束化组面对评分升高较常规组明显(P<0.05),两组回避评分均升高,但没有统计学差异,集束化组屈服评分降低较常规组明显(P<0.05);集束化组患者满意度96.00%高于常规组84.00%(P<0.05)。结论集束化管理脑卒中患者,可以预防下肢深静脉血栓的发生,提高护理满意度。Objective To study the nursing effect of deep vein thrombosis （DVT）prevention in patients with stroke. Methods One hundred patients with stroke requiring limb dysfunction were enrolled in this study from July 2014 to May 2015, and the group was treated as a stroke group. July 2013 to May 2014 admitted to the need for bed or limb dysfunction in patients with stroke 100 cases of routine care management, for the conventional group. All patients were treated for two weeks, the incidence of thrombosis at 7 d and 14 d, MCMQ score and satisfaction were compared between the two groups. Results The total incidence of DVT in the conventional group was 8% , in the stroke group was 2% （P 〈 0. 05 ）. The scores of the two groups were significantly higher than those of the conventional group（ P 〈 0.05 ）. The yield score of the cluster group was significantly lower than that of the conventional group （ P 〈 0. 05 ） , but there was no significant difference. The satisfaction rate of the cluster group was 96.00% higher than that of the conventional group （P 〈 0.05）. Conclusion Cluster management of stroke patients can prevent the occurrence of DVT, improve improve satisfaction.

关 键 词：卒中 集束化管理 深静脉血栓 

分 类 号：R473[医药卫生—护理学]