预见性护理措施对预防脑梗塞病人下肢深静脉血栓形成的作用  

Effect of Predictive Nursing Measures on Prevention of deep vein Thrombosis,and Nursing Satisfaction in Patients with Cerebral Infarction

作　　者：屈彦[1] 牟春英[1] 曹娜[1] 郭晓娟[1] 王亮[1] 李青莉[1] 张婷[1] QU Yan;MOU Chun- ying;CAO Na;GUO Xiao-juan;WANG Liang;LI Qing- li;ZHANG Ting(The First Affiliated Hospital of Xi＇an Jiao Tong University, Shaanxi Xian,710061, China)

机构地区：[1]西安交通大学第一附属医院,西安710061

出　　处：《血栓与止血学》2018年第2期297-298,301,共3页Chinese Journal of Thrombosis and Hemostasis

摘　　要：目的探究预见性护理措施对预防脑梗塞病人下肢深静脉血栓形成(DVT)的作用与护理满意度。方法随机选取2015年8月-2016年8月在我院就诊的脑梗塞病人90例,按照随机原则分为预见护理组(45例)与一般护理组(45例)。最终对两组病人下肢DVT率、股静脉血流速度、下肢肿痛、住院天数、护理满意度等进行分析。结果与一般护理组相比,在下肢DVT发生率、股静脉血流速度、下肢肿痛、住院天数等指标上,预见护理组均表现出显著优势(0.00%vs.8.89%,P=0.041;33.57±6.89 vs.14.32±4.51 m/s,P=0.013;6.67%vs.31.11%,P=0.003;10.23±2.46vs.16.38±4.66 d,P=0.027);预见护理组护理满意度明显高于一般护理组(91.11%vs.71.11%,P=0.015)。结论预见性护理措施可以降低脑梗塞患者下肢DVT发生率、改善肢体血液循环及下肢肿痛情况、缩短住院天数,提高病人对护士工作者的满意程度。Objective To explore the effects of predictive nursing measures on prevention of deep vein thrombosis（DVT） and nursing satisfaction in patients with cerebral infarction. Methods 90 cases patients with cerebral infarction treated in our hospital from August 2015 to August 2016 were randomly assigned to the predictive care group （n = 45 ）and the general nursing group （n = 45 ）according to the principle of randomization. The rate of DVT in the lower limb, femoral vein blood flow velocity, lower limbs swelling, hospitalization days, and nursing satisfaction were analyzed between the predictive care group and the general nursing group. Results Compared with the general nursing group, the rate of DVT in the lower limb, femoral vein blood flow velocity, lower limb swelling pain, hospitalization days, the predictive care group showed a significant advantage（0. 00% vs. 8.89% ,P =0. 041 ;33.57 ±6. 89 vs. 14. 32 ±4.51 m/s,P =0. 013 ;6. 67% vs. 31.11%, P = 0. 003 ; 10.23 ± 2. 46 vs. 16. 38 ±4. 66 d, P = 0. 027 ） ; the nursing satisfaction of the predictive care group was higher than that in the general nursing group （91.11% vs. 71.11% , P = 0. 015 ）. Conclusion Predictive nursing intervention could reduce the rate of DVT in thelower limb and improve body blood circulation and pain in the lower extremities, it also shortened the hospitalization days, and improved patients satisfaction of nursing workers.

关 键 词：深静脉血栓形成 脑梗塞 预见性护理 

分 类 号：R473[医药卫生—护理学]