医护联合管理模式在预防骨科大手术老年患者深静脉血栓形成中的应用  

The joint medical management model in the prevention of deep venous thrombosis after major orthopedic surgery in elderly patients

作　　者：杨玲[1] 徐燕[2] 姚振霞 周磊[1] 赵艳萍[1] YANG Ling;XU Yan;YAO Zhengxia;ZHOU Lei;ZHAO Yanping(Department of Orthopedics,Jingjiang People's Hospital,Jingjiang,Jiangsu,214500;Department of Nursing, Jingjiang People's Hospital,Jingjiang,Jiangsu,214500)

机构地区：[1]江苏省靖江市人民医院骨关节科,江苏靖江214500 [2]江苏省靖江市人民医院护理部,江苏靖江214500

出　　处：《中西医结合护理（中英文）》2018年第3期108-110,共3页Journal of Clinical Nursing in Practice

摘　　要：目的探讨医护联合管理模式在骨科老年大手术患者深静脉血栓形成(DVT)预防中的应用效果。方法选择140例骨科老年大手术患者为研究对象,按入院时间分为试验组和对照组,各70例。对照组采用常规护理,试验组在对照组的基础上采用医护联合管理模式进行护理。观察2组患者下肢DVT、肺血栓栓塞症(PTE)、下肢肿胀发生率和护理满意率。结果试验组下肢DVT、下肢肿胀发生率低于对照组(4.23%vs.14.29%,14.29%vs.30.00%,P<0.05),护理满意率高于对照组(95.71%vs.81.43%,P<0.05)。2组均未见致命性PTE病例。结论医护联合管理模式有助于降低老年患者骨科大手术后DVT发生风险。Objective To investigate the effect of joint medical management model in the prevention of deep venous thrombosis(DVT)after major orthopedic surgery in elderly patients.Methods Totally 140 elderly patients undergoing major orthopedic surgery were randomly divided into the study group(n=70)and the control group(n=70)according to the admission sequence.Both two groups received routine care at the perioperative period,and the joint medical management model was carried out in the observation group.The incidences of lower limb DVT,pulmonary thromboembolism(PTE)and lower limb edema were compared between two groups.The satisfactory degree of patients was evaluated by self-made questionnaires.Results Patients in the study group had lower incidences of lower limb DVT and edema compared with those in the control group(4.23%vs.14.29%,14.29%vs.30.00%,P<0.05).The overall satisfactory degree in the study group was higher than that of controls(95.71%vs.81.43%,P<0.05).There was no case of PTE observed in this study.Conclusion The joint medical management model is effective to prevent of DVT after major orthopedic surgery in elderly patients.

关 键 词：医患联合管理 骨科手术 老年 深静脉血栓形成 肺血栓栓塞症 下肢肿胀 

分 类 号：R473.6[医药卫生—护理学]