多团队协作护理预防髋关节置换术患者下肢深静脉血栓  

Multi-team cooperation nursing in the prevention of deep venous thrombosis of lower limbs in patients undergoing hip replacement

作　　者：杨林[1,2] 董文伟 胡建利[4] 吴强艳[5] 陈冲 YANG Lin;DONG Wenwei;HU Jianli;WU Qiangyan;CHEN Chong(Zhejiang Chinese Medical University,Hangzhou 310053,China;Basic Instruction Section,the Affiliated Hospital of Medical School of Ningbo University,Ningbo 315020,China;Department of Trumatic Orthopedics,the Affiliated Hospital of Medical School of Ningbo University,Ningbo 315020,China;Department of Nursing,the Affiliated Hospital of Ningbo Medical School of University,Ningbo 315020,China;Department of Nursing,Ningbo Yinzhou Orthopedic Hospital,Ningbo 315101,China)

机构地区：[1]浙江中医药大学,浙江杭州310053 [2]宁波大学医学院附属医院基层指导科,浙江宁波315020 [3]宁波大学医学院附属医院创伤骨科,浙江宁波315020 [4]宁波大学医学院附属医院护理部,浙江宁波315020 [5]宁波市鄞州区骨伤科医院护理部,浙江宁波31510

出　　处：《中国现代医生》2018年第36期142-145,共4页China Modern Doctor

基　　金：浙江省宁波市科技项目(2016A610129)

摘　　要：目的探讨多团队协作护理预防髋关节置换术患者下肢深静脉血栓的效果。方法随机选取2016年1月～2017年12月我院收治的髋关节置换术患者60例,采用SPSS21.0将入组患者按先后序列号(1～60)随机分为两组:一组常规健康教育组(30例),一组常规健康教育基础上多团队协作组(多团队协作组,30例),统计分析两组患者下肢深静脉血栓相关知识掌握程度、预防下肢深静脉血栓的健康信念水平、下肢深静脉血栓、关节脱位、下肢肿胀疼痛、肺栓塞发生情况。结果多团队协作组患者的下肢深静脉血栓相关知识掌握程度评分显著高于常规健康教育组(P<0.05);感知疾病的易感性、严重性、健康行为障碍、益处、健康动力、自我效能评分均显著高于常规健康教育组(P<0.05);下肢深静脉血栓发生率为6.7%(2/30),显著低于常规健康教育组的23.3%(7/30)(P<0.05);关节脱位发生率0显著低于常规健康教育组10.0%(3/30)(P<0.05);但两组患者的下肢肿胀疼痛、肺栓塞发生率3.3%(1/30)、0 vs 6.7%(2/30)、3.3%(1/30)之间的差异均不显著(P>0.05)。结论多团队协作能够对髋关节置换术患者下肢深静脉血栓进行有效预防,同时降低患者的关节脱位发生率,值得在临床推广。Objective To explore multi-team cooperation to prevent deep venous thrombosis of lower limbs in patients undergoing hip replacement surgery.Methods 60 patients with hip replacement admitted in our hospital from January 2016 to December 2017 were randomly selected.The patients enrolled were randomly divided into two groups according to the serial number(1-60):a group of routine health education(30 cases),a group of regular health education based multi-team collaboration(multi-team collaboration group,30 cases).The knowledge mastery of lower extremity deep venous thrombosis,prevention of lower limb venous thrombosis health belief level,thrombosis of lower extremities deep veins,joint dislocation,swelling of the lower extremities and pulmonary embolism between the two groups of patients were statistically analyzed.Results The scores of knowledge mastery of lower extremity deep venous thrombosis in patients in the multi-team collaboration group were significantly higher than those in the conventional health education group(P<0.05).The susceptibility of disease,severity,health behavior disorder,benefit,health motivation,and self-efficacy score of perceived disease were significantly higher than those of the conventional health education group(P<0.05).The incidence of deep venous thrombosis of the lower extremities was 6.7%(2/30),which was significantly lower than that of the conventional health education group(23.3%,7/30)(P<0.05).The incidence of dislocation 0 was significantly lower than that of the regular health education group(10.0%,3/30)(P<0.05).But there was no significant difference in the incidence of lower extremity swelling pain and pulmonary embolism between the two groups(3.3%(1/30),0 vs 6.7%(2/30),3.3%(1/30)(P >0.05).Conclusion Multi-team collaboration can effectively prevent lower extremity deep venous thrombosis in patients undergoing hip replacement,and reduce the incidence of joint dislocation in patients,which is worthy of clinical promotion.

关 键 词：多团队协作 髋关节置换术 下肢深静脉血拴 预防 

分 类 号：R473.6[医药卫生—护理学]