Caprini风险评估模型在COPD患者实施VTE个体化防护方案中的应用效果  

Application of Caprini risk assessment model in the implementation of VTE individualized protection scheme in COPD patients

作　　者：王艳娜[1] 罗章英[1] 全海英[1] Wang Yanna;Luo Zhangying;Quan Haiying(Department of Respiratory Medicine,Dongguan People's Hospital,Dongguan 523018,China)

机构地区：[1]广东省东莞市人民医院呼吸内科,523018

出　　处：《国际护理学杂志》2020年第7期1255-1258,共4页international journal of nursing

基　　金：东莞市社会科技发展项目(2018507150011278)。

摘　　要：目的探讨Caprini风险评估模型在慢性阻塞性肺疾病(COPD)患者实施静脉血栓栓塞(VTE)个体化防护方案中的应用效果。方法选取2017年1~6月在该院呼吸内科收治的COPD患者60例作为对照组,入院24 h内进行Caprini风险评估并进行VTE危险分级,接受常规的防护措施;选取2018年1~6月就诊的患者60例作为干预组,入院8 h内进行Caprini风险评估并进行VTE危险分级,在接受常规护理基础上实施个体化防护方案。对比分析两组患者的差异。结果干预组第14天后PTE/DVT发生率为3.34%,明显低于对照组的16.67%,差异有统计学意义(P<0.05);干预组凝血指标D-D、Fbg水平低于对照组,差异有统计学意义(P<0.05),干预组凝血指标PT、aPPT、TT水平高于对照组,差异有统计学意义(P<0.05);干预组住院时间为(16.2±3.2)d,明显短于对照组的(19.4±4.1)d,差异有统计学意义(P<0.05);干预组护理满意度为(94.6±3.4)分,明显高于对照组的(89.5±4.8)分,差异有统计学意义(P<0.05)。结论对COPD患者实施基于Caprini评估模型的VTE个体化防护措施,能明显降低COPD患者VTE发生率和病死率,改善患者预后收益。Objective To explore the application effect of Caprini risk assessment model in patients with chronic obstructive pulmonary disease(COPD)undergoing individualized protection of venous thromboembolism(VTE).Methods A total of 60 cases of COPD patients admitted to the department of respiratory medicine of the hospital from January to June 2017 were selected as the control group.Caprini risk assessment and VTE risk classification were conducted within 24 hours upon admission,and conventional protective measures were adopted.60 patients who visited the hospital from January to June in 2018 were selected as the intervention group.Caprini risk assessment and VTE risk classification were conducted within 8 hours upon admission.Individualized protection scheme was implemented on the basis of routine care.The differences between the two groups were compared and analyzed.Results The incidence of PTE/DVT on day 14 in the intervention group was 3.34%,significantly lower than that of the control group(16.67%),and the difference was statistically significant(P<0.05).The levels of D-D and Fbg in the intervention group were lower than those in the control group,and the difference was statistically significant(P<0.05).The levels of PT,aPPT and TT in the intervention group were higher than those in the control group,and the differences were statistically significant(P<0.05).The length of stay in the intervention group was(16.2±3.2)days,significantly shorter than that in the control group(19.4±4.1)days,and the difference was statistically significant(P<0.05).The nursing satisfaction of the intervention group was(94.6±3.4)points,which was significantly higher than that of the control group(89.5±4.8)points,and the difference was statistically significant(P<0.05).Conclusions The implementation of VTE individualized protection measures based on Caprini evaluation model for COPD patients can significantly reduce the incidence and case fatality of VTE in COPD patients and improve the prognosis of patients.

关 键 词：静脉血栓栓塞症 慢性阻塞性肺病 Caprini评估模型 

分 类 号：R473[医药卫生—护理学]