基于奥马哈系统的护理干预在全髋关节置换术患者下肢深静脉血栓预防中的应用  

Application of Omaha System-based nursing intervention in the prevention of deep vein thrombosis of lower extremities in patients undergoing total hip replacement

作　　者：戚军[1] 于克玲 王翠 李洪涛[2] QI Jun;YU Keling;WANG Cui;LI Hongtao(Department of Endoscopy,Xinhua Hospital Affiliated to Dalian University,Liaoning Province,Dalian116021,China;Ward 1,Department of Orthopedics,the First Affiliated Hospital of Heilongjiang University of Chinese Medicine,Heilongjiang Province,Harbin150040,China)

机构地区：[1]大连大学附属新华医院内镜科,辽宁大连116021 [2]黑龙江中医药大学附属第一医院骨伤一科,黑龙江哈尔滨150040

出　　处：《中国医药导报》2020年第34期173-176,共4页China Medical Herald

基　　金：黑龙江省中医药管理局科研项目(ZHY12-Z067)。

摘　　要：目的探讨奥马哈系统的护理干预在全髋关节置换术(THA)患者下肢深静脉血栓预防中的应用。方法选取2018年1月—2019年12月大连大学附属新华医院骨科病房收治的需行THA的患者85例,根据奇偶数随机分为对照组42例和观察组43例。对照组给予院内常规护理干预,观察组在对照组的基础上实施奥马哈系统的护理干预;比较两组焦虑、疼痛、髋关节功能及下肢深静脉血栓(DVT)发生率。结果干预后,两组患者焦虑量表评分、视觉模拟评分低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05);两组Harris髋关节评分试验组除畸形积分低于对照组外,功能、活动度、疼痛均高于对照组,差异有统计学意义(P<0.05);观察组下肢肿胀发生率、DVT发生率低于对照组,患者满意度高于对照组,差异有统计学意义(P<0.05)。结论应用基于奥马哈系统的护理干预对预防THA患者术后发生下肢DVT效果明显,能减轻患者的焦虑、疼痛,且能提高患者满意度及髋关节功能,值得临床推广。Objective To explore the application of Omaha system nursing intervention in the prevention of deep vein thrombosis of the lower extremities of patients undergoing total hip arthroplasty(THA).Methods From January 2018 to December 2019,the study subjects selected 85 patients in the orthopedic ward of Xinhua Hospital Affiliated to Dalian University who were admitted to undergo THA,and according to odd and even numbers,they were randomly divided into control group(42 cases)and observation group(43 cases).The control group received routine nursing intervention in the hospital,and the observation group implemented the Omaha system nursing intervention on the basis of the control group;the anxiety,pain,hip joint function and the incidence of deep vein thrombosis(DVT)of the two groups were compared.Results After intervention,the scores of patient anxiety scale and visual simulation score of the two groups were lower than those before intervention,and the observation group was lower than the control group,with statistically significant differences(P<0.05).In addition to the deformity score lower than that of the control group,the function,activity and pain of the observation group were all higher than that of the control group,with statistically significant differences(P<0.05).The incidence of lower limb swelling and DVT in the observation group was lower than that in the control group,and patient satisfaction was higher than that in the control group,with statistically significant differences(P<0.05).Conclusion The application of nursing intervention based on the Omaha system is effective in preventing DVT in patients undergoing THA,reducing anxiety and pain,and improving patient satisfaction and hip joints function,worthy of clinical promotion.

关 键 词：奥马哈系统 连续性干预 全髋关节置换术 下肢深静脉血栓 预防 

分 类 号：R473[医药卫生—护理学]