基于循证思维的护理敏感指标在预防老年住院患者深静脉血栓形成中的应用  

Application of Nursing Sensitive Index Based on Evidence-based Thinking in Preventing Deep Vein Thrombosis in Elderly Inpatients

作　　者：姚兰[1] 卢晓玲 耿桂红 Yao Lan;Lu Xiao Ling;Geng Guihong(The First Affiliated Hospital of Dalian Medical University,Dalian Liaoning 116011,China)

机构地区：[1]大连医科大学附属第一医院,辽宁大连116011 [2]大连市第六人民医院

出　　处：《齐鲁护理杂志》2021年第9期16-19,共4页Journal of Qilu Nursing

摘　　要：目的:探讨基于循证思维的护理敏感指标在预防老年住院患者深静脉血栓形成(DVT)中的应用效果。方法:选择2018年8月1日~2019年8月1日收治的80例老年住院患者,按照护理方法不同将患者分为观察组48例和对照组32例,对照组给予常规预防护理,观察组在对照组基础上给予基于循证思维的护理敏感指标。比较干预前后两组心理状态[采用焦虑自评量表(SAS)、抑郁自评量表(SDS)],关节疼痛程度[采用疼痛视觉模拟评分(VAS)]、生活质量[采用健康调查简表(SF-36)],并记录两组住院时间、医疗自费费用、DVT及并发症发生情况。结果:干预后,两组SAS、SDS、VAS评分均低于干预前(P<0.05),且观察组均低于对照组(P<0.01);干预后,两组SF-36评分高于干预前(P<0.05),且观察组高于对照组(P<0.01);观察组住院时间、医疗自费费用、DVT及并发症发生率均优于对照组(P<0.01,P<0.05)。结论:将基于循证思维的护理敏感指标用于预防老年住院患者中,不仅能改善患者焦虑、抑郁情绪,缓解其关节疼痛,还能提高其生活质量,缩短住院时间,减轻家庭负担,对预防并发症发生具有积极作用。Objective:To explore the application effect of nursing sensitive index based on evidence-based thinking in preventing deep vein thrombosis(DVT)in elderly inpatients.Methods:During August 1,2018 to August 1,2019,80 elderly inpatients were selected and in accordance with the random number method divided into the observation group with 48 cases and the control group with 32 cases.The control group received conventional preventive nursing for DVT.On this basis,the observation group received nursing sensitive index based on evidence-based thinking.Comparison was made between the two groups before and after the intervention on psychological state[by the self-assessment scale on anxiety(SAS),depression self rating scale(SDS)],the degree of joint pain pain[using visual analogue scale(VAS)],and the quality of life[by health survey profiles(SF-36)].The length of hospital stay,medical expenses and the incidence of complications like DVT were recorded.Results:After intervention,the SAS,SDS and VAS scores were lower than those before intervention(P<0.05),and lower in the observation group than those in the control group(P<0.01),After intervention,the SF-36 scores of the two groups were higher than those before intervention(P<0.05),and higher in the observation group than those in the control group(P<0.01),and the hospital stay,medical expenses,and the incidences of DVT and complications in the observation group were better than those in the control group(P<0.01,P<0.05).Conclusion:The application of nursing sensitive index based on evidence-based thinking in elderly inpatients can not only improve their anxiety,depression,and relieve their joint pain,but also promote the improvement of their quality of life,shorten the length of hospital stay,and reduce the burden on the family.It is highly effective in preventing complications like DVT.

关 键 词：循证思维 护理敏感指标 老年住院 深静脉血栓形成 

分 类 号：R473.59[医药卫生—护理学]