预见性护理干预对预防骨科患者术后深静脉血栓形成的影响  

Impacts of predictive nursing intervention on prevention of postoperative deep vein thrombosis in orthopedic patients

作　　者：黄伟琼 蓝海瑜 HUANG Weiqiong;LAN Haiyu(Department of Surgery,Luoding Red Cross Hospital,Guangdong,Luoding 527200,China;Department of Surgery,Luoding Traditional Chinese Medicine Hospital,Guangdong,Luoding 527200,China)

机构地区：[1]广东省罗定市红十字会医院外科,广东罗定527200 [2]广东省罗定市中医院外科,广东罗定527200

出　　处：《中国医药科学》2021年第9期121-124,共4页China Medicine And Pharmacy

基　　金：广东省云浮市医药卫生科研立项课题(2018B69)。

摘　　要：目的探讨预见性护理干预对预防骨科患者术后深静脉血栓(DVT)形成的影响作用。方法选取2016年3月至2019年12月在罗定市红十字会医院和罗定市中医院行下肢骨科手术患者162例为研究对象,按护理干预方法不同,分成对照组和观察组,每组各81例。对照组予常规护理,观察组予预见性护理干预。比较两组患者术后下肢DVT形成发生率、手术前后D-二聚体水平、住院时间及护理服务满意度。结果术后观察组患者下肢DVT形成发生率为3.70%,明显低于对照组的14.81%(P<0.05);两组患者术前D-二聚体水平比较,差异无统计学意义(P>0.05);两组护理干预1周后D-二聚体低于术前,且观察组低于对照组,差异均有统计学意义(P<0.05);观察组平均住院时间短于对照组(P<0.05);而护理干预服务满意度为92.60%,显著高于对照组的71.61%(P<0.05)。结论预见性护理干预能够有效预防和降低骨科术后下肢DVT形成的发生率,提高患者护理质量和护理服务满意度,促进患者早日康复。Objective To investigate the impacts of predictive nursing intervention on prevention of postoperative deep vein thrombosis(DVT)in orthopedic patients.Methods A total of 162 patients undergoing lower extremity orthopedic surgery admitted to Luoding Red Cross Hospital and Luoding Traditional Chinese Medicine Hospital from March 2016 to December 2019 were selected as research objects,and they were divided into the control group(n=8)and the observation group(n=8)according to nursing intervention methods.The control group was given routine nursing and the observation group was given predictive nursing intervention.Meanwhile,the incidence of DVT formation in lower extremities,D-dimer level before and after operation,hospitalization time and nursing service satisfaction of patients in the two groups were compared.Results The incidence of DVT in lower extremities of patients in the observation group was 3.70%,significantly lower than that 14.81%in the control group(P<0.05).There was no significant difference in D-dimer level between patients in the two groups before operation,without statistically significant difference(P>0.05).After 1 week of nursing intervention D-the dimer was lower than the preoperative in the two groups,and the observation group was lower than the control group,the difference was statistically significant(P<0.05).The average hospitalization time of the observation group was significantly shorter than that of the control group(P<0.05).However,the satisfaction of nursing intervention service was 92.60%,significantly higher than that 71.61%of the control group(P<0.05).Conclusion Predictive nursing intervention can effectively prevent and reduce the incidence of DVT in lower extremities after orthopedic surgery,improve the nursing quality and satisfaction of patients,and promote patie nts'early rehabilitation.

关 键 词：预见性护理干预 深静脉血栓 骨科手术 预防 

分 类 号：R473.6[医药卫生—护理学]