循证护理在预防脑出血患者发生下肢深静脉血栓中的应用效果观察  

Observation on the effect of evidence-based nursing in preventing lower extremity deep venous thrombosis in patients with cerebral hemorrhage

作　　者：齐书环 Qi Shuhuan(Department of Orthopedic and Cerebral Surgery,Luoyang First People's Hospital,Luoyang Henan 471000,China)

机构地区：[1]洛阳市第一人民医院脑骨外科,河南洛阳471000

出　　处：《保健医学研究与实践》2022年第5期129-131,共3页Health Medicine Research and Practice

基　　金：洛阳市科技攻关项目(1920025A)。

摘　　要：目的探讨循证护理干预在预防脑出血患者发生下肢深静脉血栓(DVT)中的应用效果。方法选取2018年10月—2020年10月河南省某医院收治的140例脑出血患者为研究对象。采用随机数字表法将患者分为对照组(n=68)和观察组(n=72)。对照组患者采用常规护理。观察组患者在对照组基础上采用循证护理干预。干预后比较2组患者下肢DVT发生率。比较2组患者干预前后凝血功能指标,凝血功能指标包括:凝血酶原时间(PT),凝血酶时间(TT),活化部分凝血活酶时间(APTT)及纤维蛋白原(FIB),D-二聚体(D-D)水平。结果观察组患者下肢DTV发生率为2.78%(2/72),低于对照组的13.24%(9/68),差异有统计学意义(P<0.05)。干预前2组患者PT、TT、APTT及FIB、D-D水平比较,差异无统计学意义(P>0.05)。干预后,2组患者PT、TT、APTT及D-D水平均高于干预前,且观察组高于对照组,而2组患者FIB水平低于干预前,且观察组低于对照组,差异均有统计学意义(P<0.05)。结论循证护理可有效预防脑出血患者发生下肢DVT,改善患者凝血功能,促进患者康复,临床效果显著,值得推广应用。Objective To explore the effect of evidence-based nursing in preventing lower extremity deep venous thrombosis(DVT)in patients with cerebral hemorrhage.Methods One hundred and forty patients with cerebral hemorrhage admitted to a hospital in Henan Province from October 2018 to October 2020 were selected for the study.The patients were assigned to a control group(n=68)and an observation group(n=72)using the random number table method.Patients in the control group received conventional care.Patients in the observation group received the evidence-based nursing intervention after receiving conventional care.The incidence of DVT in the lower extremities of patients in the 2 groups was compared after the intervention.The coagulation function indexes before and after the intervention were compared between the groups,and the coagulation function indexes included:prothrombin time(PT),thrombin time(TT),activated partial thromboplastin time(APTT)and fibrinogen(FIB),and D-dimer(D-D)levels.Results The incidence of DTV in the lower extremities of patients in the observation group was 2.78%(2/72),which was lower than that in the control group of 13.24%(9/68),and the difference was statistically significant(P<0.05).The differences were not statistically significant when comparing PT,TT,APTT and FIB and D-D levels in the 2 groups before the intervention(P>0.05).The levels of PT,TT,APTT and D-D after the intervention were higher in the 2 groups than those before the intervention,and the observation group was higher than the control group,while the levels of FIB were lower in the 2 groups than those before the intervention,with the observation group lower than the control group,and the differences were statistically significant(P<0.05).Conclusion Evidence-based nursing can effectively prevent the occurrence of lower extremity DVT in patients with cerebral hemorrhage,improve patients’coagulation function,and promote patients’recovery,showing significant clinical effects,which is worthy of promotion and application.

关 键 词：循证护理 脑出血 下肢深静脉血栓 预防 

分 类 号：R473.6[医药卫生—护理学]