风险护理思维预防连续性血液净化患者下肢静脉血栓形成效果  

Effectiveness of risk-based care thinking in preventing lower extremity venous thrombosis in patients undergoing continuous hemodialysis

作　　者：马晴[1] 许贤荣[1] 许静 陈吕静 叶雅君 邬步云[1] 毛慧娟[1] MA Qing;XU Xianrong;XU Jing;CHEN Lvjing;YE Yajun;WU Buyun;MAO Huijuan(Severe Renal Disease Area,Jiangsu Provincial People’s Hospital,Jiangsu Province,Nanjing 210000,China)

机构地区：[1]江苏省人民医院肾脏病重症病区,江苏南京210000

出　　处：《中国医药导报》2022年第31期166-169,181,共5页China Medical Herald

基　　金：江苏省自然科学基金资助项目(BK2018517)。

摘　　要：目的探究风险护理思维预防连续性血液净化患者下肢静脉血栓形成效果研究。方法选取2018年10月至2021年9月在江苏省人民医院肾脏病重症病区接受连续性血液净化治疗的92例患者为研究对象。采用信封法将患者分为对照组和观察组,每组各41例。两组均实施常规护理干预,观察组在此基础上实施风险护理思维。干预前和干预1周后,观察并比较静脉血流速度、下肢肿胀及下肢静脉血栓发生率。结果干预1周后,两组全血黏度低切、全血黏度中切、全血黏度高切、血浆黏度低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。干预1周后,两组股静脉及腘静脉血流速度高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。观察组肢体肿胀、深静脉血栓发生率低于对照组,差异有统计学意义(P<0.05)。结论对连续性血液净化患者实施风险护理思维可加速下肢静脉血流速度,预防下肢静脉血栓及肢体肿胀的发生。Objective To investigate the effectiveness of risk-based care thinking in preventing lower extremity venous thrombosis in patients undergoing continuous hemodialysis.Methods Ninety-two patients who received continuous hemodialysis treatment in the Renal Disease Intensive Care Unit of Jiangsu Provincial People’s Hospital from October 2018 to September 2021 were selected for the study.The envelope method was used to divide the patients into control group and observation group,with 41 cases in each group.Both groups implemented conventional nursing interventions,while the observation group implemented risk-based nursing thinking on this basis.Before and a week after the intervention,venous blood flow velocity,lower extremity swelling,and incidence of lower extremity venous thrombosis were observed and compared.Results After a week of intervention,the whole blood viscosity low cut,whole blood viscosity medium cut,whole blood viscosity high cut,and plasma viscosity in both groups were lower than before the intervention,while those of the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After a week of intervention,the blood flow velocity in femoral and popliteal veins in both groups were higher than before the intervention,while those of the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The incidence of limb swelling and deep vein thrombosis in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Implementing risk-based care thinking for continuous hemodialysis patients accelerates lower extremity venous blood flow and prevents lower extremity venous thrombosis and limb swelling.

关 键 词：风险护理思维 连续性血液净化 股静脉血流速度 腘静脉血流速度 下肢静脉血栓 

分 类 号：R473.55[医药卫生—护理学]