护士危机意识教育联合下肢抗血栓压力泵预防脑卒中后合并偏瘫患者下肢深静脉血栓形成的效果分析  

Effectiveness of Nurse Crisis Awareness Education Combined with Lower Extremity Antithrombotic Pressure Pump in Preventing Lower Extremity Deep Vein Thrombosis in Patients with Combined Hemiplegia after Stroke

作　　者：朱斐 许晶晶 李菲 ZHU Fei;XU Jing-jing;LI Fei(The Second Department of Neurology,Zhumadian Central Hospital,Zhumadian,Henan,463000,China)

机构地区：[1]驻马店市中心医院神经内二科,河南驻马店463000

出　　处：《黑龙江医学》2023年第12期1514-1516,共3页Heilongjiang Medical Journal

摘　　要：目的:探讨护士危机意识教育联合下肢抗血栓压力泵预防脑卒中后合并偏瘫患者下肢深静脉血栓形成的效果。方法:选取2018年4月—2020年9月驻马店市中心医院收治的96例脑卒中后合并偏瘫患者作为研究对象。随机分为对照组46例和观察组50例。其中,对照组给予常规护理干预,观察组在对照组的基础上给予护士危机意识教育联合下肢抗血栓压力泵干预。干预2周后,对比两组患者下肢静脉血栓发生率、并发症总发生率、干预前后双下肢股静脉血流速度及总疗效情况。结果:观察组下肢静脉血栓发生率显著低于对照组,差异有统计学意义(χ^(2)=4.604,P<0.05)。观察组并发症总发生率显著低于对照组,差异有统计学意义(χ^(2)=4.031,P<0.05)。干预后,两组患者双下肢股静脉血流速度均有所改善,且观察组改善优于对照组,差异有统计学意义(t=3.450、3.068,P<0.05)。观察组总有效率显著高于对照组,差异有统计学意义(χ^(2)=4.601,P<0.05)。结论:护士危机意识教育联合下肢抗血栓压力泵的干预能够有效地降低脑卒中后合并偏瘫患者下肢深静脉血栓形成的发生率,降低其并发症的发生率,从而提高其治疗效果。Objective:To investigate the effect of nurse crisis awareness education combined with lower extremity antithrombotic pressure pump to prevent lower extremity deep vein thrombosis in patients with combined hemiplegia after stroke.Methods:96 patients with post-stroke with hemiparesis treated in the hospital from April 2018 to September 2020 were selected as the study subjects and divided into 46 cases in the control group and 50 cases in the observation group based on random numbers.The control group was given conventional nursing intervention,and the observation group was given nurse crisis awareness education combined with lower extremity antithrombotic pressure pump intervention on the basis of the control group.After 2 weeks of intervention,the probability of venous thrombosis in the lower extremities,the total incidence of complications,the blood flow velocity in the femoral veins of both lower extremities before and after the intervention and the overall efficacy were compared between the two groups.Results:The incidence of venous thrombosis in the lower limbs was significantly lower in the observation group than in the control group,and the difference was statistically significant(χ^(2)=4.604,P<0.05).The total complication rate in the observation group was significantly lower than that in the control group,and the difference was statistically significant(χ^(2)=4.031,P<0.05).After the intervention,both groups improved,but the improvement in the observation group was better than that in the control group,and the difference was statistically significant(t=3.450,3.068,P<0.05).The total effective rate of the observation group was significantly higher than that of the control group,and the difference was statistically significant(χ^(2)=4.601,P<0.05).Conclusion:With the intervention of nurse crisis awareness education combined with lower extremity antithrombotic pressure pump,the incidence of lower extremity deep vein thrombosis and complications in patients with combined hemiplegia after stroke can be effective

关 键 词：护士危机意识教育 下肢抗血栓压力泵 脑卒中后合并偏瘫 下肢深静脉血栓 

分 类 号：R47[医药卫生—护理学]