Caprini风险评估下的分级护理对子宫全切除术患者术后下肢深静脉血栓预防价值分析  

Analysis of the Value of Graded Nursing under Caprini Risk Assessment in the Prevention of Lower Limb Deep Vein Thrombosis after Total Hysterectomy

作　　者：陈利亚 钟娟旭 刘忠琪 巢盼 CHEN Liya;ZHONG Juanxu;LIU Zhongqi;CHAO Pan(The Second Affiliated Hospital of South China University,Hengyang 421001,China;不详)

机构地区：[1]南华大学附属第二医院,湖南衡阳421001

出　　处：《中外医学研究》2023年第20期118-121,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:分析Caprini风险评估下的分级护理对子宫全切除术患者术后下肢深静脉血栓预防价值。方法:选择2020年5月—2022年5月南华大学附属第二医院收治的子宫全切除术患者191例作为研究对象,将2020年5月—2021年4月入院的95例患者作为对照组,将2021年5月—2022年5月入院的96例患者作为观察组。对照组采取常规护理干预,观察组采取Caprini风险评估下的分级护理。比较两组护理前后凝血指标变化、术后下肢深静脉血栓形成(DVT)发生率及患者的护理满意度。结果:护理7 d,两组活化部分凝血活酶时间(APTT)、凝血酶时间(TT)及凝血酶原时间(PT)均长于护理1 d,且观察组APTT、TT及PT均长于对照组,差异有统计学意义(P<0.05)。护理7 d,两组纤维蛋白原(FIB)水平低于护理1 d,且观察组FIB水平低于对照组,差异有统计学意义(P<0.05)。观察组术后下肢DVT发生率显著低于对照组,差异有统计学意义(P<0.05)。观察组护理总满意度显著高于对照组,差异有统计学意义(P<0.05)。结论:Caprini风险评估下的分级护理可有效预防子宫全切除术患者术后下肢DVT的发生,有助于改善患者术后凝血指标,提高患者对护理服务的满意度。Objective:To explore and analyze the value of graded nursing under Caprini risk assessment in the prevention of lower limb deep vein thrombosis after total hysterectomy.Method:A total of 191 patients with total hysterectomy admitted to the Second Affiliated Hospital of South China University were selected as the study objects,95 patients admitted from May 2020 to April 2021 as the control group,and 96 patients admitted from May 2021 to May 2022 as the observation group.The control group took routine nursing intervention,and the observation group took graded nursing under the Caprini risk assessment.The changes of coagulation indexes before and after nursing,the incidence of postoperative lower limb deep vein thrombosis(DVT)and the patients'satisfaction with nursing were compared between the two groups.Result:Nursing 7 days,the activated partial thromboplastin time(APTT),thrombin time(TT)and prothrombin time(PT)of the two groups were longer than those nursing 1 day,and the APTT,TT and PT of the observation group were longer than those of the control group,the differences were statistically significant(P<0.05).Nursing 7 days,the levels of fibrinogen(FIB)in the two groups was lower than that nursing 1 day,and the FIB level in the observation group was lower than that in the control group,the differences were statistically significant(P<0.05).The incidence of postoperative lower limb DVT in the observation group was significantly lower than that in the control group,the difference was statistically significant(P<0.05).The overall nursing satisfaction of postoperative the observation group was significantly higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion:The graded nursing under Caprini risk assessment can effectively prevent the occurrence of lower limb DVT in patients after hysterectomy,help to improve the patients'blood coagulation indicators after surgery,and improve patients'satisfaction with nursing services.

关 键 词：Caprini风险评估 分级护理 子宫全切除术 下肢深静脉血栓 

分 类 号：R473.71[医药卫生—护理学]