呼吸科基于Padua风险评估模型干预对患者静脉血栓栓塞症的预防价值  

Preventive value of respiratory intervention based on Padua risk assessment model in patients with venous thromboembolism

作　　者：唐俊红[1] TANG Junhong(Department of Respiratory and Critical Care Medicine,Fengcheng People's Hospital,Jiangxi Province,Fengcheng 331100,China)

机构地区：[1]江西省丰城市人民医院呼吸与危重症医学科,江西丰城331100

出　　处：《中国当代医药》2023年第22期190-193,共4页China Modern Medicine

基　　金：江西省宜春市科技计划项目(2022ZDJH6454)。

摘　　要：目的探讨呼吸科基于Padua风险评估模型干预对患者静脉血栓栓塞症(VTE)的预防价值。方法选取2019年1月至2022年1月丰城市人民医院呼吸内科收治的85例患者作为研究对象,按照住院尾号单双数字将其分成评估组(42例)及基础组(43例)。基础组开展常规护理干预,评估组则于常规护理干预的基础上增用呼吸科Padua-VTE风险评估模式干预。分析各组VTE发生情况、凝血功能指标变化情况、心理韧性、护理满意度。结果评估组VTE发生率(7.14%)高于基础组(25.58%),差异有统计学意义(P<0.05)。评估组干预后活化部分凝血活酶时间、凝血酶原时间以及凝血酶时间长于基础组,纤维蛋白原水平低于基础组,差异有统计学意义(P<0.05)。干预后评估组乐观、坚韧、自强分值高于基础组,差异有统计学意义(P<0.05)。评估组时机合理性、理念个性化、措施适宜性、结局有效性分值高于基础组,差异有统计学意义(P<0.05)。结论呼吸科Padua-VTE风险评估模式干预可有效预防VTE的发生,改善患者凝血功能与心理韧性,提高护理满意度。Objective To explore the preventive value of respiratory intervention based on Padua risk assessment model in patients with venous thromboembolism(VTE).Methods A total of 85 patients admitted to the Department of Respiratory of Fengcheng People's Hospital from January 2019 to January 2022 were selected as research objects.According to the odd and even number of hospitalization tail number,the patients were divided into assessment group(n=42)and basic group(n=43).The basic group carried out routine nursing intervention,and the assessment group was supplemented with respiratory Padua-VTE risk assessment model intervention.The occurrence of VTE,changes in coagulation function index,mental toughness and nursing satisfaction of each group were analyzed.Results The incidence of VTE in the assessment group(7.14%)was higher than that in the basic group(25.58%),and the difference was statistically significant(P<0.05).After intervention,the activated partial thromboplastin time prothrombin time and thrombin time in the assessment group were longer than those in the basic group,while the fibrinogen level was lower than that in the basic group,with statistical significances(P<0.05).After intervention,the scores of optimism,tenacity and self-improvement in the assessment group were higher than those in the basic group,and the differences was statistically significant(P<0.05).The scores of timing rationality,concept individuation,measure suitability and outcome effectiveness of the assessment group were higher than those of the basic group,and the differences were statistically significant(P<0.05).Conclusion The Padua-VTE risk assessment model in respiratory intervention can effectively prevent the occurrence of VTE,improve patients'coagulation function and psychological resilience,and improve nursing satisfaction.

关 键 词：静脉血栓栓塞症 Padua量表 预防 护理满意度 心理韧性 

分 类 号：R563.5[医药卫生—呼吸系统]