医护患三位一体护理模式对老年科心脏监护室患者下肢深静脉血栓发生的影响  

Effect of the doctor-nurse-patient trinity nursing mode on deep venous thrombosis of lower extremity in patients with cardiac intensive care unit

作　　者：吕静[1] 夏文兰[1] 余秋丽 杨肖敏 郁辰馨 朱至恺 梁笑 LV Jing;XIA Wen-lan;YU Qiu-li;YANG Xiao-min;YU Chen-xin;ZHU Zhi-kai;LIANG Xiao(Cardiac Care Unit,Huadong Hospital Affiliated to Fudan University,Shanghai 200040,China)

机构地区：[1]复旦大学附属华东医院心脏监护室,上海200040

出　　处：《川北医学院学报》2023年第9期1282-1285,共4页Journal of North Sichuan Medical College

基　　金：复旦大学-复星护理科研基金项目(FNF201630)。

摘　　要：目的:探讨医护患三位一体护理模式对老年科心脏监护室(CCU)患者下肢深静脉血栓(DVT)发生的影响。方法:将复旦大学附属华东医院老年科收治的120例CCU患者作为研究对象,按照不同护理方式分为对照组和观察组,每组各60例。对照组实施CCU血栓防治常规护理模式;观察组在常规护理基础上实施医护患三位一体护理模式。两组均干预7 d,比较两组干预前后DVT疾病相关知识水平、治疗依从性、DVT风险分级、干预期间DVT发生率及其他不良反应发生率。结果:干预后,观察组DVT疾病相关知识调查表总分及各维度评分均高于对照组(P<0.05);观察组治疗依从性优良率为96.67%,高于对照组的83.33%(P<0.05);观察组DVT风险分级优于对照组,中危及以上比例低于对照组(P<0.05)。干预期间,观察组DVT发生率为3.33%,低于观察组的16.67%(P<0.05)。观察组总不良反应发生率为11.67%,低于对照组的26.66%(P<0.05)。结论:对老年科CCU患者实施医护患三位一体护理模式能提高患者DVT疾病相关知识和治疗依从性,有利于改善下肢血液循环,进而改善DVT风险分级,减少DVT的发生。Objective:To explore the effect of doctor-nurse-patient trinity nursing mode on deep venous thrombosis(DVT)of lower extremity in geriatric cardiac intensive care unit(CCU)patients.Methods:120 patients admitted to geriatric CCU were selected as the research objects and divided into control group and observation group according to different nursing methods,60 cases in each group.The control group implemented the routine nursing mode of CCU thrombosis prevention and treatment,and the observation group implemented the doctor-nurse-patient trinity nursing mode on the basis of routine nursing.Both groups were intervened for 7 days.The levels of DVT disease-related knowledge,treatment compliance,and DVT risk classification before and after intervention,incidence of DVT and other adverse reactions during the intervention were compared between the two groups.Results:After intervention,the total score and each dimension score of DVT disease related knowledge questionnaire in the observation group were higher than those in the control group(P<0.05).The excellent and good rate of treatment compliance in the observation group was 96.67%,which was higher than 83.33%in the control group(P<0.05).After the intervention,the DVT risk classification of the observation group was better than that of the control group,and the proportion of the above was lower than that of the control group(P<0.05).During the intervention period,the incidence of DVT in the observation group was 3.33%,which was lower than 16.67%in the observation group(P<0.05).The total incidence of adverse reactions in the observation group was 11.67%,which was lower than 26.66%in the control group(P<0.05).Conclusion:The implementation of the three-in-one nursing model for geriatric CCU patients can improve the knowledge and treatment compliance of patients with DVT disease,which is conducive to improving the blood circulation of lower limbs,thereby improving the risk classification of DVT and reducing the occurrence of DVT.

关 键 词：三位一体护理 心脏重症监护室 下肢深静脉血栓 预防 

分 类 号：R473.5[医药卫生—护理学]