规范化护理模式预防重症监护室老年危重患者发生静脉血栓栓塞症的效果  

Effect of Standardized Nursing Model to Prevent Venous Thromboembolism in Elderly Critically Ill Patients in Intensive Care Unit

作　　者：张金换[1] 沈晓玲 王海燕 乔自佳 江萍[2] Zhang Jinhuan;Shen Xiaoling;Wang Haiyan;Qiao Zijia;Jiang Ping(Department of Critical Care Medicine,Shanghai Pudong New District People's Hospital,Shanghai 201299,China;Department of Nursing,Shanghai Pudong New District People's Hospital,Shanghai 201299,China)

机构地区：[1]上海市浦东新区人民医院重症医学科,上海201299 [2]上海市浦东新区人民医院护理部,上海201299

出　　处：《中外医药研究》2024年第18期132-134,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

基　　金：浦东新区老年医疗护理试点项目(编号:PW2022-HZ03)

摘　　要：目的:观察规范化护理模式预防重症监护室(ICU)老年危重症患者发生静脉血栓栓塞症的效果。方法:选取2022年2月—2023年1月上海市浦东新区人民医院重症医学科收治的老年危重症患者200例作为研究对象,以随机数字表法分为常规护理组(常规护理干预)和规范化护理组(在常规护理组基础上给予规范化护理模式干预),各100例。比较两组静脉临床严重程度评分表(VCSS)评分、静脉血栓栓塞症发生率、下肢静脉血流动力学、凝血功能指标。结果:护理后,两组VCSS评分低于护理前,规范化护理组低于常规护理组,差异有统计学意义(P<0.05);规范化护理组静脉血栓栓塞症发生率低于常规护理组,差异有统计学意义(P<0.05)。护理后,两组下肢股静脉血流峰速度及血流平均速度高于护理前,规范化护理组高于常规护理组,差异有统计学意义(P<0.05)。护理后,两组纤维蛋白原、D-二聚体水平低于护理前,活化部分凝血活酶时间较护理前延长,规范化护理组优于常规护理组,差异有统计学意义(P<0.05)。结论:采取规范化护理模式干预ICU老年危重症患者,可改善其下肢静脉血流动力学、凝血功能,降低静脉血栓栓塞症发生率。Objective:To observe the effect of standardized nursing model to prevent venous thromboembolism in elderly critically ill patients in intensive care unit(ICU).Methods:Two hundred cases of elderly critically ill patients admitted to the Department of Intensive Care Medicine of Shanghai Pudong New District People's Hospital from February 2022 to January 2023 were selected as the study subjects,and were divided into conventional nursing group(conventional nursing intervention)and standardized nursing group(standardized nursing model intervention was given on the basis of the conventional nursing group)by the method of randomized numerical table,each of them was one hundred cases.Comparison of the two groups of venous clinical severity scale(VCSS)score,incidence of venous thromboembolism,lower extremity venous hemodynamics,coagulation function indicators.Results:After care,the VCSS scores of the two groups were lower than those before care,and the standardized nursing group was lower than the conventional nursing group,and the difference was statistically significant(P<0.05);the incidence of venous thromboembolism in the standardized nursing group was lower than that in the conventional nursing group,and the difference was statistically significant(P<0.05).After care,the peak velocity of blood flow and the average velocity of blood flow in the femoral veins of the lower limbs of the two groups were higher than that before care,and the standardized nursing group was higher than that of the conventional nursing group,and the difference was statistically significant(P<0.05).After nursing care,the levels of fibrinogen and D-dimer in the two groups were lower than those before nursing care,and the activated partial thromboplastin time was prolonged compared with that before nursing care,and the standardized nursing group was better than the conventional nursing group,and the difference was statistically significant(P<0.05).Conclusion:Adopting standardized nursing mode to intervene in elderly critically ill patients in ICU

关 键 词：规范化护理模式 重症监护室 老年 静脉血栓栓塞症 

分 类 号：R473.5[医药卫生—护理学]