妇科盆腔手术患者静脉血栓栓塞的分级预防对策研究  

Study on Graded Prevention of venous thromboemtism in gynecological Pelvic Surgery Patients

作　　者：田丽波 李跃荣[1] 朱和琳 Tian Libo;Li Yuerong;Zhu Helin(Baoshan People's Hospital,Baoshan 678000,Yunnan Province,China)

机构地区：[1]保山市人民医院,云南保山678000

出　　处：《中国社区医师》2024年第26期124-126,共3页Chinese Community Doctors

基　　金：保山市人民医院院内科研计划项目(编号:Bsy2021-ky003)。

摘　　要：目的:探讨静脉血栓栓塞分级预防措施在妇科盆腔手术患者围术期管理中的应用效果。方法:选取2021年4月—2023年4月于保山市人民医院妇科进行盆腔手术的患者210例作为观察对象,采用随机数字表法分为两组,每组105例。对照组采用常规护理,干预组在对照组基础上采用基于改良Caprini血栓风险评估量表的分级护理。比较两组静脉血栓栓塞症发生率、下肢肿胀发生率、生活质量、护理满意度。结果:干预组静脉血栓栓塞症发生率、下肢肿胀发生率低于对照组,差异有统计学意义(P<0.05)。护理前,两组健康状况调查问卷(SF-36)评分比较,差异无统计学意义(P>0.05);护理后,两组SF-36评分均升高,且干预组评分高于对照组,差异有统计学意义(P<0.05)。干预组护理总满意度高于对照组,差异有统计学意义(P<0.05)。结论:基于改良Caprini血栓风险评估量表的分级护理在盆腔手术患者围术期中的应用效果较好,可预防静脉血栓栓塞症、下肢肿胀的发生,提高患者生活质量和护理满意度。Objective:To investigate the effect of graded preventive measures for venous thromboembolism in perioperative management of gynecological Pelvic Surgery.Methods:Two hundred and ten patients who underwent pelvic surgery in the Department of Gynecology of Baoshan People's Hospital from April 2021 to April 2023 were selected as the observation subjects,and were divided into two groups of one hundred and five cases each by using the random number table method.The control group used conventional nursing care,and the intervention group used graded nursing care based on the Modified Caprini Thrombosis Risk Assessment Scale on the basis of the control group.The incidence of venous thromboembolism,the incidence of lower limb swelling,quality of life,and nursing satisfaction were compared between the two groups.Results:The incidence of venous thromboembolism and lower limb swelling in the intervention group was lower than that in the control group,and the difference was statistically significant(P<0.05);before nursing care,the scores of the Health Status Modulation Questionnaire(SF-36)in the two groups were compared,and the difference was not statistically significant(P>0.05);after care,SF-36 scores of both groups increased,and the score of the intervention group was higher than that of the control group,the difference was statistically significant(P<0.05);the total satisfaction of care of the intervention group was higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion:The application of graded nursing care based on the Modified Caprini Thrombosis Risk Assessment Scale in the perioperative period of pelvic surgery patients is more effective in preventing venous thromboembolism,lower limb swelling,and improving patients'quality of life and nursing satisfaction.

关 键 词：妇科 盆腔手术 改良Caprini血栓风险评估量表 分级护理 

分 类 号：R473.71[医药卫生—护理学]