程序化护理干预介入溶栓治疗下肢深静脉血栓效果  

The effect of programmatic nursing intervention in interventional thrombolysis treatment for lower limb deep vein thrombosis

作　　者：张枫 ZHANG Feng(Interventional Vascular Department,Tianjin Nankai Hospital,Tianjin 300310,China)

机构地区：[1]天津市南开医院介入血管科,天津300310

出　　处：《中国城乡企业卫生》2024年第11期196-198,共3页Chinese Journal of Urban and Rural Enterprise Hygiene

摘　　要：目的 探讨程序化护理对下肢深静脉血栓介入溶栓治疗中的干预效果,为提升临床疗效提供参考。方法 选取2019年1月—2020年12月天津市南开医院诊治的下肢深静脉血栓介入溶栓治疗的患者70例,随机分为观察组和对照组各35例。对照组患者使用常规护理,观察组在对照组基础上使用程序化护理干预。比较两组患者的康复效果、并发症发生率、干预前后生活质量评分及疾病不确定度评分。结果 观察组患者的小腿周长差、大腿周长差、住院时间短于对照组,差异均有统计学意义(P<0.05)。观察组并发症发生率为2.86%,低于对照组的17.14%,差异有统计学意义(χ^(2)=3.968,P<0.05)。干预前,两组的生活质量评分及疾病不确定度评分比较,差异无统计学意义(P>0.05);干预后,观察组生活质量评分高于对照组,疾病不确定度评分低于对照组,差异均有统计学意义(P<0.05)。结论 程序化护理可降低下肢深静脉血栓介入溶栓治疗患者的并发症发生率,提高康复效果,值得临床推广与应用。Objective To explore the intervention effect of programmatic nursing in the interventional thrombolysis treatment for lower limb deep vein thrombosis,to provide reference for improving clinical efficacy.Methods A total of 70 patients with lower limb deep vein thrombosis treated with interventional thrombolysis at Tianjin Nankai Hospital from January 2019 to December 2020 were selected and randomly divided into observation group and control group,with 35 patients in each group.The control group patients were given routine nursing,while the observation group received programmatic nursing interventions on the basis of the control group.The rehabilitation effect,incidence of complications,quality of life scores and disease uncertainty scores before and after intervention between two groups of patients were compared.Results The differences in calf circumference,thigh circumference and hospital stay in the observation group were significantly lower than those in the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 2.86%,which was significantly lower than that in the control group with 17.14%,and the difference was statistically significant(χ^(2)=3.968,P<0.05).Before intervention,there were no statistically significant differences in the quality of life scores and disease uncertainty scores between the two groups(P>0.05);after intervention,the quality of life score of the observation group was higher than that of the control group,and the disease uncertainty score was lower than that of the control group,and the differences were statistically significant(P<0.05).Conclusion Programmatic nursing could reduce the incidence of complications in patients with lower limb deep vein thrombosis undergoing interventional thrombolysis treatment,improve rehabilitation effect,and it was worthy of clinical promotion and application.

关 键 词：程序化护理 下肢深静脉血栓 介入溶栓治疗 生活质量 疾病不确定度 康复效果 

分 类 号：R47[医药卫生—护理学]