早期护理干预对脑卒中重症患者预防深静脉血栓形成的作用  

The Effect of Early Nursing Intervention on Preventing Deep Vein Thrombosis in Severe Stroke Patients

作　　者：纪维雪 王婷婷 李颖欣 JI Weixue;WANG Tingting;LI Yingxin(Department of Critical Care Medicine,Xinwen Central Hospital of Shandong Nursing and Health Group,Taian 271219,China)

机构地区：[1]山东颐养健康集团新汶中心医院重症医学科,泰安271219

出　　处：《中国医药指南》2024年第35期154-157,共4页Guide of China Medicine

摘　　要：目的研究早期护理干预对脑卒中重症患者预防深静脉血栓(DVT)形成的作用。方法选取2022年1月至2023年1月到本院脑卒中重症患者64例,运用随机数字分组法分为观察组(32例)和对照组(32例),分析两组护理满意度、DVT发生率、血液流变学指标、双侧下肢周径、自我护理能力[自我护理能力量表(ESCA)]、应对方式(CSQ)以及生活质量[脑卒中专用生活质量量表(SS-QOL)和脑卒中影响量表(SIS)]。结果观察组护理满意度高于对照组,DVT发生率低于对照组(P<0.05).护理后,观察组全血低切黏度、血浆黏度、血小板聚集率、纤维蛋白原低于对照组(P<0.05)。入院后,观察组足凹、足跟上20、足跟上40、足跟上50低于对照组(P<0.05)。护理后,观察组ESCA评分中自我概念、自我护理的知识掌握、自我护理技能的了解、自我护理的责任感、总评分高于对照组(P<0.05)。护理后,观察组面对评分高、屈服评分、回避评分低于对照组(P<0.05)。护理后,观察SS-QOL评分、SIS评分高于对照组(P<0.05)。结论将早期护理引入脑卒中重症患者预防深静脉血栓形成中,可明显的降低深静脉血栓出现的概率,可改善血液流变学指标、双侧下肢周径,提升其自护能力、应对形式,所获得的护理满意度更高,可运用。Objective To investigate the effect of early nursing intervention on the prevention of deep vein thrombosis(DVT)in patients with severe stroke.Methods A total of 64 severe stroke patients who were admitted to our hospital from January 2022 to January 2023 were enrolled and randomly assigned to an observation group(32 cases)and a control group(32 cases)using the random number table method.The study analyzed the nursing satisfaction,deep vein thrombosis(DVT)incidence,hemorheological parameters,bilateral lower limb circumference,self-care ability[evaluated by the European Self-Care Ability Scale(ESCA)],coping styles(CSQ),and quality of life[assessed using the Stroke-Specific Quality of Life Scale(SS-QOL)and the Stroke Impact Scale(SIS)]between the two groups.Results The satisfaction of nursing in the observation group was higher,and the incidence of DVT was lower than that in the control group(P<0.05).After nursing,the whole blood low shear viscosity,plasma viscosity,platelet aggregation rate,and fibrinogen in the observation group were lower than those in the control group(P<0.05).After admission,the scores of foot concave,heel 20,heel 40,and heel 50 in the observation group were lower than those in the control group(P<0.05).After nursing,the self-concept,knowledge of self-care,understanding of self-care skills,sense of responsibility for self-care,and total score in the observation group were higher than those in the control group(P<0.05).After nursing,the confrontation score,submission score,and avoidance score in the observation group were lower than those in the control group(P<0.05).After nursing,the SS-QOL score and SIS score in the observation group were higher than those in the control group(P<0.05).Conclusions Introducing early care into the prevention of deep vein thrombosis in severe stroke patients can significantly reduce the probability of deep vein thrombosis,improve hemodynamic indicators,bilateral lower limb circumference,enhance their self-care ability,coping style,and achieve higher nursing satis

关 键 词：脑卒中 护理措施 深静脉血栓 自护能力 血液流变学 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R473.74[医药卫生—临床医学]