基于循证护理的静脉血栓栓塞症预防方案在骨科住院患者中的应用效果  

Application Effect of Evidence-based Nursing Prevention Protocol for Venous Thromboembolism in Orthopedic Inpatients

作　　者：谢晓芳 武文亚 林惠如 成娅 Xie Xiaofang;Wu Wenya;Lin Huiru;Cheng Ya(Department of Orthopedic Surgery,Shenzhen Luohu People's Hospital,Shenzhen 518000,Guangdong Province,China)

机构地区：[1]深圳市罗湖区人民医院骨外科,广东深圳518000

出　　处：《中外医药研究》2025年第5期123-125,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

基　　金：2022年深圳市罗湖区软科学研究计划项目(编号:LX202202104)。

摘　　要：目的:探析基于循证护理的静脉血栓栓塞症(VET)预防方案在骨科住院患者中的应用效果。方法:选取2022年7月—2023年7月深圳市罗湖区人民医院骨外科住院患者282例为研究对象,随机分为对照组(140例,实施常规护理)与试验组(142例,实施基于循证护理的VET预防方案)。比较两组患者血液指标、下肢静脉血流速度及VET发生率。结果:干预后,两组血红蛋白水平降低,血小板计数、D-二聚体水平升高,试验组血小板计数、D-二聚体水平低于对照组(P<0.05);干预后,两组血红蛋白水平比较,无统计学差异(P>0.05);干预后,两组腘静脉及股静脉血流速度升高,试验组高于对照组(P<0.05);试验组VTE发生率低于对照组(P=0.043)。结论:对骨科住院患者开展基于循证护理的VET预防方案,能够改善患者血液指标及下肢静脉血流速度,降低VET发生率。Objective:To investigate the application effect of an evidence-based nursing prevention protocol for venous thromboembolism(VTE)in orthopedic inpatients.Methods:A total of 282 inpatients from the Department of Orthopedic Surgery,Shenzhen Luohu People's Hospital,from July 2022 to July 2023 were selected as study subjects and randomly divided into a control group(140 cases,receiving conventional care)and an experimental group(142 cases,receiving the evidence-based nursing VTE prevention protocol).Blood parameters,lower extremity venous blood flow velocity,and VTE incidence were compared between,the two groups.Results:After intervention,hemoglobin levels decreased,while platelet counts and D-dimer levels increased in both groups,the experimental group exhibited lower platelet counts and D-dimer levels compared to the control group(P<0.05).There was no significant difference in hemoglobin levels between the two groups after the intervention(P>0.05).After intervention,the blood flow velocity of the popliteal vein and femoral vein increased in both groups,with the experimental group showing higher velocities than the control group(P<0.05).The incidence of VTE in the experimental group was lower than that in the control group(P=0.043).Conclusion:The implementation of an evidence-based nursing VTE prevention protocol for orthopedic inpatients can improve blood parameters and lower extremity venous blood flow velocity,thereby reducing the incidence of VTE.

关 键 词：循证护理 住院患者 静脉血栓栓塞症 

分 类 号：R473.5[医药卫生—护理学]