护理责任组长运用床旁超声进行下肢静脉血栓筛查的可行性分析  

The nursing responsibility team leader used bedside ultrasound to conduct the feasibility analysis of lower limb venous thrombosis screening

作　　者：张岩岩 付茂亮 孟文文 单士华 李雪 邱茜 赵云保 耿希华 ZHANG Yanyan;FU Maoliang;MENG Wenwen;SHAN Shihua;LI Xue;QIU Qian;ZHAO Yunbao;GENGXihua(Department of Critical Care Medicine,Dong'e People's Hospital,Liaocheng,Shandong 252200,China)

机构地区：[1]东阿县人民医院重症医学科,山东聊城252200

出　　处：《医药前沿》2025年第13期112-114,共3页Journal of Frontiers of Medicine

摘　　要：目的评估护理责任组长运用床旁超声进行下肢静脉血栓筛查的有效性、可行性及临床意义,为护士职能拓展提供科学依据。方法选取2022年7月—2023年2月东阿县人民医院收治的177例重症静脉血栓栓塞症(VTE)评估高危患者,所有患者在入院后24 h内均接受8名护理责任组长和5名超声科医师进行床旁下肢静脉超声检查。将8名护理责任组长设为观察组,将5名超声科医师设为对照组。比较两组筛查结果的一致性、准确性和完成筛查的等待时间。结果观察组下肢静脉血栓筛查结果阳性率为10.17%(18/177),对照组下肢静脉血栓筛查结果阳性率为13.56%(24/177),两组筛查结果比较,差异无统计学意义(χ^(2)=0.972,P=0.324);观察组完成筛查的等待时间为(1.20±0.33)h,对照组完成筛查的等待时间为(9.50±4.67)h,观察组短于对照组,差异有统计学意义(t=23.587,P<0.001)。结论经过系统化培训和临床评估授权后的护理责任组长进行床旁下肢静脉血栓筛查是及时有效、安全可行的,能够缩短患者的等待时间,有助于早期快速筛查VTE并及时实施预防治疗措施,降低并发症发生率,减少费用,保障患者安全。Objective To evaluate the effectiveness,feasibility and clinical significance of lower extremity venous thrombosis screening by bedside ultrasound for nursing team leaders,and to provide scientific basis for the expansion of nurses'functions.Methods A total of 177 high-risk patients with severe venous thromboembolism(VTE)admitted to Dong'e People's Hospital from July 2022 to February 2023 were selected for assessment.All patients received bedside ultrasound examination of lower extremity veins by 8 nursing team leaders and 5 ultrasound physicians within 24 h after admission.The 8 group leader of nursing responsibility was set as the observation group,and the 5 ultrasound physician was set as the control group.The consistency,accuracy and waiting time for completion of screening were compared between the two groups.Results The positive rate of venous thrombosis screening was 10.17%(18/177)in the observation group and 13.56%(24/177)in the control group.There was no significant difference between the two groups(χ^(2)=0.972,P=0.324).The waiting time for completion of screening in the observation group was(1.20±0.33)h,and that in the control group was(9.50±4.67)h,which was shorter in the observation group than in the control group,and the difference was statistically significant(t=23.587,P<0.001).Conclusions It is timely,effective,safe and feasible for the nursing team leader to conduct bed side lower limb venous thrombosis screening after systematic training and clinical evaluation authorization,which can shorten the waiting time of patients,contribute to early and rapid VTE screening and timely implementation of preventive treatment measures,reduce the incidence of complications,reduce costs,and ensure the safety of patients.

关 键 词：护理责任组长 床旁超声 下肢静脉血栓 筛查 可行性 

分 类 号：R473[医药卫生—护理学]