综合护理措施对髋部骨折患者术后深静脉血栓的影响分析

Effect of comprehensive nursing on deep venous thrombosis after operation in hip fracture patients

  • 摘要: 目的:探讨综合护理措施对预防髋部骨折患者术后深静脉血栓(DVT)形成的效果。方法将105例髋部骨折手术患者随机分成观察组53例及对照组52例,对照组实施围术期常规护理,观察组在常规护理的基础上实施综合护理,比较2组患者疾病知识知晓率、健康行为依从率、术后深静脉血栓形成发生率、下肢疼痛及肿胀发生率、住院天数。结果观察组疾病知识知晓率、治疗依从率及坚持功能锻炼率均显著高于对照组(P <0.01);术后 DVT 发生率、下肢疼痛及肿胀发生率、住院天数均显著低于对照组(P <0.05或 P <0.01)。结论综合护理措施能够有效提高患者疾病知识知晓率及健康行为依从率,降低术后 DVT 形成及下肢疼痛、肿胀发生率,从而促进康复进程、缩短住院时间。

     

    Abstract: Objective To study the effect of comprehensive nursing on deep venous throm-bosis after operation in hip fracture patients.Methods 105 patients with hip fracture surgery were divided into observation group (53 patients)and control group (52 patients).The control group was given routine nursing while the observation group was given comprehensive nursing.Aware of knowledge about diseases,compliance rate of health behavior,incidence of postoperative deep vein thrombosis (DVT),the incidence rate of lower limb pain and swelling and hospitalization time were compared.Results Knowledge about the disease,treatment compliance rate,persistence rate of functional exercise in the observation group were significantly higher than that of control group (P <0.01).Postoperative DVT,lower limb pain and swelling and hospitalization time were significantly lower than that in the control group (P <0.05 or P <0.01).Conclusion Compre-hensive nursing intervention can effectively improve disease awareness of patients and health behav-ior compliance rate,reduce the incidence rate of postoperative DVT formation as well as lower limb pain and swelling,promote the rehabilitation process and shorten the hospitalization time.

     

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