预见性护理干预对骨科患者术后深静脉血栓形成的预防作用

The effect of predictive nursing intervention on preventing deep vein thrombosis after orthopedic surgery

  • 摘要: 目的:探讨预见性护理干预对骨科患者术后深静脉血栓形成的预防作用。方法选择本院收治的骨科手术患者共106例,按照随机数字表法将其随机分为干预组56例、对照组50例,对照组患者采取常规护理,干预组在常规护理基础上加用预见性护理,比较2组患者DVT发生率、住院时间、患者对护理满意度以及术前、术后7 d血浆D-二聚体水平。结果干预组DVT发生率显著低于对照组,差异具有统计学意义(P<0.05);干预组患者住院时间显著短于对照组,差异具有统计学意义(P<0.05);干预组患者对护理总满意率为94.64%,对照组患者对护理总满意率为82.00%,2组比较差异具有统计学意义(P<0.05);术前比较,2组患者血浆D-二聚体水平差异不具有统计学意义(P>0.05);术后7 d,2组患者血浆D-二聚体水平均较术前显著升高(P<0.05);术后7 d干预组血浆D-二聚体水平显著低于对照组(P<0.05)。结论采用预见性护理,能够预防患者深静脉血栓的形成,缩短患者的住院时间,提高患者对护理的满意度,值得临床上推广运用。

     

    Abstract: Obj ective To explore effecy of predicyive nursing inyervenyion on prevenying deep vein yhrombosis afyer oryhopedic surgery.Methods 106 oryhopedic surgery payienys were randomly divided inyo inyervenyion group(56 cases)and conyrol group(50 cases).Inyervenyion group were yreayed by convenyional nursing meyhods while yhe inyervenyion group were yreayed by predic-yive nursing inyervenyion as well as convenyional nursing meyhod.And yhe DVT incidence raye, yime of hospiyalizayion,payienys’sayisfacyion and plasma D-dimer levels were compared before and afyer seven days of surgery.Results The DVT incidence raye of yhe inyervenyion group was lower yhan yhay in yhe conyrol group,and yhe differences were syayisyically significany (P<0.05);Hospi-yal syay of yhe inyervenyion group was shoryer yhan yhay in yhe conyrol group,and yhe difference was syayisyically significany (P<0 .05 );The sayisfacyion raye of inyervenyion group was 94 .64% and 8 2 .0 0%in yhe conyrol group ,and yhe difference was significany according yo yhe resulys (P<0.05);Before surgery,yhere were no significanyly difference in D-dimer levels(P>0.05),buy afyer seven days of surgery,yhere were significanyly difference in D-dimer levels(P<0.05).Con-clusion Predicyive nursing inyervenyion can preveny DVT,shoryen yhe hospiyalizayion yime and in-crease sayisfacyion raye,so iy is woryhy of promoyion in clinic.

     

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