摘要
目的探讨循证护理对妇科腹腔镜手术患者术后静脉血栓的预防作用。方法选取丽水市人民医院2014年8月—2015年3月收治的300例妇科腹腔镜手术的患者为研究对象，采用随机、平行、双盲的方法分为2组，对照组采用常规护理，观察组采用循证护理预防术后静脉血栓，主要措施有术前Autar量表评估、认知干预及机械性预防等，比较2组术后静脉血栓的预防知识、下肢不适、静脉血栓的发生情况以及护理满意度。结果观察组术后6d的静脉血栓预防知识得分为89．51±12．78，高于对照组的75．14±18．54，下肢肿胀、下肢疼痛、浅静脉曲张等下肢深静脉血栓（DVT）症状的发生率为10．7％，低于对照组的30．0％，差异有统计学意义（t=10．23，χ^2=12．51，P〈0．05）。观察组术后下肢深静脉流速为（25．53±3．47）cm／s，大于对照组的（20．14±2．51）cm／s，静脉血栓的发生率为2．0％，低于对照组的6．7％，静脉血栓的直径为（0．23±0．09）cm，小于对照组的（0．42±0．12）em，差异有统计学意义（t=4．05，）（2=3．94，t=2．17，P〈0．05）。观察组的护理满意度为96．0％，高于对照组的90．0％，差异有统计学意义（χ^2=5．14，P〈0．05）。结论循证护理能够有效减少妇科腹腔镜患者术后静脉血栓的发生率，规避术后护理风险。
Objective To investigate the preventive effect of evidence-based nursing on postoperative venous thrombosis in patients undergoing gynecological laparoseopic surgery. Methods Total 300 cases of gynecologic laparoscopic surgery patients from August,2014 to March,2015 were divided into two groups by random, parallel and double blind methods. The control group was treated with routine nursing; the observation group was treated with evidence-based nursing, and the main measures were preoperative Aurar assessment, cognitive intervention, mechanical prevention and etc. The two groups were compared of prevention knowledge of postoperative venous thrombosis, lower extremity discomfort, the occurrence of venous thrombosis and nursing satisfaction. Results the knowledge scores of venous thrombosis after operation in the observation group was 89.51 ± 12.78 significantly higher than 75.14 ± 18.54 in the control group, and the incidence of lower limb swelling, lower limb pain, and shallow vein in the observation group was 10.7% lower than 30.0% in the control group, the difference was statistically significant（ t = 10.23, χ^2 = 12.51 ,P 〈 0.05 ）. The lower extremity deep venous flow velocity in the observation group was （ 25.53 ± 3.47 ） cm/s faster than （ 20. 14 ± 2.51 ） cm/s in the control group ,the diameter of vein thrombus was 2.0% less than 6.7% in the control group ,the incidence of venous thrombosis was （0.23 ± 0.09 ） cm lower than （0.42 ±0.12） cm in the control group, the difference was statistically significant（ t = 4.05, χ^2 = 3.94 ,t = 2.17 ,P 〈 0.05 ）. Nursing satisfaction in the observation group was 96.0% higher than 90.0% in the control group, the difference was statistically significant（ t = 15.30,18.49,20.41,12.45, χ^2 = 5.14, P 〈 0.05 ）. Conclusion Evidence based nursing can effectively reduce the incidence of venous thrombosis after gynecological laparoscopic surgery, and avoid postoperative nursing risk.
出处
《中华全科医学》
2016年第5期854-857,共4页
Chinese Journal of General Practice
基金
2014年浙江省计划生育类适宜技术推广项目(2014-C23035)
关键词
循证护理
妇科腹腔镜
静脉血栓
预防
Evidence-based nursing
Gynecological laparoscopy
Venous thrombosis
Prevention
