摘要
目的探讨护理专案改善活动预防择期手术患者下肢深静脉血栓(DVT)发生的效果。方法成立专案小组,对2017年1月—6月(实施前)收治的73例择期血管手术患者下肢静脉血栓发生原因进行要因分析,针对主要原因制定措施并实施专案改善,观察2017年7月—12月(实施后) 84例择期手术患者下肢DVT发生率、预防下肢DVT护理干预有效率及患者对下肢DVT预防措施知晓率,并与实施前比较。结果专案改善实施后患者下肢DVT发生率为1. 19%,低于改善前的10. 96%(χ~2=5. 208,P <0. 05),专案改善实施后预防下肢DVT护理干预有效率及患者对下肢DVT预防措施知晓率分别为88. 70%和95. 28%,分别高于改善前的72. 10%和73. 75%(P <0. 05)。结论运用护理专案改善可有效降低择期手术患者下肢DVT发生率,提高患者对预防措施的知晓率。
Objective To investigate the effect of nursing improvement project in prevention of lower-limb deep vein thrombosis（DVT）in patients with the elective vascular surgery. Methods A project team was established, and potential causes of lower-limb DVT in 73 patients who underwent the elective vascular surgery between January 2017 and June 2017 were retrospective analyzed. Corresponding measures were carried out to prevent the lower-limb DVT during the implementation of improvement project activities. The incidence of lower-limb DVT, effective rate of nursing interventions and awareness of preventive measures among 84 patients who underwent elective vascular surgery between July 2017 and December 2017 were observed. Results The incidence of lower-limb DVT was 1.19% after implementation of project activities, which was lower than 10.96% before implementation of project activities （ χ^2=5.208, P 〈0.05）. There was a significant increase in effective rate of nursing interventions （88.70% vs. 72.10%, P 〈0.05） and awareness of preventive measures （95.28% vs. 73.75%, P 〈0.05）. Conclusion The nursing improvement project is effective to prevent the lower-limb DVT in patients with the elective vascular surgery. It can also improve the patients’ awareness of preventive measures against DVT.
作者
尹芳
吴倩
YIN Fang;WU Qian(Department of General Vascular Surgery;Department of Nursing,Cangzhou People＇s Hospital,Cangzhou,Hebei,061000)
出处
《中西医结合护理（中英文）》
2018年第10期139-141,共3页
Journal of Clinical Nursing in Practice
关键词
护理专案
择期手术
深静脉血栓
循证护理
血管外科
健康宣教
nursing project
elective surgery
deep vein thrombosis
evidence-based nursing
vascular surgery
health education
