摘要
目的观察护理干预预防骨科手术后深静脉血栓形成的效果。方法选取该院2017年1月-2018年10月收治的择期行骨科手术患者80例作为该次对象进行研究,根据患者不同护理方式将其分为两组,每组40例。对照组实施常规护理,在此基础上观察组实施针对性护理干预。比较两组术后深静脉血栓形成、住院时间、患者满意度以及生存质量。结果在术后深静脉血栓形成上,观察组出现1例,发生率2.5%,对照组出现8例,发生率20.0%,观察组较对照组显著较低,且组间差异有统计学意义(χ^2=15.337,P=0.000)。在住院时间方面,观察组为(13.2±2.4)d,对照组为(20.4±3.4)d,观察组较对照组显著较短,且组间差异有统计学意义(t=2.283,P=0.029)。在患者满意度上,观察组为95.0%(38/40),对照组为82.5%(33/40),观察组较对照组显著较高,且组间差异有统计学意义(χ^2=7.825,P=0.005)。在生存质量方面,观察组情感职能、生理功能、躯体功能、社会功能等各项评分较对照组均明显较高,且组间差异有统计学意义(t=4.55、6.455、6.67、5.955,P=0.000、0.002、0.001、0.000)。结论护理干预预防骨科手术后深静脉血栓形成的效果显著,即可显著减少其发生率,还可缩短其住院时间,促进其术后康复,并能提升其满意度以及生存质量,因此值得临床应用推广。
Objective To observe the effect of nursing intervention on prevention of deep vein thrombosis after orthope-dic surgery.Methods Eighty patients with elective orthopedic surgery admitted to our hospital from January 2017 to October 2018 were enrolled as subjects.The patients were divided into two groups according to different nursing meth-ods,40 in each group.The control group was given routine care,on the basis of which the observation group imple-mented targeted nursing intervention.The postoperative deep vein thrombosis,hospitalization time,patient satisfaction,and quality of life were compared between the two groups.Results In the postoperative deep vein thrombosis,1 case occurred in the observation group,the incidence rate was 2.5%,and 8 cases in the control group,the incidence rate was 20.0%.The observation group was significantly lower than the control group,and the difference between the groups,was statistically significant(χ^2=15.337,P=0.000).In terms of hospitalization time,the observation group was(13.2±2.4)d,and the control group was(20.4±3.4)d.The observation group was significantly shorter than the control group,and the difference between the groups was statistical significance(t=2.283,P=0.029).In terms of patient satis-faction,the observation group was 95.0%(38/40),and the control group was 82.5%(33/40).The observation group was significantly higher than the control group,and the difference between the groups was statistical significane(χ^2=7.825,P=0.005).In terms of quality of life,the scores of emotional function,physiological function,physical function and so-cial function of the observation group were significantly higher than those of the control group,and the difference be-tween the groups was,statistically significant(t=4.55,6.455,6.67,5.955,P=0.000,0.002,0.001,0.000).Conclusion Nursing intervention can significantly reduce the incidence of deep vein thrombosis after orthopedic surgery,which can significantly reduce its incidence,shorten its hospitalization time,promote its postoperative recovery,and improve its satisfaction and quality of life,so it is worthy of clinical application and promotion.
作者
程仁静
CHENG Ren-jing(Department of Orthopaedics,the Second People's Hospital of Hefei,Hefei,Anhui Province,230000 China)
出处
《系统医学》
2019年第18期171-173,共3页
Systems Medicine
关键词
骨科手术
深静脉血栓形成
护理干预
预防效果
观察
Orthopedic surgery
Deep vein thrombosis
Nursing intervention
Preventive effect
Observation
