摘要
目的评价患者-医护双向综合管理方法对老年病房患者发生静脉血栓栓塞症(venous thromboembolism,VTE)预防的效果。方法选取2019年1月到2019年12月在老年病房工作的51名医护人员和老年综合病区收治的100例VTE低风险患者,采用患者-医护同步教育方法对预防VTE进行培训、落实、监督、随访等双向综合管理,对比管理前后医护人员和患者VTE基本知识、VTE预防的态度、措施落实情况,采用Likert5级评分法进行评分,统计非老年病房和老年病房VTE发生率。结果医护人员和患者在实施管理后的基本知识、VTE预防的态度、措施落实方面分数明显提高,差异有统计学意义(P<0.05);患者-医护双向综合管理后,全院非老年病房发生VTE的105名患者中,院内确诊VTE 40例(占38.1%);而老年病房100名患者院内发生VTE 11例(占11.0%),差异有统计学意义(P<0.001);患者对落实预防VTE措施的满意度调查显示:非常满意62人(占总比例的62.0%),满意24人(24.0%),一般满意10人(10.0%),不太满意4人(4.0%),不满意0人。结论患者-医护双向综合管理方法能有效预防老年病房患者VTE的发生。该方法能加强医护和患者防治意识,同时提升了患者对医护工作的满意度,值得进一步验证后推广应用。
Objective To assess the effect on prevention of venous thromboembolism(VTE)in wards of elderly patients by two-way communication management of both patients and medical professionals.Methods One hundred patients with low-risk of VTE development in our comprehensive division of elderly patient wards and fifty-one medical care-givers were selected as study subjects from January 2019 through December 2019.Concurrent education and communication methods in terms of comprehensive VTE prevention course training,implementation,monitoring and follow-up to both patients and medical professionals were adopted.Indicators of VTE awareness degree and basic knowledge,attitude to VTE prevention and task implementation before and after introduction of two-way management system were compared.VTE incidence rates in elderly and non-elderly wards were also compared.Results Indicators in basic knowledge,attitude to VTE prevention and task implementation were significantly improved in medical profressionals and patients(P<0.05).After introduction of this two-way management system for VTE prevention,eleven of one hundred patients in elderly wards developed VTE(11.0%),significantly lower than 38.1%(40/105)of VTE incidence in wards without implementing this two-way management system(P<0.001).Satisfaction to hospital in patients were also greatly improved as 62.0%(60/100)most satisfied,24.0%(24/100)much satisfied,10.0%(10/100)satisfied and no non-satisfied patients.Conclusions Venous thromboembolism could be reduced significantly by two-way communication management of both patients and medical professionals in elderly population.This systemic management could raise the awareness of VTE prevention in both patients and care-givers,and promote patient satisfaction to hospital staff,suggesting be worth further validation and expanded implementation.
作者
王小霞
许智红
王菲菲
邓思思
陈秋菊
WANG Xiao-xia;XU Zhi-hong;WANG Fei-fei;DENG Si-si;CHEN Qiu-ju(East Comprehensive Division 3,Guangdong Provincial People's Hospital,Guangdong Academy of Medical Sciences,Guangdong Institute of Geriatrics,Guangzhou 510080,China)
出处
《循证医学》
2020年第2期125-128,共4页
The Journal of Evidence-Based Medicine
关键词
患者-医护双向综合管理方法
预防
静脉血栓栓塞症
two-way communication management of both patients and medical professionals
prevention
venous thromboembolism
