摘要
目的探讨集束化护理预防异位妊娠失血性休克术后下肢深静脉血栓的效果。方法选取2017年6月至2020年6月抚州市第一人民医院收治的120例异位妊娠失血性休克患者作为研究对象,采用随机数字表法分为观察组(60例)和对照组(60例)。对照组患者给予常规护理,观察组患者在常规护理的基础上运用集束化护理。比较两组患者的术后下床时间、住院时间及护理时间;比较两组患者术后的下肢运动功能;比较两组患者的术后下肢深静脉血栓发生率和护理工作满意度。结果 观察组患者的术后下床时间、住院时间及护理时间均短于对照组,差异有统计学意义(P<0.05);护理后,观察组患者的下肢运动功能优于对照组,差异有统计学意义(P<0.05);观察组患者的术后下肢深静脉血栓发生率低于对照组,差异有统计学意义(P<0.05);观察组患者在关心与爱护、服务与技术、环境与指导、总分方面的护理工作满意度评分均高于对照组,差异有统计学意义(P<0.05)。结论 对异位妊娠失血性休克患者进行集束化护理,能够有效改善患者下肢运动功能的恢复能力,提高患者对护理工作的满意度。
Objective To explore the effect of clustered nursing to prevent deep vein thrombosis of lower limbs after hemorrhagic shock of heterotopic pregnancy.Methods A total of 120 patients with hemorrhagic shock during heterotopic pregnancy who were admitted to Fuzhou First People′s Hospital from June 2017 to June 2020 were selected as the research objects.They were divided into experimental group(60 cases)and control group(60 cases)by random number table method.The control group was given routine care,and the experimental group used the clustered care model on the basis of routine care.The postoperative time of getting out of bed,hospital stay and nursing time were compared between the two groups.The lower limb motor function of the two groups was compared after surgery.The incidence of postoperative lower extremity deep vein thrombosis and nursing satisfaction were compared between the two groups.Results The postoperative time of getting out of bed,hospital stay and nursing time in observation group were shorter than those in control group,and the differences were statistically significant(P<0.05).After nursing,lower limb motor function of observation group was better than that in the control group,the difference was statistically significant(P<0.05).The incidence of postoperative deep vein thrombosis in lower limbs in observation group was lower than that in control group,and the difference was statistically significant(P<0.05).The nursing job satisfaction scores in of patients in the observation group were higher than those in the control group in care and love,service and technology,environment and guidance,total score,with statistically significant differences(P<0.05).Conclusion Cluster nursing for patients with hemorrhagic shock of heterotopic pregnancy can effectively improve the recovery ability of patients′lower limb motor function,and improve patients′satisfaction with nursing work.
作者
徐莉
XU Li(Department of Obstetrics and Gynecology,Fuzhou First People′s Hospital,Jiangxi Province,Fuzhou344000,China)
出处
《中国当代医药》
CAS
2022年第10期174-177,共4页
China Modern Medicine
基金
江西省抚州市社会发展指导性科技计划项目(抚科计字[2020]第10号9)。
关键词
异位妊娠
失血性休克
集束化护理
下肢深静脉血栓
Heterotopic pregnancy
Hemorrhagic shock
Cluster nursing
Lower extremity deep venous thrombosis
