摘要
目的:探讨抗凝风险评估联合清单制管理在静脉血栓患者中的应用效果。方法:采用便利抽样法,选取2019年9月—2021年9月于南阳南石医院诊治的104例静脉血栓患者为研究对象,采用随机数字表法分为观察组与对照组,每组各52例。观察组予以抗凝风险评估联合清单制管理,对照组予以常规护理。对比两组出血发生率、抑郁自评量表(SDS)评分、焦虑自评量表(SAS)评分和护理满意度的差异。结果:观察组患者出血发生率为5.77%(3/52)、皮下瘀斑率为7.69%(4/52),分别低于对照组的26.92%(14/52)和34.62%(18/52),差异有统计学意义(χ2值分别为8.508、11.299;P<0.05)。干预后,观察组的SDS评分为(38.52±8.52)分、SAS评分为(47.58±7.69)分,分别低于对照组的(52.06±10.39)、(57.52±10.47)分,差异有统计学意义(t值分别为7.267、5.518;P<0.05)。观察组护理满意度为94.23%(49/52),高于对照组的75.00%(39/52),差异有统计学意义(χ2=7.386,P<0.05)。结论:抗凝风险评估联合清单制管理用于静脉血栓患者中有利于降低出血发生率,减轻患者焦虑和抑郁情绪。
Objective To explore the effect of anticoagulation risk assessment combined with list management in patients with venous thrombosis.Methods From September 2019 to September 2021,104 patients with venous thrombosis who were diagnosed and treated in Nanshi Hospital of Nanyang were selected by convenient sampling.The patients were divided into observation group and control group by random number table method,with 52 cases in each group.The observation group was given anticoagulation risk assessment combined with list management,while the control group was given routine nursing.The incidence of bleeding,Self-rating Depression Scale(SDS)score,Self-rating Anxiety Scale(SAS)score and nursing satisfaction were compared between the two groups.Results The incidence of bleeding of patients in the observation group was 5.77%(3/52),and the subcutaneous ecchymosis rate was 7.69%(4/52),which was lower than 26.92%(14/52)and 34.62%(18/52)of the control group,respectively,with statistically significant differences(χ2=8.508,11.299;P<0.05).After intervention,the SDS score and SAS score of the observation group were(38.52±8.52)and(47.58±7.69)respectively,which were statistically lower than(52.06±10.39)and(57.52±10.47)of the control group,respectively(t=7.267,5.518;P<0.05).The nursing satisfaction of the observation group was 94.23%(49/52),which was higher than 75.00%(39/52)of the control group,and the difference was statistically significant(χ2=7.386,P<0.05).Conclusions Anticoagulation risk assessment combined with list management in patients with venous thrombosis is conducive to reducing the incidence of bleeding and relieving the anxiety and depression of patients.
作者
罗红
钱俊甫
刘中松
Luo Hong;Qian Junfu;Liu Zhongsong(Second Ward of General Surgery,Nanshi Hospital of Nanyang,Nanyang 473000,China)
出处
《中华现代护理杂志》
2023年第9期1244-1248,共5页
Chinese Journal of Modern Nursing
关键词
静脉血栓栓塞
风险评估
风险因素
清单
出血
负性情绪
Venous thromboembolism
Risk assessment
Risk factors
List
Hemorrhage
Negative emotion
