摘要
骨肿瘤手术具有较大的风险性、创伤性,多数患者难以耐受康复训练的强度和频率,且卧床时间较长,导致并发静脉血栓栓塞(VTE)风险高。为降低患者术后静脉血栓发生率、提高患者生存质量,护理人员应做到以下几点:加强围手术期护理,严密观察病情,提供专业的疼痛护理,加强肢体功能锻炼指导,注意合理用药,开展饮食指导、健康教育及心理干预等。术后居家康复期的院外延续护理进一步巩固治疗效果,最大限度改善患者预后。通过文献查阅,目前国内外对骨肿瘤相关VTE预防及护理研究进展尚无借鉴,故本文对骨肿瘤VTE研究现状、骨肿瘤术后VTE危险因素、预防及护理干预措施进行综述,以期为临床制定护理干预措施提供理论参考。
Bone tumor surgery is risky and traumatic.Most patients are difficult to tolerate the intensity and frequency of rehabilitation training,and stay in bed for a long time,resulting in a high risk of venous thrombus embolism(VTE).In order to reduce the incidence of postoperative venous thrombosis and improve the quality of life of patients,nursing staff should strengthen perioperative nursing,closely observe the condition,provide professional pain nursing,strengthen limb function exercise guidance,pay attention to rational drug use,and provide diet guidance,health education,psychological intervention and so on.The continuous nursing outside the hospital during the postoperative home rehabilitation period can further consolidate the treatment effect and maximize the prognosis of patients.Through literature review,there is no reference for the research progress of VTE prevention and nursing related to bone tumors at home and abroad.Therefore,this article reviews the research status of bone tumor VTE,risk factors of VTE after bone tumor surgery,prevention and nursing interventions,so as to provide theoretical reference for clinical nursing intervention.
作者
薛彦涛
韦荣泉
周海云
秦叶兰
XUE Yantao;WEI Rongquan;ZHOU Haiyun;QIN Yelan(Guangxi Medical University Cancer Hospital,Nanning 530021,China)
出处
《临床医学研究与实践》
2023年第13期191-194,共4页
Clinical Research and Practice
关键词
骨肿瘤
静脉血栓栓塞
生存质量
bone tumor
venous thrombus embolism
quality of life
