基于风险评估的集束化护理在预防全子宫切除术后下肢深静脉血栓中的应用

Application of Cluster Nursing based on Risk Assessment in Prevention of Deep Vein Thrombosis of Lower Extremity after Total Hysterectomy

目的探讨预防妇科良性疾病行全子宫切除术后并发下肢深静脉血栓的集束化护理措施。方法选取2020年6月至2021年2月妇科病房收治的90例妇科良性疾病行全子宫切除术患者作为病例组,2019年9月至2020年5月的88例妇科良性疾病行全子宫切除术患者作为对照组,进行对比研究。对照组采用妇科常规护理,病例组采用基于风险评估的集束化护理方案,将基于循证、相互关联、能提高患者结局的护理措施集合实施,将分散的护理过程系统化,比较两组患者下肢深静脉血栓的发生率、患者和医护人员对护理方案的满意率等。结果病例组下肢静脉血栓发生率为1.11%(1/90),低于对照组的发生率7.95%(7/88),差异有统计学意义(P<0.05)。集束化护理实施后,医生、护士、患者的满意率均在97%以上,差异有统计学意义(P<0.05)。结论基于风险评估的集束化护理方案,有助于预防妇科良性疾病全子宫切除术后下肢深静脉血栓的发生。

Objective To explore the cluster nursing for preventing deep vein thrombosis of lower extremity after total hysterectomy for benign gynecological diseases.Methods A total of 90 patients with benign gynecological diseases after total hysterectomy from June 2020 to February 2021 were selected as the case group,and 88 patients from September 2019 to May 2020 were selected as the control group.The control group was treated with routine gynecological nursing,and the case group was treated with cluster nursing.Implement a collection of evidence-based,interrelated care interventions and measures which can improve patient outcomes.Meanwhile to systematize the decentralized care process.Three indicators were compared between two groups,including the incidence of deep vein thrombosis of lower extremity,the satisfaction of patients,and satisfaction of medical staff with cluster nursing plan.Results The incidence of deep vein thrombosis of lower extremity in the case group was 1.11%(1/90),which was lower than that in the control group(7.95%,7/88),and the difference was statistically significant(P<0.05).After the application of cluster nursing,the satisfaction of doctors,nurses and patients were all above 97%,and the difference was statistically significant(P<0.05).Conclusion Cluster nursing based on risk assessment contributes to prevent deep vein thrombosis of lower extremities after total hysterectomy for benign gynecological diseases.