早期护理干预在预防肿瘤重症病人深静脉血栓中的应用

Application of early nursing interventions on prevention of deep venous thrombosis in critically ill cancer patients

[目的]探讨早期护理干预对预防肿瘤重症病人深静脉血栓的效果。[方法]将145例肿瘤重症病人分为对照组70例和实验组75例,对照组病人采用重症监护室(ICU)常规护理,实验组在ICU常规护理的基础上行早期评估、行为训练、物理治疗等早期护理干预。每隔14d采用多普勒超声检查有无深静脉血栓的形成,比较两组病人深静脉血栓发生率。[结果]实验组病人中有5例发现深静脉血栓,对照组病人中有13例发现深静脉血栓,差异具有统计学意义(P<0.05)。[结论]早期护理干预能有效预防肿瘤重症病人深静脉血栓形成。

Objective.- To probe into the effect of early nursing interventions on prevention of deep venous thrombosis in critically ill cancer patients. Methods：A total of 145 cases of critically ill cancer patients were divided into control group with 70 cases and experimental group with 75 cases,the patients in control group used the intensive care unit （ICU） routine care, besides that, patients in experimental group received early nursing inter- vention including early assessment, behavioral training and physical treat- ment. Doppler ultrasound was used to check for deep vein thrombosis or not for every 14 h,and to compare the incidence of deep vein thrombosis between two groups. Results：Deep vein thrombosis occurred in five cases in the experimental group,deep vein thrombosis occurred in 13 patients in control group,there was statistically significant difference （P〈~0.05）. Con- clusion： Early nursing intervention can effectively prevent deep venous thrombosis in critically cancer patients.