综合护理干预在预防危重患者下肢深静脉血栓形成中的应用

Application of Comprehensive Nursing Intervention in Prevention of Deep Vein Thrombosis of Lower Extremity in Critically Ill Patients

目的探讨综合护理干预措施对重症监护室(Intensive Care Unit,ICU)危重患者下肢深静脉血栓形成(Deepvenous throm bosis,DVT)的预防护理措施。方法选取2010年10月-2011年10月在重症医学科住院超过2周的患者186例,按入住顺序分为两组,单数93例为观察组,采用综合护理干预措施进行护理,双数93例对照组,采用常规措施进行护理。比较两组患者DVT的发生情况。结果观察组患者发生DVT 16例,发生率为17.20%,而对照组患者发生DVT 28例,发生率为30.11%。差异具有统计学意义(P<0.05)。结论提高医护人员认识、增加肢体被动运动以及配合气压治疗等一系列综合护理干预措施的应用可以有效降低DVT发生率。

Objective To investigate the effects of comprehensive nursing intervention on the prevention of lower extremity deep vein thrombosis in critically ill patients in ICU. Methods All 186 critically ill patients delayed over 2 weeks in our hospital from Oct. 2010 to Oct. 2011 were divided into two groups in order. 93 cases in the observation group received the comprehensive nurs- ing intervention measures, and 93 cases in the control group received the conventional nursing care. The incidence of DVT was compared between the two groups. Results In the observation group, 16 cases were with DVT,the incidence was 17.20% ;while in the control group 28 cases were with DVT, the incidence rate was 30.11%. The difference was significant （ P 〈 0.05 ）. Conclu- sion The comprehensive nursing intervention measures such as the passive movement of limbs and pressure treatment can effec- tively reduce the incidence of DVT.