预防性护理对高血压脑出血患者术后下肢深静脉血栓形成的影响

Effect of Preventive Nursing on Deep Venous Thrombosis of Lower Extremity in Patients after Hypertensive Cerebral Hemorrhage Operation

目的探讨预防性护理对高血压脑出血患者术后下肢深静脉血栓形成的影响。方法将该院2011年9月—2013年8月收治的高血压脑出血患者60例纳入该研究,根据随机原则分组。所有患者术后均给予降压、吸氧、脱水、抗感染、营养神经等常规综合治疗。对照组患者治疗期间接受常规护理,实验组患者治疗期间加强预防性护理。对比两组患者在下肢深静脉血栓发生率、死亡率、护患满意率等方面的差异性。结果对照组患者术后发生下肢深静脉血栓8例,死亡6例;患者或其家属对护理质量非常满意9例,比较满意15例,不满意6例。实验组患者术后发生下肢深静脉血栓1例,无患者死亡,患者或其家属对护理质量非常满意12例,比较满意18例。与对照组对比,实验组患者下肢深静脉血栓发生率较低,死亡率较低,护患满意率较高,组间差异有统计学意义(P<0.05)。结论在高血压脑出血患者手术治疗期间加强预防性护理,有助于降低术后下肢深静脉血栓形成的风险,减少死亡率,并能增进护患关系。

Objective To investigate the effect of preventive nursing on deep venous thrombosis of lower extremity in patients after hypertensive cerebral hemorrhage operation. Methods 60 cases with hypertensive cerebral hemorrhage admitted in our hospital from September 2011 to August 2013 were included in this study and grouped randomly. All the patients were given the conventional comprehensive treatment, such as antihypertensive treatment, oxygen inhalation, dehydration, anti-infection, nerve nutrition and so on. During the treatment, the control group was treated with the conventional nursing, while the experimental group was treated with the strengthened preventive nursing. The incidence of deep venous thrombosis of lower extremity, mortality rate,nurse-patient satisfaction rate of the two groups were compared. Results In the control group, there were 8 cases with postoperative deep venous thrombosis of lower extremity, 6 cases died; 9 patients or family members of the patients were very satisfied with the nursing quality, 15 cases were satisfied and 6 cases were dissatisfied with the nursing quality. In the experimental group, there was 1 case with postoperative deep venous thrombosis of lower extremity, and no patient died, 12 patients or family members of the patients were very satisfied and 18 cases were satisfied with the nursing quality. Compared with the control group, the incidence of deep venous thrombosis of lower extremity and the mortality were lower, and the nurse-patient satisfaction rate was higher, the differences between the two groups were statistically significant（P〈0.05）. Conclusion Strengthening preventive nursing during the surgical treatment of patients with hypertensive cerebral hemorrhage, helps to reduce the risk of postoperative deep venous thrombosis lower extremity and the mortality rate, and improve the nurse-patient relationship.