新型护理模式对妊娠期妇女深静脉血栓形成的预防作用

The prevention of deep venous thrombosis in pregnant women by a new nursing model

目的：观察新型护理模式对有高危因素的妊娠期妇女深静脉血栓（DVT）形成的预防作用。方法选择有高危因素的妊娠期妇女186例，采用数字表法随机分为对照组93例、观察组93例，对照组组采用常规护理，观察组在常规护理的基础上采用新型护理模式，比较两组产后2周下肢胀疼、下肢深静脉血栓形成发生率，以及对护理的满意度。结果产后2周，观察组下肢胀痛发生率、下肢深静脉血栓形成发生率分别为8．6％、2．1％，对照组下肢胀痛发生率、下肢深静脉血栓形成发生率分别为20．4％、9．7％，两组差异均有统计学意义（χ2＝4．56、4．82，均 P ＜0．05）；观察组护理满意度为95．6％，对照组护理满意度为81．7％，两组差异有统计学意义（χ2＝5．27，P ＜0．01）。结论新型护理模式用于有高危因素的妊娠期妇女能有效预防 DVT的发生，减少 DVT 的发生，提高护理满意度。

Objective To observe the preventive effect of the new nursing mode on the formation of deep venous thrombosis（DVT）in pregnant women with high risk factors.Methods 186 pregnant women who had high risk factors were selected,by using digital table method they were randomly divided into control group（93 cases）and observation group（93 cases）.The control group was treated with routine nursing,the observation group was given the new nursing mode on the basis of routine nursing.The postpartum 2 weeks of lower limb swelling,pain,lower extremity deep vein thrombosis formation of incidence,and the nursing satisfaction were compared between the two groups. Results 2 weeks postpartum,the incidence rates of lower limb pain occurrence,lower extremity deep vein thrombosis in the observation group were 8.6%,2.1%,which in the control group were 20.4%,9.7%,there were statistically significant differences between the two groups（χ2 =4.56,4.82,all P 〈0.05）.The satisfaction of the observation group was 95.6%,which of the control group was 81.7%,the difference between the two groups was statistically sig-nificant（χ2 =5.27,P 〈0.01）.Conclusion The new nursing model used in pregnant women with high risk factors can effectively prevent the occurrence of DVT,reduce the incidence of DVT,improve the satisfaction of nursing.