优质护理服务在髋关节置换术后下肢深静脉血栓预防中的应用

Application of High Quality Nursing Service in Prevention of Lower Extremity Deep Vein Thrombosis after Hip Replacement Arthroplasty

目的分析优质护理服务在髋关节置换术后下肢深静脉血栓预防效果。方法选取2012年1月至2015年12月42例单侧全髋关节置换术患者资料进行回顾性分析。根据临床护理干预不同分组,常规护理模式为对照组,优质护理服务为观察组,对比两组(各21例)血栓形成例数、下肢水肿症状消失时间、住院时间和生活质量评分等临床护理干预效果。结果观察组无下肢深静脉血栓形成病例,对照组下肢深静脉血栓形成构成比为28.57%(6/21);观察组下肢水肿症状消失时间、住院时间明显低于对照组,而观察组生活质量评分(88.65±12.12)显著高于对照组(42.72±6.93),差异有统计学意义(均P<0.05)。结论为髋关节置换术提供优质护理服务,能够显著降低术后下肢深静脉血栓形成,可在骨科临床护理工作中推广应用。

Objective To analyze high quality nursing service in prevention of lower extremity deep vein thrombosis after hip replacement arthroplasty. Methods The 42 patients with unilateral total hip replacement arthroplasty were retrospectively analyzed from January 2012 to December 2015 . According to different nursing intervention, there were divided into two groups：routine nursing mode was control group（21 cases） and high quality nursing service was observation group （21 cases） . The number of thrombosis cases, the disappearance time of lower extremity edema symptoms, hospitalization stay and quality of life score were compared between the two groups. Results In observation group, there was no deep vein thrombosis in lower extremity, but in control group the proportion was 28. 57% （6/21）. The disappearance time of lower extremity edema symptoms, hospitalization stay were significantly lower in observation group（P 〈0. 05）. Nevertheless, quality of life score in observation group（88. 65 ± 12. 12） were higher than the control group （42. 72 ± 6. 93 ） （ P 〈 0. 05 ）. Conclusion The high quality nursing service in hip replacement arthroplasty could significantly reduce the postoperative deep vein thrombosis of the lower limbs and have a promising future in orthopedic clinical nursing care.