综合干预措施在预防妇科手术后下肢深静脉血栓形成中的研究

Comprehensive intervention measures in the prevention of lower extremity deep venous thrombosis after the Gynecological surgery

目的研究对妇科择期手术患者提供综合干预措施对预防术后出现下肢深静脉血栓的影响。方法将本院于2014年1月至2016年2月收治的1120例接受妇科择期手术患者,按入院时间将患者划分为常规组560例与干预组560例,常规组给予常规护理,干预组接受综合干预措施,总结两组患者术后下肢深静脉血栓发生例数及对临床护理服务质量评分。结果常规组患者发生LDVT为14例、发生率2.5%,干预组为1例、发生率0.18%,干预组发生LDVT的例数明显减少;干预组患者对临床护理服务质量满意度评分比常规组高,P<0.05。结论通过成立DVT预防项目小组,将预防DVT质控纳入科室安全质量指标进行全面管理,制定可行的DVT预防措施、量化的运动指导并监督落实;对高危患者术后预防性使用低分子肝素钠等综合干预措施,可有效预防妇科手术后下肢DVT发生,减轻患者痛苦,且患者对护理服务质量满意度提高。

Objective To study the clinical influence of comprehensive nursing interventions in the prevention of LDVT （lower extremity deep venous thrombosis） after the gynecological operation. Methods From January 2014 to February 2016, 1120 eases of gynecological elective surgery patients treated in our hospital, according to admission time they were divided into conventional group and intervention group, 560 cases in each group. Patients in conventional group was given routine nursing care, and those in intervention group received comprehensive intervention measures, summarized the occurrence eases of postoperative lower extremity deep vein thrombosis of the two groups, summarized quality of clinical nursing services according to patients. Results LDVT occurred in 14 cases in routine group, the incidence rate was 2.5%, however, there was only 1 case LDVT in intervention group for, the incidence rate was 0. 18%, which was significantly reduced when compared to routine group. Patients in intervention group given higher satisfaction score on clinical nursing service quality than normal group （ P 〈 0. 05 ）. Conclusions The comprehensive nursing interventions （ establish DVT prevention project team, set DVT prevention as a comprehensive quality control into the department safety management, formulate feasible DVT prevention measures and quantitative guide and supervise the implementation, preventive use of low molecular heparin sodium for high-risk patients） can effectively preventing lower extremity DVT after gynecological surgery, relieve patients＇ pain, and to improve patients＇ satisfaction on the quality of nursing service.