内科住院老年患者静脉血栓栓塞危险因素及护理预防对策

Risk Factors of Venous Thromboembolism in Elderly Patients in Department of Internal Medicine and Nursing Prevention

目的分析内科住院老年患者静脉血栓栓塞(VTE)危险因素及护理预防对策。方法通过回顾性的对2013年5月到2015年1月我院入院治疗35例内科住院老年患者分析其VTE危险因素及制定相应护理预防对策。结果合并冠心病、高血压、糖尿病、肺部疾病、脑血管疾病等多种慢性病及日常生活运动能力评分较差(占总例数的85.71%),其VTE的发病率较高,且引起深VTE的发生部位,左侧(深静脉血栓中占68.57%)比右侧多发。结论合并多种慢性疾病及日常生活运动能力差是内科住院老年患者发生VTE的危险因素,尽早的对老年患者采用有效的护理措施,对预防其出现VTE的发生、降低相关并发症发生及促进疾病的恢复起到了较好的作用。

Objective To analyze the risk factors of venous thromboembolism （VTE） in elderly inpatients in medical department and its nursing countermeasures. Methods Retrospective study was carried out on 35 patients admitted to hospital from May 2013 to January 2015 to analyze their risk factors for VTE and to formulate corresponding nursing and prevention measures. Results The incidence of VTE was high in patients with coronary heart disease,hypertension, diabetes mellitus,lung disease, cerebrovascular disease and other chronic diseases and the ability of daily life exercise 85.71% and deep venous thrombosis caused by the site of the left side （ deep venous thrombosis accounted for 68.57 % ） than the right multiple. Conclusion The combination of multiple chronic diseases and poor exercise ability in daily life are the risk factors of VTE in elderly inpatients. Early effective nursing care measures should be taken to prevent the occurrence of VTE, Disease occurrence and promote the recovery of the disease played a better role.