住院患者静脉血栓栓塞症风险管理体系的建立与临床实践

Validation of a venous thromboembolismrisk management system for inpatients

目的:建立并实践住院患者静脉血栓栓塞症(Venous Thrombo-embolism,VTE)风险管理体系,评价其实施效果。方法:成立医院护理部VTE专科护理小组,通过文献回顾、结合临床实际,采用焦点小组访谈法获得住院患者静脉血栓栓塞症风险管理体系的内容并临床实践,对实施效果进行分析。结果:风险管理体系实施后,临床护士VTE风险防范意识显著提高,近三年管理VTE患者数量成明显上升趋势,结合信息系统,识别VTE高危科室,开展进一步护理。结论:住院患者静脉血栓栓塞症风险管理体系的建立与临床实践对提升护士VTE护理能力、改善VTE患者疾病管理现状、推动VTE专科护士培养有促进作用。

Objective： To develop and validate avenous thromboembolism risk management system for inpatients. Methods： A panel of VTE specialized nurses was recruited. Based on literature review and clinical practice, a venous thromboembolism risk management system was developed by focus group interview method. Results： Based on the risk management system, the amount of patients that received VTE risk management increased significantly, and nurses raised the awareness of VTE prevention. Combined with hospital information system, identify VTE high-risk departments, and perform proper nursing strategies. Conclusion： The use of the venous thromboembolism risk management system for inpatients can reduce risk of VTE, and promote nurses＇ VTE prevention strategies.