临床护理路径在人工全髋关节置换术后预防下肢深静脉血栓形成中的应用

Application of clinical nursing pathway in preventing deep venous thrombosis after total hip arthroplasty

目的:探讨临床护理路径在人工全髋关节置换术后预防下肢深静脉血栓形成中的效果。方法:选取本院2015年1月-2016年2月人工全髋关节置换术后患者128例,按随机序列法分为两组,其中观察组64例、对照组64例。观察组采用临床护理路径,对照组采用常规护理方法,记录两组患者下肢深静脉血栓形成率及满意度情况。结果:观察组下肢深静脉血栓发生率为3.12%(2/64),对照组下肢深静脉血栓发生率为12.50%(8/64),观察组下肢深静脉血栓发生率明显低于对照组(P<0.05);观察组满意度为93.75%,对照组为78.12%,两组比较差异有统计学意义(P<0.05)。结论:人工全髋关节置换术后行临床护理路径可有效降低下肢深静脉血栓的发生率,同时可提高患者满意度,值得在临床上推广。

Objective： To explore the effect of clinical nursing pathway on deep venous thrombosis after total hip arthroplasty. Methods： 128 cases were divided into the observation group and control group, 64 cases in each. The observation group was given the clinical nursing pathway. The control group was given the routine nursing. Deep venous thrombosis rate and the satisfaction degree were recorded. Results： The incidence of deep venous thrombosis was 3.12%（2/64） in the observation group and 12.5%（8/64） in the control group. The incidence of deep venous thrombosis in the observation group was significantly lower than that in the control group（P〈0.05）. The satisfaction degree was 93.75% in the observation group and 78.12% in the control group, and there were statistically significant differences（P〈0.05）. Conclusion： The clinical nursing pathway can effectively reduce the incidence of deep venous thrombosis, improve patients＇ satisfaction, and is worth popularizing in clinic.