患者血栓风险评估效果探讨及下肢深静脉血栓护理体会

Nursing experience for patients with deep venous thrombosis of lower extremities

目的总结下肢深静脉血栓(DVT)患者的护理经验,探索患者入院采用Wells评估表效果及DVT合理护理措施。方法收集我院近5年来482例DVT患者临床资料,前4年采用常规护理方法,2017年后采用Well′s评分表对入院患者行DVT风险预测以及统计患者DVT的实际符合率,对确诊DVT患者进行一系列沟通及日常重点检查工作,突出专科护理及必要的抢救准备。比较2017年与前4年DVT发病情况,探讨新的护理经验。结果实施规范VET防治、实行规范护理措施后,2017年的121例DVT患者只发生3例肺栓塞(PE),DVT并发PE的发生率为2.48%,与往年相比,PE并发率明显下降,其差异有统计学意义(P<0.05)。结论 Wells评分系统能较准确预测DVT患者。对确诊DVT患者的做好护理沟通,完善DVT专科护理及必要的抢救准备,有助于降低并发PE的发生率及死亡率。

Objective To summarize the nursing experience of 482 patients with deep venous thrombosis （DVT） in our hospital in the past five years and explore the effect of Well＇s score and the reasonable nursing measures of DVT. Method The clinical data of 482 patients with DVT in our hospital in the past 5 years were collected. The first 4 years were treated with routine nursing methods. After 2017, tile new nursing options was implemented to predicted risk of DVTby using tje Wells scale after admission, and the actual coincidence rate of patients＇ DVT was calculated.A series of communication and daily key examination carried out for confirmed DVT patients, and highlighted specialist care and necessary rescue preparation. The incidence of DVT between 2017 and the first 4 years was compared and explore newnursing experience from it.Results After the implementation of standardized prevention and treatment of venous thrombus embolism （VTE） and the implementation of standardized nursing measures, a total of 3 puhnonary embolism （PE） eases occun＇ed in 121 DVT patients in 2017. The incidence of DVT concun＇ent PE was 2.48% which displayed a dramatic decline.Compared with previous years, PE concurrent rate decreased significantly. The difference was statistically significant （P〈0.05）. Conclusion The Wells scoring system can accurately predict DVT patients. Sufficient communication with patients diagnosed with DVT, perfect DVT specialist nursing and necessary rescue preparation help to reduce the incidence and mortality of concurrent PE.