系统化护理干预预防下肢骨折术后深静脉血栓发生的效果

Effect of Systematic Nursing Intervention on Prevention of Deep Venous Thrombosis after Lower Extremity Fracture Surgery

目的分析系统化护理干预预防下肢骨折术后深静脉血栓发生的效果,总结骨科护理中深静脉血栓预防经验。方法选取本院2015年6月—2016年6月收治的82例下肢骨折术患者,按护理方法分为接受系统化护理的观察组和常规护理的参照组。比较两组患者术后下床时间、住院时间以及服药依从性、健康教育依从性、深静脉血栓发生率。结果观察组患者术后深静脉血栓发生率为2.44%,明显低于参照组,下床时间、住院时间均明显短于参照组,服药依率以及健康教育依从率均高于参照组,各指标组间比较差异均有统计学意义(P<0.05)。结论下肢骨折术后系统化护理干预利于促进患者更好恢复,降低深静脉血栓发生率,临床工作中应重视系统化护理的实施,特别是出院后的延续性护理工作。

Objective To analyze the effect of systematic nursing intervention on prevention of deep venous thrombosis after lower limb fracture surgery effect,and summarize the prevention and nursing of lower extremity deep venous thrombosis after surgery experience fracture. Methods Eighty-tow patients with lower limb fracture who were treated in our hospital from June 2015 to June 2016 were randomly divided into the observation group receiving systematic nursing and the reference group receiving routine care. The two groups were compared in terms of the time of postoperative bed,hospitalization,medication compliance,health education compliance,and the incidence of deep venous thrombosis. Results Postoperative deep venous thrombosis rate in patients of the observation group was 2.44%,significantly lower than the control group;ambulation time,hospitalization time were significantly shorter than the control group,health education and medication compliance rates were higher than the reference group(P<0.05). Conclusion Systematic nursing intervention after lower limb fracture surgery can help patients recover better and reduce the incidence of deep venous thrombosis,the implementation of systematic nursing in clinical work should be applied,especially the continuous nursing after discharing from hospital.