临床护理路径预防子宫根治术后下肢深静脉血栓形成中的价值

Value of Clinical Nursing Path in Preventing the Deep Vein Thrombosis after Radical Hysterectomy

目的分析临床护理路径(CNP)预防子宫根治术后下肢深静脉血栓形成(LDVT)中的价值。方法运用随机法从该院妇科临床2016年7月—2017年7月接收并行子宫根治术进行治疗的患者中,抽取88例作为该次研究的对象,根据不同的护理模式将其分作甲组、乙组,每组44例。甲组配合常规护理,乙组遵循CNP施护,比较两组的护理效果及LDVT情况。结果乙组SF-36评分和满意度评分均高于甲组(t=17.649 7、43.070 8,P<0.05),且乙组术后LDVT发生率是4..55%,低于甲组的22.73%(χ~2=6.175,P=0.129)。结论对子宫根治术患者应用临床护理路径后,可有效预防LDVT,提升其生活质量与护理满意度。

Objective To analyze the value of clinical nursing path in preventing the deep vein thrombosis after radical hysterectomy.Methods 88 cases of patients with radical hysterectomy treated in our hospital from July 2016 to July 2017 were randomly selected and divided into two groups with 44 cases in each,the group A used the routine nursing,while the group B used the CNP for nursing,and the nursing effect and LDVT condition were compared between the two groups.Results The SF-36 score and satisfactory degree score in the group B were higher than those in the group A(t=17.649 7,43.070 8 P<0.05),and the incidence rate of LDVT in the group B after surgery was lower than that in the group A(4.55%vs 22.73%)(χ2=6.175,P=0.129).Conclusion The application of clinical path nursing in patients with radical hysterectomy can effectively prevent the LDVT,and improve the quality of life and nursing satisfactory degree.