专科护理质量指标在预防髋、膝关节置换术后深静脉血栓形成中的应用

Application of specialist nursing quality index in preventing deep vein thrombosis after hip and knee arthroplasty

目的探究专科护理质量指标在预防髋、膝关节置换术后深静脉血栓形成(deep venous thrombosis,DVT)中的应用效果。方法选择2015年9月至2017年9月在我院骨科行人工髋、膝关节置换术的268例病人作为研究对象,2015年9月至2016年8月住院的病人纳入对照组(132例),2016年9月至2017年9月住院的病人纳入观察组(136例)。对照组采用常规质量控制,观察组在对照组基础上增加专科护理质量评价指标质量控制,比较两组病人DVT预防措施的落实率及DVT发生率。结果观察组DVT预防措施的落实率为96.32%(131/136),明显高于对照组的73.48%(97/132),差异有统计学意义(χ~2=9.421,P=0.005);观察组下肢DVT的发生率为1.47%(2/136),显著低于对照组的6.06%(8/132),差异有统计学意义(χ~2=3.724,P=0.028)。结论基于专科护理质量指标的质量控制相对于常规质量控制,提高了病人DVT预防措施的落实率,显著降低了下肢DVT的发生率,有效促进了病人的快速康复。

Objective To explore the effect of specialist nursing quality index in preventing deep vein thrombosis after hip and knee arthroplasty.Methods Total of 268 patients who underwent artificial hip and knee arthroplasty from September 2015 to September 2017 in our hospital were collected.The patients hospitalized from September 2015 to August 2016 were enrolled into the control group(132 cases),and those hospitalized from September 2016 to September 2017 into the observation group(136 cases).The control group and observation group were given the conventional quality control,and the observation was subjected to the quality control of specialist nursing quality evaluation index additionally.The implementation rate and incidence of DVT prevention in two groups were compared.Results The implementation rate of DVT prevention measures in the observation group was 96.32%(131/136),which was significantly higher than 73.48%(97/132)in the control group(χ2=9.421,P=0.005).The incidence of lower extremity DVT in the observation group was 1.47%(2/136),which was significantly lower than 6.06%(8/132)in the control group(χ2=3.724,P=0.028).Conclusion The quality control based on the quality index of specialist nursing can increase the implementation rate of DVT prevention measures for patients,significantly reduce the incidence of DVT in the lower extremities,and effectively promote the rapid recovery of patients.