循证护理干预对预防多发伤术后下肢深静脉血栓的效果

Effects of evidence-based nursing intervention on deep vein thrombosis of lower extremity after multiple trauma

目的探究与分析循证护理干预对预防多发伤后患者术后深静脉血栓的效果。方法选取2015年6月~2017年6月陕西省咸阳市核工业215医院收治的90例多发伤患者,采取随机数字表法分为对照组与观察组,每组各45例。对照组给予常规护理,观察组在对照组基础上给予循证护理干预,比较两组患者术后下肢肿痛、腓肠肌压痛及深静脉血栓的发生率,治疗后Porter评分及患者护理满意度。结果术后,观察组下肢肿痛、腓肠肌压痛及深静脉血栓的发生率明显均低于对照组,差异有统计学意义(P<0.05)。治疗后,两组Porter评分均低于术前,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组护理满意率明显高于对照组,差异有统计学意义(P<0.05)。结论循证护理干预相比于常规护理能够有效预防多发伤后术后深静脉血栓的发生率,提高护理满意度。

Objective To explore and analyze the effect of evidence-based nursing intervention on postoperative deep vein thrombosis in patients with multiple trauma.Methods From June 2015 to June 2017,in Nuclear Industry 215 Hospital,90 patients with multiple traumatic injuries were selected,according to random number table method,they were divided into control group and observation group,with 45 cases in each group.The control group was given routine nursing,and the observation group was given evidence-based nursing intervention based on the control group,the incidence of postoperative lower extremity swelling,tenderness,and deep venous thrombosis after operation,Porter score and patient satisfaction after treatment in two groups were compared.Results After operatiom,the incidence of lower extremity swelling,tenderness of gastrocnemius,and the deep venous thrombosis in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).After treatment,the Porter scores in the two groups were lower than before treatment,and this in observation group was lower than control group,the differences were statistically significant(P<0.05).The nursing satisfaction of the observation group was significantly higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion Evidence-based nursing intervention can effectively prevent postoperative deep venous thrombosis and improve nursing satisfaction compared with routine nursing.