集束化护理对乳腺癌术后静脉血栓及护理满意度的影响临床研究

Clinical Study on the Effect of Cluster Nursing on Venous Thrombosis and Nursing Satisfaction after Breast Cancer Operation

目的探讨集束化管理对预防乳腺癌术后静脉血栓栓塞症的效果,并总结有效的管理措施。方法选取2017年1—6月乳腺癌手术的患者为对照组,另选取2017年7—12月乳腺癌手术的患者为观察组。对照组给予常规护理,观察组应用集束化管理策略,比较两组术后静脉血栓发生情况和护理满意度情况。结果通过比较两组患者术后2hAutar评分,观察组Autar评分下降100.00%,显著优于对照组的52.00%,观察组Autar评分下降情况显著优于对照组,比较差异有统计学意义(χ^2=14.275,P=0.029<0.05);观察组Homan征阳性率(3.85%)、Neuhof征阳性率(3.85%)和DVT发生率(0.00%)均显著优于对照组(Homan征阳性率为18.52%、Neuhof征阳性率为22.22%、DVT发生率为11.11%)(P<0.05);观察组的总满意度高达96.15%,显著优于对照组的70.37%(P<0.05)。结论集束化管理策略能有效降低乳腺癌术后静脉血栓栓塞症的发生率提高护理满意度。

Objective To explore the effect of cluster management on preventing venous thromboembolism after breast cancer surgery, and to summarize effective management measures. Methods The patients who underwent breast cancer surgery from January to June 2017 were selected as the control group, and the patients who underwent breast cancer surgery from July to December 2017 were selected as the observation group. The control group was given routine nursing, while the observation group was given cluster management strategy. The incidence of venous thrombosis and nursing satisfaction were compared between the two groups. Results Autar scores in the observation group at 2 hours after operation were decreased by 100.00%, which was significantly better than that in the control group (52.00%). The difference was statistically significant (χ^2=14.275, P=0.029<0.05). The positive rate of Homan sign was 3.85%, Neuhof sign was 3.85% and DVT was 0% in the observation group, which were significantly better than those in the control group (18.52%, 22.22% and 11.11%)(P<0.05). The total satisfaction of the observation group was 96.15%, which was significantly better than that of the control group 70.37%,(P<0.05). Conclusion Cluster management strategy can effectively reduce the incidence of venous thromboembolism after breast cancer surgery and improve nursing satisfaction.