基于循证的长期卧床老年患者深静脉血栓(DVT)的预防管理实践

Evidence-based prevention and management practice of deep venous thrombosis (DVT) in elderly patients with long-term bedridden

深静脉血栓(deep venous thrombosis,DVT)是院内非预期死亡的重要因素之一,长期卧床者是DVT的高危人群。本研究基于JBI循证保健中心现有的最佳证据,制定了14条审查指标。对长期卧床老年患者应用基于循证的DVT预防管理实践,可提高证据应用的依从性,降低DVT发生率,改善生活质量。与基线审查结果比较,证据应用后患者的DVT发生率显著减少,高敏C反应蛋白(high sensitivity C reactive protein,hsCRP)含量显著下降,预防DVT气泵使用显著增多( P <0.05),临床护士的规范护理实践显著改善。

Deep venous thrombosis (DVT) is one of the important factors of unexpected death in hospital,and long-term bedridden is a high-risk factor.Based on the best evidence available of JBI Health Center,the study developed 14 audits.Nurses practiced evidence-based prevention and management of DVT in elderly patients with long-term bedridden.It improved the compliance of evidence application,reduced the incidence of DVT and improved the quality of life.Compared with the baseline review,the incidence of DVT and high sensitivity C reactive protein (hsCRP) level were decreased significantly after practice,the use of DVT pump was significantly increased,the standardized nursing practice of clinical nurses was significantly improved ( P <0.05).