摘要
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).
作者
卫尹
曹艳佩
杨晓莉
倪英
WEI Yin;CAO Yan-pei;YANG Xiao-li;NI Ying(Department of Geriatric,Huashan Hospital,Fudan University,Shanghai 200040,China;Department of Nursing,Huashan Hospital,Fudan University,Shanghai 200040,China;Centre for Evidence-based Nursing:A JBI Centre of Excellence,Fudan University,Shanghai 200032,China)
出处
《复旦学报(医学版)》
CAS
CSCD
北大核心
2019年第5期700-703,共4页
Fudan University Journal of Medical Sciences
基金
复旦大学护理科研基金(FNF201648)
复旦大学临床医学与护理学双一流建设(2018-22-40)~~
关键词
深静脉血栓(DVT)
老年人
循证护理
deep venous thrombosis (DVT)
geriatric
evidence-based nursing