基于改良Caprini风险评估模型的预见性护理对降低 ICU患者静脉血栓栓塞症发生率的作用

Effect of predicting nursing based on improved Caprini Risk Assessment Scale on venous thromboembolism in ICU patients

目的探讨基于改良Caprini风险评估模型的预见性护理对降低ICU患者静脉血栓栓塞症(VTE)发生率的影响。方法回顾性调查2017年1月—12月(应用评估模型前)入住ICU危重患者130例临床资料,设为对照组。选取2018年2月—12月ICU住院患者130例,设为观察组。观察组使用改良Caprini风险评估模型进行风险评估,根据风险等级给予预见性护理。比较2组患者下肢肿胀、深静脉血栓形成(DVT)和肺血栓栓塞症(PTE)发生情况。结果观察组下肢肿胀发生率为6.15%(8/130),低于对照组的17.69%(23/130),差异有统计学意义(P<0.05);观察组DVT发生率为12.31%(16/130),低于对照组的26.15%(34/130),差异有统计学意义(P<0.05)。结论应用改良Caprini评估模型能预测ICU患者VTE的发生风险,从而便于对中高危患者采取预见性护理措施。

Objective To investigate the effect of predicting care based on improved Caprini Risk Assessment Scale in reducing the incidence of venous thromboembolism(VTE)in ICU patients.Methods Totally 130 ICU patients with hospital admission date between January and December 2017 were select as the control group.The risk evaluation of VTE was carried out by Caprini Risk Assessment Scale,and another 130 patients as the observation group were given predicting nursing interventions based on risk assessment.The incidences of lower limb swelling,and deep vein thrombosis(DVT)were compared between two groups.Results The incidence of lower limb swelling was 6.15%(8/130)in the observation group and 17.69%(23/130)in the control group,with a significant difference(P<0.05).The incidence of DVT was 12.31%(16/130)in the observation group and 26.15%(34/130)in the control group,with a significant difference(P<0.05).Conclusion The application of the Caprini Risk Assessment Scale can predict the risk of DVT in ICU patients,so as to take predicting nursing measures for patients with moderate and high risk of DVT.