循证护理干预对预防多发伤术后下肢深静脉血栓的效果

Effect of Evidence-based Nursing Intervention on Prevention of Deep Venous Thrombosis of Lower Extremity after Multiple Trauma

目的 分析多发伤患者辅以循证护理干预对预防术后下肢深静脉血栓的效果。方法 方便选择2017年1月-2019年1月该院收治多发伤患者80例,参照随机抽签结果分为观察组与对照组,对照组辅以常规护理干预,观察组辅以循证护理干预,对比两组患者术后发生下肢疼痛、深静脉血栓、腓肠肌压痛的概率,统计并分析各组患者血流速度、实验室指标差异,计算护理总满意度。结果 观察组患者术后下肢疼痛发生率7.50%、深静脉血栓发生率2.50%、腓肠肌压痛发生率5.00%均明显低于对照组(χ^2=5.540、7.310、6.270,P<0.05),同时观察组患者血流速度(26.49±1.21)cm/s较对照组相比更快,血小板计数(231.19±4.28)×10^9/L、血红蛋白水平(2.13±0.14)g/dL、凝血酶原时间(12.04±1.01)s、纤维蛋白原指标(3.27±0.15)g/L均低于对照组(t=25.430、38.960、11.920、7.230、7.950,P<0.05)。观察组患者护理总满意度97.50%较对照组更高(χ^2=8.540,P<0.05)。结论 多发伤患者辅以循证护理干预可有效预防术后下肢深静脉血栓的形成,提高血流速度,改善实验室指标,患者更为满意,值得临床推广。

Objective To analyze the effect of multiple-injury patients with evidence-based nursing intervention on prevention of postoperative deep venous thrombosis.Methods 80 patients with multiple injuries in the hospital from January 2017 to January 2019 were conveniently selected.The results were divided into observation group and control group according to the results of random sampling.The control group was supplemented with routine nursing intervention,and the observation group was supplemented with evidence-based nursing intervention.The probability of lower extremity pain,deep vein thrombosis and gastrocnemius tenderness was compared between the two groups.The blood flow velocity and laboratory index of each group were analyzed and analyzed.The total satisfaction of nursing was calculated.Results The incidence of lower extremity pain was 7.50%,the incidence of deep vein thrombosis was 2.50%,and the incidence of gastrocnemius tenderness was 5.00%in the observation group(χ^2=5.540,7.310,6.270,P<0.05).The patient's blood flow velocity(26.49±1.21)cm/s was faster than that of the control group,platelet count(231.19±4.28)×10^9/L,hemoglobin level(2.13±0.14)g/dL,prothrombin time(12.04±1.01)s,fibrinogen index(3.27±0.15)g/L were lower than the control group(t=25.430,38.960,11.920,7.230,7.950,P<0.05).The total satisfaction of patients in the observation group was 97.50%higher than that of the control group(χ^2=8.540,P<0.05).Conclusion Patients with multiple injuries combined with evidence-based nursing intervention can effectively prevent the formation of postoperative deep venous thrombosis,improve blood flow velocity,improve laboratory indicators,and patients are more satisfied and worthy of clinical promotion.