基于FTS理念护理策略对老年人工髋关节置换术后VTE的预防

Nursing strategy based on FTS concept in prevention of lower limb VTE formation after artificial hip joint replacement in elderly patients

目的探讨和分析基于FTS理念的护理策略在预防老年人工髋关节置换术后下肢静脉血栓栓塞症(VTE)形成中的临床应用价值。方法选取2017年1月至2018年12月在本院行人工髋关节置换术的老年患者112例,采用随机数字表法分为观察组57例和对照组55例。对照组给予一般常规护理,观察组则采用基于FTS理念的护理干预策略。对两组患者凝血功能变化情况、下肢VTE形成情况及对护理服务满意度等情况进行比较和分析。结果与对照组相比,观察组干预后凝血酶原时间[(13.60±2.47)s]、活化部分凝血活酶时间[(28.97±4.01)s]、凝血酶时间[(14.71±2.58)s]均明显延长,而纤维蛋白原水平[(3.18±0.42)g/L]则明显低于对照组,差异具有统计学意义(均P<0.05);观察组下肢VTE总发生率3.51%(2/57),明显低于对照组,差异均具有统计学意义(P<0.05);观察组护理服务非常满意率70.18%(40/57)、总满意度98.25%(56/57),均明显高于对照组,差异均具有统计学意义(均P<0.05)。结论基于FTS理念的护理策略对于改善老年人工髋关节置换术患者凝血功能、预防下肢VTE形成及提高满意度均具有积极的促进作用。

Objective To explore the effect of nursing strategy based on FTS concept in the prevention of lower limb VTE formation after artificial hip joint replacement in elderly patients.Methods 112 elderly patients undergoing artificial hip joint replacement in our hospital from January,2017 to December,2018 were selected.By randomized digital table method,the patients were randomly divided into an observation group(57 cases)and a control group(55 cases).The control group received general routine nursing.The observation group received nursing intervention strategy based on the FTS concept.The changes of coagulation function,the formation of lower limb VTE,and the satisfaction of nursing service of the two groups were compared and analyzed.Results The prothrombin time,the activation of partial thromboplastin time,and the thrombin time were(13.60±2.47)s(28.97±4.01)s,and(14.71±2.58)s in the observation group,which were longer than those in the control group(all P<0.05).The fibrinogen level was(3.18±0.42)g/L and the total incidence of lower extremity VTE was 3.51%(2/57)in the observation group,which were lower than those in the control group(both P<0.05).The nursing service satisfaction rate was 70.18%(40/57)and the total satisfaction rate was 98.25%(56/57)in the observation group,which were higher than those in the control group(both P<0.05).Conclusions The nursing strategy based on the FTS concept has positive effect in improving the coagulation function and satisfaction of elderly patients taking artificial hip joint replacement and in preventing the formation of lower limb VTE.