血管外科住院患者DVT防控项目的实施效果评价

Effects of DVT prevention and control project in inpatients of Vascular Surgery Department

目的探讨DVT防控项目对血管外科住院患者DVT的预防效果。方法2018年6月北京医院血管外科成立DVT防控小组,通过电子问卷的方式调查血管外科医护人员对DVT的认知现状,建立DVT防控管理体系。比较项目实施前(2018年1—6月)与实施后(2018年7—12月)医护人员对DVT的认知情况、住院患者DVT发生率等指标。结果实施DVT防控项目前后的Caprini评分表使用率分别为79.27%(65/82)和100.00%(82/82)(P<0.001)、DVT正确预防率为90.24%(74/82)和98.78%(81/82)(P=0.016)、住院患者DVT发生率为4.88%(4/82)和0(0/82)(P=0.043)、DVT宣教落实率为76.67%(23/30)和96.67%(29/30)(P=0.023)、出院后患者的DVT预防依从性为91.02%(71/78)和98.68%(75/76)(P=0.032)、下肢肿胀发生率为1.28%(1/78)和0(0/76)(P=0.322)。结论血管外科DVT防控项目的实施能有效提高医护人员及患者对DVT的认识水平,并降低血管外科住院患者的DVT发生率。

Objective To explore the effects of deep venous thrombosis(DVT)prevention and control project on preventing DVT in inpatients of Vascular Surgery Department.Methods In June 2018,the DVT prevention and control team formed in Vascular Surgery Department of Beijing Hospital investigated the cognition of medical staff in Vascular Surgery Department on thrombosis by electronic questionnaire and built the thrombosis prevention and control management system.The cognition of medical staff on thrombosis and incidence of thrombosis in inpatients was compared before(January 2018 to June 2018)and after(July 2018 to December 2018)implementing the project.Results Before and after implementing the thrombosis prevention and control project,the utilization rate of Caprini assessment scale and was 79.27%(65/82)and 100.00%(82/82)respectively with a statistical difference(P<0.001);the accuracy rate of DVT prevention was 90.24%(74/82)and 98.78%(81/82)also with a statistical difference(P=0.016);the incidence of DVT of inpatients was 4.88%(4/82)and 0(0/82)with a statistical difference(P=0.043);the implement rate of thrombosis education was 76.67%(23/30)and 96.67%(29/30)with a statistical difference(P=0.023);the compliance of DVT prevention of patients after discharge was 91.02%(71/78)and 98.68%(75/76)with a statistical difference(P=0.032);the incidence of lower limb swelling was 1.28%(1/78)and 0(0/76)with no statistical difference(P=0.322).Conclusions Implementation of the DVT prevention and control project in Vascular Surgery Department can effectively improve cognition of medical staff and patients on DVT,and can reduce the incidence of DVT of inpatients in Vascular Surgery Department.