护士主导的静脉血栓栓塞症防控管理

A nurse-led management strategy of prevention and control of venous thromboembolism

目的建立护士主导的静脉血栓栓塞症(venous thromboembolism,VTE)防控管理流程,评价其实施效果。方法将择期入院治疗的患者按入院时间分组,其中2018年1月—6月的住院患者为对照组,实施常规的VTE管理方法;2019年1月—6月的住院患者为试验组,采用护士主导的VTE防控管理流程,包括风险评估、出血风险评估、防控措施执行。比较两组患者静脉血栓栓塞症的发生率、早期诊断率、住院天数及住院费用。结果实施规范化防控管理流程后,患者静脉血栓栓塞症的发生率、早期诊断率、平均住院日及平均住院费用均有改善(P<0.001)。结论护士主导的静脉血栓栓塞症防控管理流程的建立与实施有效降低了住院患者VTE的发生率,促进了VTE护理水平的提升。

Objective To explore the effects of nurse-led management strategy of prevention and control of venous thromboembolism(VTE).Methods The patients who were admitted to our hospital were divided to the experimental group and the control group according to the admission date.Those admitted from January to June 2018 were assigned into the control group,and the conventional VTE management method was implemented.Patients admitted from January to June 2019 were assigned to the experimental group,and the nurse-led VTE prevention and control management strategy including risk assessment,hemorrhage risk assessment,and implementation of prevention strategy were adopted.The incidence of venous thromboembolism,the early diagnosis rate,the average length of stay and the average cost of hospitalization were compared between the two groups.Results After the implementation of nurse-led VTE prevention and control management strategy,the incidence of VTE,the early diagnosis rate,the average length of stay and the average cost of hospitalization were all ameliorated in the experimental group(P<0.001).Conclusion The construction and application of nurse-led VTE prevention and control management strategy can effectively reduce the incidence of VTE in hospitalized patients and improve the VTE specialized care.