中西医结合护理对预防骨科大手术患者术后静脉血栓栓塞症的效果研究

Effects of Integrated Chinese and Western Medicine Nursing on The Prevention of Postoperative Thromboembolism in Patients Undergoing Orthopedic Surgery

目的观察中西医结合护理方案对预防骨科大手术患者术后静脉血栓栓塞症(VTE)的临床效果,以期降低其术后VTE的发生率,提高患者的护理满意度。方法选取2016年6月-2018年6月收住在陕西中医药大学附属医院骨科和陕西中医药大学第二附属医院外一科行骨科大手术并符合本研究纳入标准的患者256例,按照随机数字表法将其分为治疗组(128例)和对照组(128例),治疗组给予骨科大手术患者VTE中西医结合护理干预措施,对照组给予预防VTE的常规护理,比较两组患者VTE预防认知量表得分、VTE发生率、住院天数和对护理工作的满意度。结果两组患者在护理前预防VTE预防认知得分无统计学意义(p>0.05),经护理干预后两组患者的预防VTE预防认知得分均较护理前有显著性差异(p<0.05);治疗组与对照组在干预后预防VTE预防认知程度比较有显著性差异(p<0.05)。两组患者VTE发生率比较,治疗组为2.34%(3例),对照组为10.94%(14例),对照组VTE发生率明显高于治疗组,差异具有统计学意义(p<0.05)。两组患者住院天数比较,治疗组住院时间为(20.02±6.88)天,对照组住院时间为(22.17±6.55)天,两组比较具有显著性差异(p<0.05)。两组患者护理前的对护理工作满意度得分比较无统计学意义(p>0.05),经护理干预后两组患者的对护理工作满意度得分均较护理前有显著性差异(p<0.05),且治疗组的护理满意度更高,组间比较差异具有统计学意义(p<0.05)。结论中西医结合护理干预方案的应用可以提高骨科大手术患者对VTE知识的认知度,降低VTE发生率,缩短住院时间,提高患者对护理工作的满意度。

Objective:To observe the clinical effects of the nursing plan of the combination of Chinese and Western Medicine on the prevention of postoperative venous thromboembolism(VTE) in the patients with orthopedic surgery, in order to reduce the incidence of VTE and improve the nursing satisfaction of the patients. Methods: 256 patients who were admitted to the department of orthopaedics from June 2016 to June 2018 who were living in the department of orthopedics affiliated to Shaanxi University of traditional Chinese medicine and the Second Affiliated Hospital of Shaanxi University of traditional Chinese medicine were selected for orthopedic surgery and met the criteria included in the study. According to the random digital table method, 256 patients were divided into treatment group(128 cases) and control group(128 cases). The treatment group was given VTE nursing intervention measures for combination of traditional Chinese and Western medicine.The control group was given regular nursing to prevent VTE, and the scores of VTE prevention cognitive scale, VTE incidence, hospitalization days and satisfaction with nursing work were compared. Results:There was no significant difference in the cognitive score of prevention of VTE before nursing(p > 0.05), and the prevention cognitive score of the two groups was significantly higher than that before nursing(p < 0.05). The cognitive process of prevention of VTE in the treatment group and the control group was significantly different(p < 0.05). The incidence of VTE in the two groups was 2.34%(3 cases), and that of the control group was 10.94%(14 cases), and the incidence of VTE in the control group was significantly higher than that of the treatment group(p < 0.05). The hospitalization time of the treatment group was(20.02 ± 6.88) days, and that of the control group was(22.17 ± 6.55) days, and the difference was significant between the two groups(p < 0.05). The scores of satisfaction of nursing work in the two groups were not statistically significant(p > 0.05). After nursing intervention, the satisfaction scores of the two groups were significantly higher than those before nursing(p < 0.05), and the nursing satisfaction of the treatment group was higher, and the difference between the two groups was statistically significant(p < 0.05). Conclusion:The application of the intervention program of Integrated Chinese and Western medicine can improve the knowledge of VTE, reduce the incidence of VTE, shorten the hospitalization time and improve the satisfaction of patients with nursing work.