预见性护理对卵巢癌患者术后凝血指标和深静脉血栓预防的护理研究

Nursing Research on Predictive Nursing for Postoperative Blood Coagulation Index and Deep Vein Thrombosis Prevention in Patients with Ovarian Cancer

目的研究预见性护理对卵巢癌术后凝血指标的影响,以及此种护理模式用于预防术后深静脉血栓形成的作用。方法在2019年2月—2020年2月于该院手术的卵巢癌患者中随机选取100例作为该次主要研究对象,用随机数字表法分组,各50例。对照组予以常规护理,观察组实施预见性护理,比较两种护理模式对卵巢癌患者术后相关指标产生影响的异同。结果观察组的术后深静脉血栓发生率为(4.0%),显著低于对照组的(16.0%),差异有统计学意义(χ^(2)=4.000,P<0.05);术后1周,观察组患者的各项凝血指标与对照组相比,差异有统计学意义(P<0.05),具体表现为观察组的活化部分凝血活酶时间、凝血酶原时间、凝血酶时间显著高于对照组,且纤维蛋白原、D-二聚体、血小板计数均低于对照组;相比于对照组,观察组患者的护理满意度更高,且生活质量评分更高,差异有统计学意义(P<0.05)。结论卵巢癌手术患者实施预见性护理不仅可以预防深静脉血栓,改善患者的凝血功能,且患者满意度高,对于提升患者的生活质量也有积极意义。

Objective To study the effect of predictive nursing on coagulation indexes after ovarian cancer surgery,and the role of this nursing model in preventing postoperative deep vein thrombosis.Methods A total of 100 cases of ovarian cancer patients who underwent surgery in the hospital from February 2019 to February 2020 were random selected as the main research objects,and were grouped by random number table method,with 50 cases in each case.The control group was given routine nursing,and the observation group was given predictive nursing,and the similarities and differences of the two nursing modes on postoperative related indicators of ovarian cancer patients were compared.Results The incidence of deep venous thrombosis in the observation group was 4.0%,which was significantly lower than that in the control group(16.0%),the difference was statistically significant(χ^(2)=4.000,P<0.05).Postoperative 1 week and observation group of patients with blood clotting index compared with the control group difference was statistically significant(P<0.05),embodied in observation group live activation of blood coagulation time,prothrombin time,thrombin time is significantly higher than the control group,and fibrinogen and D-dimer,platelet count were lower than the control group;Compared with the control group,the observation group had higher nursing satisfaction and higher quality of life score,the difference was statistically significant(P<0.05).Conclusion Predictive care for patients undergoing ovarian cancer surgery can not only prevent deep vein thrombosis and improve the coagulation function of patients,but also has high patient satisfaction.It also has positive significance for improving the quality of life of patients.