预防脑肿瘤切除术患者DVT发生的研究

To explore the prevention of DVT in patients after brain tumor resection

目的探讨血栓风险评估表联合围手术期多靶点护理干预预防脑肿瘤切除术患者下肢深静脉血栓(DVT)的应用价值。方法将行脑肿瘤切除术的患者107例,随机分为观察组和对照组,对照组52例,采用Autar血栓风险评估表给予针对性护理,观察组55例,在对照组基础上予以围手术期多靶点护理干预。比较两组患者住院时间、双下肢周径相差1 cm者及DVT发生率差异,观察干预前及干预1周后两组患者焦虑情绪[焦虑状态-特质问卷(STAI)]及生活质量[欧洲五维健康量表(EQ-5D)]评分变化,对比干预1周后两组患者满意度。结果观察组患者住院时间、双下肢周径相差1 cm者及DVT发生率均低于对照组(P<0.05)。干预1周后,两组患者S-AI和T-AI评分均较干预前降低,且观察组显著低于对照组(P<0.05);两组患者EQ-5D中各维度评分均较干预前明显升高,且观察组高于对照组(P<0.05);观察组患者满意度高于对照组(P<0.05)。结论血栓风险评估量表联合围手术期多靶点护理干预应用于脑肿瘤切除术患者可有效降低DVT的发生风险,并有助于缩短住院时间,利于患者缓解焦虑,提高其生活质量。

Objective To explore the application value of thrombosis risk assessment scale combined with periopera tive multi-target nursing intervention in preventing lower limb deep venous thrombosis(DVT)in patients after brain tumor resection.Methods 107 patients who underwent brain tumor resection in our hospital were randomly divided into obser vation group and control group.52 cases in the control group was given targeted nursing according to Autar thrombus risk assessment scale,and 55cases in the observation group was given perioperative multi-target nursing intervention on the ba sis of control group.The hospitalization time,the incidence rate of both lower limbs circumference with 1 cm difference and DVT were compared between the two groups.The scores of anxiety[State-Trait Anxiety Inventory(STAI)]and quali ty of life[European Quality of Life 5 dimensions(EQ-5D)]in the two groups before intervention and after 1 week of in tervention were observed.The patient satisfaction degree was compared between the two groups after 1 week of interven tion.Results The hospitalization time,the incidence rate of both lower limbs circumference with 1 cm difference and DVT in observation group were significantly lower than those in control group(P<0.05).After 1 week of intervention,the scores of S-AI and T-AI in the two groups were significantly lower than those before intervention,and the scores of obser vation group were significantly lower than those of control group(P<0.05).The scores of EQ-5D of the two groups were significantly higher than those before intervention,and the scores in observation group were significantly higher than those in control group(P<0.05).The patients'satisfaction degree in the observation group was significantly higher than that of the control group(P<0.05).Conclusion Thrombosis risk assessment scale combined with perioperative multi-target nurs ing intervention can effectively reduce the risk of DVT,shorten the hospitalization time,relieve anxiety,and improve the quality of life for patients after brain tumor resection.