集束化护理预防前列腺癌手术患者下肢深静脉血栓形成的效果研究

The effect of integrative nursing care for prevention of deep venous thrombosis of lower extremities in patients underwent radical prostatectomy

目的探讨集束化护理预防前列腺癌根治术术后患者下肢深静脉血栓形成的效果。方法选取2020年4月至8月在中山大学附属第三医院泌尿外科行前列腺癌根治术患者35例作为干预组,实施集束化护理干预措施,措施包括:筛查评估、先兆症状观察、血管保护、早期下床活动、体位管理、营养和液体管理、控制血压血糖血脂、物理预防、患者教育、药物预防等;选取2019年9月至2020年3月在我院泌尿外科行前列腺癌根治术患者35例作为对照组,采用常规护理措施。比较两组患者下肢深静脉血栓发生情况。结果干预组1例(2.86%)发生下肢深静脉血栓;对照组5例(14.28%)发生深静脉血栓。两组患者血栓发生率比较,差异具有统计学意义(P<0.05)。结论集束化护理干预措施能有效降低前列腺癌根治术后患者下肢深静脉血栓的发生率,促进患者康复。

Objective To evaluate the effect of integrative nursing care for prevention of deep venous thrombosis(DVT)of lower extremities in patients underwent radical prostatectomy.Methods A total of 35 patients undergoing radical prostatectomy from April 2020 to August 2020 were recruited as the intervention group,and received integrative nursing care,including screening and assessment,observation of precursor symptoms,vascular protection,early postoperative rehabilitation activitie,position management,nutritional support and body fluid management,body temperature management and patient education,and other nursing measures.A total of 35 patients from September 2019 to March 2020 undergoing radical prostatectomy were selected as the control group and received routine nursing.The occurrence of DVT in lower extremities was compared between the two groups.Results DVT occurred in 1 patients(2.86%)of the intervention group and 5 patients(14.28%)in the control group.The difference of the incidence of thrombosis between the two groups was statistically significant(P<0.05).Conclusion The integrative nursing care can effectively reduce the incidence of DVT in lower extremities in patients undergoing radical protectomy and promote patient recovery.