以Caprini风险评估为基础的预见性护理对骨科患者静脉血栓栓塞发生率的影响

Effect of Caprini risk assessment-based predictive nursing on the incidence of venous thromboe mbolism in orthopedic patients

目的探讨以Caprini风险评估为基础的预见性护理在预防骨科患者发生静脉血栓栓塞(VTE)的应用效果。方法选择2019年1月至2020年1月于绍兴市中心医院骨一科行手术治疗的患者150例,根据随机数字表法将其分为干预组和对照组,每组各75例。对照组患者给予常规护理,干预组在对照组的基础上实施以Caprini风险评估为基础的预见性护理干预。对比两组患者VTE发生率,患肢血流速度、住院时间以及护理满意度。结果干预组患者VTE发生率(2.66%)低于对照组(16.00%),差异有统计学意义(P<0.05);干预前,两组患者患肢血流速度比较,差异无统计学意义(P>0.05),干预后2周及4周,干预组患者患肢血流速度优于对照组,差异有统计学意义(P<0.001);干预组患者住院时间[(36.52±2.14)d]短于对照组[(43.71±2.86)d],差异有统计学意义(P<0.001);干预组患者护理满意度高于对照组,差异有统计学意义(P<0.001)。结论以Caprini风险评估为基础的预见性护理可以有效降低骨科患者静脉血栓栓塞发生率。

Objective To explore the effect of Caprini risk assessment-based predictive nursing in preventing venous thromboe mbolism(VTE)in orthopedic patients.Methods A total of 150 patients undergoing operation in the Department of Orthopedics of Shaoxing Central Hospital from January 2019 to January 2020 were selected as the study subjects.They were divided into the intervention group and the control group according to the random number table method,with 75 patients in each group.Patients in the control group were given conventional nursing,while patients in the intervention group were given the Caprini risk assessment-based predictive nursing intervention on the basis of the same treatment as the control group.The incidence of VTE,blood flow velocity of the affected limb,length of stay and satisfaction with nursing were compared between the two groups.Results The incidence of VTE in the intervention group(2.66%)was lower than that in the control group(16.00%),with statistically significant difference(P<0.05).Before the intervention,there was no statistically significant difference between the intervention group and the control group in the blood flow velocity of the affected limb(P>0.05).After 2 and 4 weeks of intervention,the blood flow velocity of the affected limb in the intervention group was better than that in the control group,with statistically significant difference(P<0.001).The length of stay of patients in the intervention group([36.52±2.14]d)was shorter than that in the control group([43.71±2.86]d),with statistically significant difference(P<0.001).The satisfaction of patients with nursing in the intervention group was higher than that in the control group,with statistically significant difference(P<0.001).Conclusion The Caprini risk assessment-based predictive nursing can effectively reduce the incidence of VTE in orthopedic patients.