静脉血栓栓塞症风险评估联合分级护理对大隐静脉曲张伴急性血栓性浅静脉炎患者术后LEDVT风险的影响

Effect of venous thromboembolism risk assessment combined with graded care on the risk of postoperative LEDVT in patients with saphenous varicose veins with acute thrombosed superficial phlebitis

目的探究静脉血栓栓塞症风险评估联合分级护理对伴有急性血栓性浅静脉炎的大隐静脉曲张患者术后下肢深静脉血栓(LEDVT)风险的影响。方法选取88例南阳医学高等专科学校第一附属医院2018年1月至2020年12月收治的大隐静脉曲张合并急性血栓性浅静脉炎患者作为研究对象,按照随机数字表法分为两组,观察组、对照组各44例,对照组术后采用常规护理干预,观察组在以上基础上加用静脉血栓栓塞症风险评估联合分级护理,比较两组术后恢复情况(下床活动时间、术后出院时间)、生活质量综合评定问卷-74(GQL-74)、视觉模拟(VAS)评分、LEDVT发生率及护理满意度。结果观察组术后下床活动时间、术后出院时间短于对照组,差异有统计学意义(P<0.05);观察组LEDVT发生率2.27%低于对照组18.18%,差异有统计学意义(P<0.05);术后7 d观察组VAS评分低于对照组,差异有统计学意义(P<0.05);出院时观察组GQL-74评分高于对照组,差异有统计学意义(P<0.05);观察组护理工作满意度(95.45%)高于对照组(72.73%),差异有统计学意义(P<0.05)。结论静脉血栓栓塞症风险评估联合分级护理应用于术后大隐静脉曲张合并急性血栓性浅静脉炎患者可有效缩短术后恢复时间,减少LEDVT发生,有助于改善生活质量,提高护理满意度。

Objective To investigate the effect of venous thromboembolism risk assessment combined with graded care on the risk of postoperative lower extremity deep vein thrombosis(LEDVT)in patients with saphenous varicose veins with acute superficial thrombophlebitis.Methods Eighty-eight patients with saphenous varicose veins combined with acute thrombotic superficial phlebitis admitted to the First Affiliated Hospital of Nanyang Medical College from January 2018 to December 2020 were selected as study subjects and divided into two groups according to the random number table method,44 cases each in the observation group and control group,the control group used conventional nursing interventions after surgery,and the observation group added venous thromboembolism risk assessment combined with graded care on top of the above.The two groups were compared in terms of postoperative recovery(time to bed activity,postoperative discharge time),General Quality of Life Questionnaire-74(GQL-74),visual analog(VAS)score,incidence of LEDVT and nursing satisfaction.Results The postoperative bed activity time and postoperative discharge time were shorter in the observation group than in the control group,and the differences were statistically significant(P<0.05).The incidence of LEDVT in the observation group was 2.27%lower than that in the control group,18.18%,and the difference was statistically significant(P<0.05).The VAS score of the observation group was lower than that of the control group at 7 d after surgery,and the difference was statistically significant(P<0.05).GQL-74 scores were higher in the observation group than in the control group at discharge,and the difference was statistically significant(P<0.05).The satisfaction of nursing work in the observation group(95.45%)was higher than that in the control group(72.73%),and the difference was statistically significant(P<0.05).Conclusion Venous thromboembolism risk assessment combined with graded care applied to patients with postoperative saphenous varicose veins combined with acute thrombosed superficial phlebitis can effectively shorten postoperative recovery time,reduce the occurrence of LEDVT,help improve quality of life,and increase nursing satisfaction.