基于Caprini风险评估模型的分级个性化护理对重症患者DVT的预防效果

Preventive effect of graded personalized nursing based on Caprini risk assessment model on DVT in severe patients

目的:探究基于Caprini风险评估模型的分级个性化护理对重症患者下肢深静脉血栓(DVT)的预防效果。方法:选取70例住院治疗的重症患者为研究对象,按照护理方式不同分为观察组和对照组,每组各35例。对照组予以常规护理;观察组予以基于Caprini风险评估模型的分级个性化护理。比较两组患者DVT发生情况、恢复情况、护理满意度及入住ICU第1、7天时股静脉血流速度和血浆D-二聚体(D-D)、纤维蛋白原(FIB)水平。结果:观察组患者DVT发生率低于对照组(P<0.05);血栓最大宽度小于对照组(P<0.05);机械通气时间、ICU住院时间短于对照组(P<0.05)。入住ICU第7天时,观察组患者股静脉血流峰速度、平均速度高于对照组(P<0.05);血浆D-D、FIB水平均低于对照组(P<0.05)。观察组患者健康教育及指导、个人特质及服务态度、服务质量评分高于对照组(P<0.05)。结论:基于Caprini风险评估模型的分级个性化护理可有效预防重症患者DVT发生,并提高患者对护理的满意度。

Objective:To explore the preventive effect of graded individualized nursing based on Caprini risk assessment model on deep venous thrombosis(DVT)in severe patients.Methods:70 hospitalized patients with severe diseases were selected as the research objects,and divided into observation group and control group according to different nursing methods,with 35 cases in each group.The control group received routine nursing,and the observation group received graded individualized nursing based on the Caprini risk assessment model.The incidence of DVT,recovery,nursing satisfaction,femoral vein blood flow velocity and plasma D-dimer(D-D)and fibrinogen(FIB)levels on the 1st and 7th day of ICU admission were compared between the two groups.Results:The incidence of DVT in the observation group was significantly lower than that in the control group(P<0.05).The maximum width of thrombosis in the observation group was significantly smaller than that in the control group(P<0.05).The mechanical ventilation time and ICU hospitalization time in the observation group were significantly shorter than those in the control group(P<0.05).On the 7th day of ICU admission,the peak velocity and average velocity of femoral vein in the observation group were significantly higher than those in the control group(P<0.05).The levels of plasma D-D and FIB in the observation group were significantly lower than those in the control group(P<0.05).The scores of health education and guidance,personal traits and service attitude and service quality in the observation group were significantly higher than those in the control group(P<0.05).Conclusion:Hierarchical personalized nursing based on Caprini risk assessment model can effectively prevent the occurrence of DVT in critically ill patients,and improve patient satisfaction with nursing.