基于护理程序的全面护理干预对重症颅脑损伤住院患者术后静脉血栓栓塞症预防效果及康复进程的影响

Effect of Comprehensive Nursing Intervention Based on Nursing Procedures on Prevention and Rehabilitation of Postoperative Venous Thromboembolism of Severe Brain Injury Patients

目的研究基于护理程序的全面护理干预对重症颅脑损伤住院患者术后静脉血栓栓塞症预防效果及康复进程的影响。方法选择本院于2016年1月-2017年1月,2019年1月-2020年1月收治的80例重症颅脑损伤患者为研究对象,按数字表法分为观察组(n=40)和对照组(n=40),对照组应用常规护理干预,观察组应用基于护理程序的全面护理干预,对两组患者术后静脉血栓栓塞症发生情况、ICU入住时间、住院时间、干预前后下肢静脉血流动力学指标、生存质量及护理满意度进行比较分析。结果观察组术后静脉血栓栓塞症发生率、可疑血栓发生率、住院期间ICU入组时间及住院时间均比对照组更低(P<0.05)。干预前两组下肢平均血流速度、血流量及峰流速比较无显著差异(P>0.05);干预后均有上升,且观察组高于对照组(P<0.05)。干预后两组生存质量各项维度评分观察组高于对照组(P<0.05);观察组护理满意度高于对照组(P<0.05)。结论基于护理程序全面护理干预可有效预防重症颅脑损伤患者术后发生静脉血栓栓塞症,并且可以加快康复进程,提高生存质量及护理满意度,值得临床应用。

Objective To study effect of comprehensive nursing intervention based on nursing procedures on prevention and rehabilitation of postoperative venous thromboembolism of patients with severe brain injury.Methods The paper chose 80 patients with severe craniocerebral injury admitted to our hospital from January 2016 to January 2017 and from January 2019 to January 2020 as research objects,and divided them into observation group(n=40)and control group(n=40)according to number table method.Control group was treated with routine nursing intervention,and observation group with comprehensive nursing intervention based on nursing procedures.Postoperative venous thromboembolism,ICU stay time,length of stay,hemodynamic indexes of lower limb vein,life quality and nursing satisfaction degree was compared between two groups before and after intervention.Results Incidence of venous thromboembolism,suspicious thrombosis,admission time in ICU and length of stay in observation group was lower than control group(P<0.05);average blood flow velocity,blood flow volume and peak flow velocity of lower limbs in two groups had no significant difference before intervention(P>0.05),but increased after intervention,that of observation group was higher than control group(P<0.05);after intervention,scores of all dimensions of life quality in observation group were higher than control group(P<0.05).Nursing satisfaction degree in observation group was higher than control group(P<0.05).Conclusion Comprehensive nursing intervention based on nursing procedures can prevent occurrence of venous thromboembolism of patients with severe brain injury after surgery effectively,speed up rehabilitation process,improve life quality and nursing satisfaction degree,which is worthy of clinical application.