集束化护理预防脑出血患者DVT发生的效果

Effect of cluster nursing on preventing the occurrence of DVT in patients with cerebral hemorrhage

目的 分析集束化护理对老年脑出血手术患者预防下肢深静脉血栓发生的效果,为提高临床治疗水平积累经验。方法 选取新疆心脑血管病医院2020年1月—2021年1月收治的70例脑出血手术患者作为研究对象,以随机分组方式分为观察组和对照组,每组各35例。对照组患者行常规急诊护理,观察组患者行集束化护理,比较两组患者护理后的满意度评分、下肢深静脉血栓发生率和凝血指标。结果 观察组对健康宣教、基础护理、预防护理以及心理干预的护理满意度评分高于对照组,差异均有统计学意义(P<0.05)。观察组患者下肢深静脉血栓发生率为0.00%,低于对照组的17.14%,差异有统计学意义(P<0.05)。观察组护理后的凝血酶时间、凝血酶原时间、纤维原蛋白和活化部分凝血活酶时间与对照组比较,差异均无统计学意义(P>0.05)。结论 将集束化护理应用于脑出血手术患者的下肢深静脉血栓预防护理中,不会对患者的凝血指标产生影响,在确保患者护理满意度基础上明显降低下肢深静脉血栓的发生率,提高患者的术后恢复安全性,具有临床应用推广价值。

Objective To analyze the effect of cluster nursing on the prevention of deep venous thrombosis of the lower limbs in elderly patients with cerebral hemorrhage surgery,to accumulate experience to improve clinical treatment level.Methods A total of 70 patients with cerebral hemorrhage surgery who were admitted to Xinjiang Cardiovascular and Cerebrovascular Disease Hospital from January 2020 to January 2021 were selected as the research subjects,and were randomly divided into observation group and control group,with 35 cases in each group.Patients in the control group received routine emergency care,and patients in the observation group received cluster care.The satisfaction score,incidence of deep venous thrombosis of the lower limbs and coagulation indexes were compared between the two groups after nursing.Results The nursing satisfaction scores of health education,basic nursing,preventive nursing and psychological intervention in the observation group were significantly higher than those in the control group,and the differences were statistically significant(P<0.05).The incidence of deep venous thrombosis of lower limbs in the observation group was 0.00%,which was lower than 17.14%of the control group,and the difference was statistically significant(P<0.05).There was no significant difference in thrombin time,prothrombin time,fibrinogen or activated partial thromboplastin time between the observation group and the control group after nursing(P>0.05).Conclusion By applying cluster nursing to the prevention and nursing care of patients with deep venous thrombosis of lower limbs after cerebral hemorrhage surgery,it would not affect the coagulation indexes of patients.It could significantly reduce the incidence of deep venous thrombosis of lower limbs on the basis of ensuring patient's care satisfaction,and ensure the safety of postoperative recovery of patients,which had a high utility and promotion value.