早期护理干预对子痫期间伴血栓形成倾向孕妇下肢深静脉血栓形成等并发症的控制效果

Control Effect of Early Nursing Intervention on Complications Such as Lower Extremity Deep Venous Thrombosis in Pregnant Women with Thrombosis Tendency during Eclampsia

目的:探讨早期护理干预对子痫期间伴血栓形成倾向孕妇下肢深静脉血栓形成等并发症的控制效果。方法:选择2020年7月—2022年6月青岛市城阳区人民医院收治的128例子痫期间伴血栓形成倾向孕妇作为研究对象,采用计算机随机分组法将患者分为观察组(n=64)和对照组(n=64)。观察组给予早期护理干预,对照组给予常规护理干预,比较两组自我保健能力、凝血功能、并发症发生率以及护理满意度。结果:出院前1 d,两组自我防护、日常生活、遵医行为评分高于入院当天,且观察组高于对照组,差异有统计学意义(P<0.05)。出院前1 d,两组凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)长于入院当天,且观察组长于对照组,两组纤维蛋白原(FIB)低于入院当天,且观察组低于对照组,差异有统计学意义(P<0.05);但两组出院前1 d凝血酶时间(TT)比较,差异无统计学意义(P>0.05)。观察组并发症发生率明显低于对照组,护理满意度高于对照组,差异有统计学意义(P<0.05)。结论:子痫期间伴血栓形成倾向孕妇应用早期护理干预,可有效改善自我保健能力和凝血功能指标,降低下肢深静脉血栓形成等并发症发生率,提升护理满意度。

Objective:To explore the control effect of early nursing intervention on complications such as lower extremity deep venous thrombosis in pregnant women with thrombosis tendency during eclampsia.Method:A total of 128 pregnant women with thrombosis tendency during eclampsia who admitted to Qingdao Chengyang District People's Hospital from July 2020 to June 2022 were selected as the research objects,the patients were randomly divided into the observation group(n=64)and the control group(n=64)according to computer random grouping method.The observation group was given early nursing intervention,and the control group was given routine nursing intervention.The self-care ability,coagulation function,complication rate and nursing satisfaction were compared between two groups.Result:At 1 d before discharge,the scores of self-protection,daily life and compliance behavior in two groups were higher than those on the day of admission,and which in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).At 1 d before discharge,the prothrombin time(PT)and activated partial thromboplastin time(APTT)in two groups were longer than those on the day of admission,and which in the observation group were longer than those in the control group,fibrinogen(FIB)in two groups were lower than that on the day of admission,and that in the observation group was lower than that in the control group,the differences were statistically significant(P<0.05);however,there was no significant difference in thrombin time(TT)between two groups at 1 d before discharge(P>0.05).The incidence of complications in the observation group was significantly lower than that in the control group,and the nursing satisfaction was higher than that in the control group,the differences were statistically significant(P<0.05).Conclusion:Early nursing intervention for pregnant women with thrombosis tendency during eclampsia can effectively improve self-care ability and coagulation function indexes,reduce the incidence of complications such as lower extremity deep venous thrombosis and improve nursing satisfaction.