成人重症患者深静脉血栓医护一体快速筛查流程的构建

Construction of an integrated medical and nursing rapid screening workflow for deep venous thrombosis in critically ill adult patients

目的 探讨适合我国成人重症患者深静脉血栓快速筛查的流程,为血栓预防护理提供参考。方法 应用循证护理方法,针对成人重症患者深静脉血栓筛查流程提出问题,进行系统检索、证据提取等,形成成人重症患者深静脉血栓医护一体筛查的证据;通过2轮焦点小组访谈确定成人重症患者深静脉血栓医护一体快速筛查流程。结果 形成的成人重症患者深静脉血栓医护一体快速筛查流程包括风险评估、超声筛查、深静脉血栓预防、管理与质控4个步骤。结论 本研究构建的成人重症患者深静脉血栓医护一体快速筛查流程,可用于成人重症患者深静脉血栓风险筛查。

Objective To explore a rapid screening workflow for deep venous thrombosis(DVT) in adult critically ill patients in China,so as to provide a reference for thrombosis prevention and nursing.Methods Using evidence-based nursing methods,we formulated research questions for screening DVT in adult critically ill patients,searched and reviewed literature systematically,extracted related evidence,and the evidence on integrated medical and nursing screening for DVT in critically ill adult patients was identified,which was then used to conduct a 2-round focus group interview to construct an integrated medical and nursing rapid screening workflow for DVT in adult critically ill patients.Results The constructed integrated medical and nursing rapid screening workflow for DVT in adult critically ill patients consisted of four steps:risk assessment of DVT,screening DVT by using ultrasound,DVT prevention,management and quality control of DVT.Conclusion The integrated medical and nursing rapid screening workflow can be used for the risk screening of DVT in critically ill adult patients.