集束化护理对防治脑出血术后下肢深静脉血栓及缓解负性情绪的应用效果分析

Effect of Cluster Nursing on Prevention and Treatment of Postoperative Thrombosis of Lower Limbs and Alleviation of Negative Emotion in Patients with Cerebral Hemorrhage

目的:探讨集束化护理在预防脑出血术后患者下肢深静脉栓塞及缓解负性情绪方面的应用效果,为临床护理提供依据。方法:选取2018年11月—2020年3月广西医科大学第一附属医院收治的118例脑出血患者作为研究对象,根据入院的先后顺序将其分为对照组和实验组,每组各59例。对照组患者采用常规护理,实验组患者在常规护理基础上实施集束化护理干预。比较两组患者下肢深静脉血栓发生率、心理状态[焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分]、D-二聚体水平及护理满意度情况。结果:实验组患者下肢深静脉血栓发生率明显低于对照组,差异有统计学意义(χ^(2)=4.867,P<0.05)。干预后,实验组患者SAS评分、SDS评分均明显低于对照组,差异有统计学意义(t=4.985、5.012,P<0.05)。干预后,实验组患者D-二聚体水平明显低于对照组,差异有统计学意义(t=4.586,P<0.05)。实验组患者护理满意度明显高于对照组,差异有统计学意义(χ^(2)=8.768,P<0.05)。结论:对脑出血术后患者实施集束化护理干预,可预防患者下肢深静脉血栓,改善患者负性情绪,降低D-二聚体浓度,提高患者护理满意度。

Objective:To investigate the application effect of intensive care in preventing lower extremity deep vein embolism and alleviating negative emotions in postoperative patients with cerebral hemorrhage,and to provide a basis for clinical care.Methods:118 cases of cerebral hemorrhage patients admitted to the hospital from November 2018 to March 2020 were selected as the study subjects,and they were divided into the control group and experimental group according to the order of admission,with 59 cases in each group.The control group used conventional nursing,and the experimental group implemented intensive nursing intervention on the basis of conventional nursing.The incidence of lower extremity deep vein thrombosis,psychological state[Self-rated Axiety Scale(SAS),Self-rated Depression Scale(SDS)],D-dimer level and nursing satisfaction were compared between the two groups.Results:The incidence of lower extremity deep vein thrombosis in the experimental group was significantly lower than that in the control group,and the difference was statistically significant(χ^(2)=4.867,P<0.05).After the intervention,the SAS score and SDS score of the experimental group were significantly lower than those of the control group,and the difference was statistically significant(t=4.985,5.012,P<0.05).After the intervention,the D-dimer level of the experimental group was significantly lower than that of the control group,and the difference was statistically significant(t=4.586,P<0.05).Nursing satisfaction in the experimental group was significantly higher than that in the control group,and the difference was statistically significant(χ^(2)=8.768,P<0.05).Conclusion:Implementation of intensive nursing intervention for postoperative patients with cerebral hemorrhage prevents patients’lower extremity deep vein thrombosis,improves patients’negative emotions,reduces D-dimer concentration,and improves patients’satisfaction with care.