护理专科敏感指标的构建在预防妇科恶性肿瘤围手术期静脉血栓栓塞症中的应用效果

The construction of sensitive index of nursing specialty is to prevent gynecological malignant tumor in perioperative period application effect in venous thromboembolism

目的探讨护理专科质量敏感指标在预防妇科恶性肿瘤围手术期静脉血栓栓塞症(VTE)中的应用价值,为临床预防静脉栓塞提供依据。方法选取蚌埠医科大学第一附属医院肿瘤妇科2022年1—12月收治的妇科恶性肿瘤需手术的患者219例作为研究对象,1—6月收治的111例患者为对照组,采用传统的方法对围手术期患者实行VTE预防措施落实护理质量控制;7—12月收治的108例患者为观察组,构建专科护理质量敏感指标进行VTE预防措施落实质量控制。对2组患者围手术期预防VTE效果进行评价,对比2组护理人员的VTE规范筛查落实率、VTE相关知识知晓率、功能锻炼执行正确率、物理预防实施正确率、抗凝药物执行正确率,患者VTE发生率、满意度的发生情况。结果对照组和观察组VTE规范筛查落实率(75.68%vs.87.96%)、VTE相关知识知晓率(78.38%vs.88.89%)、功能锻炼执行正确率(83.78%vs.91.67%)、物理预防执行正确率(72.97%vs.86.11%)、抗凝药物执行正确率(81.08%vs.91.67%)、VTE发生率(9.91%vs.1.85%)、患者满意度(76.58%vs.91.67%)比较差异均有统计学意义(P<0.05),观察组各项指标结果均优于对照组。结论护理专科质量敏感指标的构建在预防妇科恶性肿瘤围手术期VTE中的效果良好,能够降低VTE的发生率,提高患者满意度,优化临床护理质量,推荐临床应用。

Objective To explore the application value of nursing specialty quality-sensitive indexes in the prevention of perioperative venous thromboembolism(VTE)in gynecological malignant tumors,and to provide evidence for the clinical prevention of venous thromboembolism.Methods A total of 219 patients requiring surgery for gynecological malignant tumors admitted to the First Affiliated Hospital of Bengbu Medical University from January to December 2022 were selected as the study objects,and 111 patients admitted from January to June were selected as the control group.Traditional methods were used to perform VTE preventive measures in perioperative patients to implement nursing quality control.A total of 108 patients admitted from July to December were assigned to the observation group.The sensitive indexes of specialized nursing quality were established for VTE preventive measures to implement quality control.The effect of perioperative VTE prevention in the two groups of patients was evaluated,and the accuracy of VTE standard screening,VTE knowledge awareness,functional exercise implementation,physical prevention implementation,anticoagulant drug implementation,VTE incidence and satisfaction of patients were compared between the two groups.Results Control group and observation group VTE standard screening accuracy rate(75.68%vs.87.96%),VTE-related knowledge awareness rate(78.38%vs.88.89%),functional exercise implementation accuracy rate(83.78%vs.91.67%),physical prevention implementation accuracy rate(72.97%vs.86.11%).The correct rate of anticoagulant drug execution(81.08%vs.91.67%),the incidence of VTE(9.91%vs.1.85%),and patient satisfaction(76.58%vs.91.67%)were statistically significant differences between the two groups(P<0.05),and the results of various indicators in the observation group were better than those in the control group.Conclusion The construction of a nursing specialty quality sensitive index has a good effect in preventing perioperative VTE of gynecological malignant tumors,which can reduce the incidence of VTE,improve patient satisfaction and optimize clinical nursing quality,and recommend clinical application.