探讨临床护理路径对老年髋部骨折术后下肢深静脉血栓形成的影响

Exploring Effect of Clinical Nursing Pathway on Deep Venous Thrombosis of Lower Extremity after Elderly Hip Fracture Surgery

目的探讨分析临床护理路径对老年髋部骨折术后下肢深静脉血栓形成的影响。方法选取在我院接受诊治的老年髋部骨折患者90例(2012年3月至2013年3月)作为研究对象。随机分为观察组和对照组,各45例。对照组采取常规用药治疗和护理的方式,观察组患者在常规用药治疗和护理的基础上进行联合临床护理路径。观察不同护理方式下两组患者的临床护理效果。结果观察组患者下肢深静脉血栓形成率(DVT)、下肢疼痛肿胀明显低于对照组(P<0.05);观察组术后平均住院时间明显低于对照组(P<0.05);观察组对护理工作满意度显著优于对照组(P<0.05)。结论在临床治疗中,临床护理路径对老年髋部骨折术后下肢深静脉血栓形成有重要影响,能够促进患者康复,提高对护理满意度,具有临床价值。

Objective To explore effect of clinical nursing pathway on deep venous thrombosis after elderly hip fracture surgery. Methods Choose 90 cases elderly hip fracture patients in our hospital from March 2012 to March 2013 as research objects. Divide them into observation and control group randomly, 45 cases in each. Control group was treated with routine medication treatment and nursing, and observation group with combined clinical nursing pathway based on routine medication treatment and nursing. Observe clinical nursing effect of different nursing methods of two groups. Results Rate of lower extremity deep venous thrombosis(DVT), pain and swelling of lower limbs of observation group was significantly lower than control group(P<0.05); average length of stay of observation group was significantly shorter than control group(P<0.05); nursing satisfaction of observation group was significantly better than control group(P<0.05). Conclusion In clinical treatment, clinical nursing pathway has important effect on deep vein thrombosis of lower extremity of elderly hip fracture surgery, can promote rehabilitation and improve nursing satisfaction of patients, which has clinical value.