Department of Orthopaedic Trauma, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, Jiangsu Province, Nanjing 210008, China
Abstract：Objective To explore the practice and continuous improvement effect of advanced practice nurses based on multidisciplinary diagnosis and treatment model (MDT) in the construction of deep vein thrombosis management system. Methods From July 2012 to June 2015, 4975 patients admitted to the Department of Orthopaedic Trauma, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School (hereinafter referred to as “our hospital”) were selected as the control group. Routine deep vein thrombosis prophylaxis care was used. From July 2015 to June 2018, 5672 patients admitted to Department of Orthopaedic Trauma of our hospital were selected as the experimental group. On the basis of the control group, the MDT based deep vein thrombosis prevention strategy was implemented. The incidence, mortality, knowledge and satisfaction of patients with deep vein thrombosis were compared between the two groups. Results The incidence and mortality of deep vein thrombosis in the experimental group were lower than those in the control group, with statistically significant differences (P ＜ 0.05). The knowledge rate of deep vein thrombosis in the experimental group was higher than that in the control group, and the difference was statistically significant (P ＜ 0.05). The nursing satisfaction of the experimental group was higher than that of the control group, and the difference was statistically significant (P ＜ 0.05). Conclusion The participation of advanced practice nurses in the MDT model of deep vein thrombosis prevention strategy can reduce the incidence and mortality of deep vein thrombosis in orthopedic patients, and improve the knowledge rate and patient satisfaction of patients with deep vein thrombosis, which is worthy of promotion.
2020, Vol. 17 
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