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| Role of cluster intervention in the prevention of deep vein thrombosis in patients undergoing laparoscopic surgery for intestinal diseases |
| LIAO Chunyan ZHENG Jianbao FAN Hui ZHANG Hongmei QIAO Li′na |
| Department of General Surgery, the First Affiliated Hospital of Xi′an Jiaotong University, Shaanxi Province, Xi′an 710061, China |
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Abstract Objective To evaluate the role of cluster intervention in the prevention of deep vein thrombosis in patients undergoing laparoscopic surgery for intestinal diseases. Methods From April 2017 to May 2018, 267 patients with intestinal diseases underwent laparoscopic surgery at Department of General Surgery, the First Affiliated Hospital of Xi′an Jiaotong University were divided into two groups by random number table method. Observation group (133 cases) was treated with cluster intervention nursing, and control group (134 cases) was treated with routine nursing in general surgery. The coagulation function, first exhaust time after operation, hospitalization time, hospitalization expenses, complications and satisfaction of nursing quality evaluation were compared between two groups. Results After operation of 5 days, the levels of fibrinogen and D-dimer in both groups were higher than those before operation, but those in observation group were lower than those in control group, with statistical significance (all P < 0.05). The first exhaust time after operation and hospitalization time of observation group were significantly shorter than those of control group, and the hospitalization expenses of observation group were less than those of control group, the differences were statistically significant (P < 0.05 or P < 0.01). The incidence of postoperative complication in observation group was lower than that in control group (P < 0.05). When discharged from hospital, total satisfaction of nursing quality evaluation in observation group was higher than that in control group, and the difference was statistically significant (P < 0.05). Conclusion Cluster intervention can significantly improve the coagulation status of patients undergoing laparoscopic surgery of intestinal disease, effectively reduce the incidence of deep vein thrombosis, significantly shorten hospitalization time and reduce medical expenses of patients. It is conducive to improving the quality of life of patients and is worthy of reference by the clinical nursing team.
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