Abstract:Objective To research the preventive effect of postoperative nursing based on quality control circle (QCC) on lower limb deep vein thrombosis (DVT) after lower limb fracture operation. Methods A total of 90 patients with lower limb fracture who received surgical treatment in Anqing First People’s Hospital, Anhui Province from January 2021 to March 2022 were selected, according to random number table method, the patients were divided into control group and observation group, with 45 cases in each group. The control group received conventional perioperative nursing intervention, and the observation group received postoperative nursing intervention based on QCC. The incidence of postoperative DVT, Homan sign and Neuhof sign, postoperative femoral vein and popliteal vein blood flow rate, and the comprehensive quality assessment results of the two groups of patients to the nursing staff were compared. Results The incidence of postoperative DVT, Homan sign, and Neuhof sign in the observation group was significantly lower than that in the control group, and the differences were statistically significant (P<0.05). Overall analysis found that there were statistically significant differences in blood flow velocity, time point, and interaction between the two groups of femoral vein and popliteal vein (P<0.05). Intra-group comparison: Blood flow velocity of femoral vein, and popliteal vein in the two groups on postoperative day 1, 7, and 14 was statistically significant (P<0.05). Comparison between groups: Blood flow velocity of femoral vein and popliteal vein in the observation group was significantly higher than that in the control group at 7 and 14 days after surgery, and the differences were statistically significant (P<0.05). After intervention, the scores of problem solving ability, communication and coordination ability, work enthusiasm, team sense and responsibility of nursing staff in the observation group were significantly higher than those in the control group, and the difference was statistically significant (P<0.05). Conclusion Postoperative nursing based on QCC can significantly reduce the incidence of postoperative DVT in patients with lower limb fracture and improve the comprehensive quality of nursing staff.
金念念. 基于品管圈的术后护理对下肢骨折术后下肢深静脉血栓的预防作用[J]. 中国医药导报, 2023, 20(18): 156-159.
JIN Niannian. Preventive effect of postoperative nursing based on quality control circle on deep venous thrombosis of lower limbs after lower limb fracture surgery. 中国医药导报, 2023, 20(18): 156-159.