|
|
Effects of evidence-based nursing intervention on deep vein thrombosis of lower extremity after multiple trauma |
ZHANG Jiajia1 ZHAO Jingrong2▲ ZHANG Xiaodi1 |
1.Department of General Surgery, Nuclear Industry 215 Hospital, Shaanxi Province, Xianyang 712000, China;
2.Department of Orthopaedic, Nuclear Industry 215 Hospital, Shaanxi Province, Xianyang 712000, China |
|
|
Abstract Objective To explore and analyze the effect of evidence-based nursing intervention on postoperative deep vein thrombosis in patients with multiple trauma. Methods From June 2015 to June 2017, in Nuclear Industry 215 Hospital, 90 patients with multiple traumatic injuries were selected, according to random number table method, they were divided into control group and observation group, with 45 cases in each group. The control group was given routine nursing, and the observation group was given evidence-based nursing intervention based on the control group, the incidence of postoperative lower extremity swelling, tenderness, and deep venous thrombosis after operation, Porter score and patient satisfaction after treatment in two groups were compared. Results After operatiom, the incidence of lower extremity swelling, tenderness of gastrocnemius, and the deep venous thrombosis in the observation group were lower than those in the control group, the differences were statistically significant (P < 0.05). After treatment, the Porter scores in the two groups were lower than before treatment, and this in observation group was lower than control group, the differences were statistically significant (P < 0.05). The nursing satisfaction of the observation group was significantly higher than that of the control group, the difference was statistically significant (P < 0.05). Conclusion Evidence-based nursing intervention can effectively prevent postoperative deep venous thrombosis and improve nursing satisfaction compared with routine nursing.
|
|
|
|
|
[1] 王鑫.下腔静脉滤器置入联合深静脉深置管溶栓治疗急性下肢深静脉血栓的临床研究[J].齐齐哈尔医学院学报,2014,35(17):2502-2503.
[2] 卢辉俊,刘辉,原野,等.外周途径置管溶栓治疗左髂静脉压迫并急性下肢深静脉血栓形成的分析[J].中国普外基础与临床杂志,2015,22(5):605-606.
[3] Comerota AJ, Kamath V. Thrombolysis for iliofemoral deep venous thrombosis [J]. Expert Rev Cardiovasc Ther,2013, 11(12): 1631-1638.
[4] 都定元.多发伤定义?[J].创伤外科杂志,2007,9(2):90-91.
[5] 赵威,黄杨,王玉同,等.损伤严重程度评分对重度创伤病情评估的意义与预后相关性研究[J].临床误诊误治,2014,27(1):12-13.
[6] 叶志东,樊雪强,王非,等.腔内治疗髂静脉梗阻合并急性深静脉血栓的临床经验[J].中国微创外科杂志,2012, 12(4):344-346.
[7] Meng QY,Li XQ,Jiang K,et al. Stenting of iliac vein obstruction following catheter-directed thrombolysis in lower extremity deep vein thrombosis [J]. Chin Med J,2013,126(18):3519-3522.
[8] 张希全,崔佳佳,王义平,等.髂静脉受压综合征并下肢深静脉血栓形成的综合性腔内治疗[J].中国普通外科杂志,2014,23(6):785-790.
[9] 李大林,陈允惠,颜京强,等.急性下肢深静脉血栓的介入治疗[J].临床普外科电子杂志,2013,1(1):44-46.
[10] 李长海,张希全,朱伟,等.急性混合型下肢深静脉血栓综合介入治疗与系统溶栓疗效的比较[J].中国普通外科杂志,2013,22(12):1595-1599.
[11] 王曰伟,王豪夫,戚森,等.腔静脉滤器联合导管接触性溶栓治疗静脉血栓栓塞症临床分析[J].中国血管外科杂志:电子版,2013,5(1):38-40.
[12] 张希全,王义平,朱伟,等.微创治疗髂静脉闭塞合并下肢深静脉血栓形成[J].中国介入影像与治疗学,2012,9(12):843-846.
[13] 张文广,李震,韩新巍,等.经导管接触溶栓与单纯静脉药物溶栓治疗下肢深静脉血栓的对比分析[J].中国普外基础与临床杂志,2012,19(11):1171-1174.
[14] Streiff MB,Brady JP,Grant AM,et al. CDC Grand Rounds:preventing hospital-associated venous thromboembolism [J]. Mmwr Morb Mortal Wkly Rep,2014,63(9):190 -193.
[15] 王翔,郑国寿,白祥军,等.严重多发伤合并下肢深静脉血栓33例的诊断及治疗[J].创伤外科杂志,2015,17(2):120-122.
[16] Adrian JP,Andrew JW,Alistair DN,et al. Deep vein thrombosis and pulmonary embolus in patients with traumatic brain injury:a prospective observational study [J]. Crit Care Res,2012,14(1):10-13.
[17] 韦溦,杨星华,官正华,等.上肢创伤骨折围手术期并发深静脉血栓的诊治体会[J].局解手术学杂志,2014,23(3):268-269.
[18] Suribabu G,Fragkakis EM,Vincenzo C,et al. A cohort study on the incidence and outcome of pulmonary embolism in trauma and orthopedic patients [J]. BMC Med,2014,12(1):969-970.
[19] Kim JW,Oh CW,Oh JK,et al. The incidence and the risk factors of venous thromboembolism in Korean patients with pelvic or acetabular fractures [J]. J Orthop Sci,2014, 19(3):471-477.
[20] 张燕.护理干预在预防下肢骨折术后并发深静脉血栓的应用[J].中国医药科学,2017,7(18):161-164.
[21] 王晓锋.骨科创伤103 例深静脉血栓的危险因素分析[J].中国医药指南,2013,11(30):429 -430. |
|
|
|