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Application of cluster nursing in prevention of lower extremity deep vein thrombosis in operating room#br# |
WANG Jingjing YAN Li▲ ZHANG Jianmei |
Department of Surgical Anesthesiology, Huaian First People’s Hospital, Jiangsu Province, Huaian 223300, China |
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Abstract Objective To explore the application effect of cluster nursing in preventing lower extremity deep vein thrombosis in operating room. Methods A total of 84 patients who received surgical treatment in the operating room of Huaian First People’s Hospital of Jiangsu Province from November 2019 to October 2020 were selected, and they were divided into experimental group and control group according to random number table method, with 42 cases in each group. The control group received routine nursing, on the basis of the control group, preoperative, intraoperative and postoperative nursing were performed in the experimental group by the bundle nursing group of deep vein thrombosis in the lower extremity. The incidence of deep vein thrombosis in lower extremity, various coagulation related indexes and lower extremity pain were evaluated one week after operation. Results After intervention, the incidence of thrombosis in the experimental group was significantly lower than that in the control group, and the difference was statistically significant (P < 0.05). After intervention, the coagulation function indexes of the control group were compared with those before intervention, and the differences were not statistically significant (P > 0.05). Plasma D-dimer in experimental group was lower than that befor intervention, and the experimental group was lower than the control group, and the differences were statistically significant (P < 0.05). Lower limb pain in experimental group was significantly better than that in control group, and the difference was statistically significant (P < 0.05). Conclusion The application of cluster nursing in the prevention of lower extremity deep vein thrombosis in operating room has remarkable effect and high clinical value.
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[1] 宫海峰.老年患者骨折围手术期深静脉血栓防治的临床研究[D].青岛:青岛大学,2017.
[2] 秦蕾.骨科大术后静脉血栓发生机制的研究进展[J].山西医药杂志,2011,40(12):1219-1220.
[3] 朱冬梅,张家雄,刘贻尚.综合护理对老年下肢骨折患者下肢深静脉血栓形成的影响[J].中国当代医药,2020,27(2):242-245.
[4] Lee JA,Donaldson J,Drake D,et al. Venous thromboembolism knowledge among older post-hip fracture patients and their caregivers [J]. Geriatr Nurs,2014,35(5):374-380.
[5] 郭珏,田俊,贾越,等.集束化护理的再认识及实际应用中的误区[J].国际护理学杂志,2018,37(6):862-864.
[6] 赵彦欣.骨科下肢手术中用间歇充气加压装置预防深静脉血栓的效果[D].太原:山西中医药大学,2020.
[7] Scheres LJJ,Lijfering WM,Cannegieter SC. Current and future burden of venous thrombosis:Not simply predictable [J]. Res Pract Thromb Haemost,2018,2(2):199-208.
[8] Garcia D. Hybrid Strategy to Prevent Venous Thromboembolism after Joint Arthroplasty [J]. N Engl J Med,2018, 378(8):762-763.
[9] 陈小红,师秋霞.集束化护理对脑出血手术患者下肢深静脉血栓发生率的影响效果观察[J].全科口腔医学电子杂志,2018,5(22):56-57.
[10] 刘高.集束化护理对急性缺血性卒中患者下肢深静脉血栓的预防研究[D].昆明:云南中医药大学,2020.
[11] 胡建利,施雁,陈明君,等.围术期病人深静脉血栓基础预防研究进展[J].护理研究,2019,33(23):4065-4068.
[12] 朱梦春,杨玉金,郑春艳,等.间歇充气加压装置结合序贯加压弹力袜预防骨科大术后深静脉血栓形成的效果[J].中国老年学杂志,2019,39(17):4228-4231.
[13] 闻静,陈卫平,王蔚华,等.间歇充气加压泵联合足底动静脉泵对预防老年卧床病人下肢深静脉血栓的临床研[J].实用老年医学,2019,33(4):336-338,341.
[14] 肖宇威,赵宇,肖保辉,等.利伐沙班与低分子肝素用于复杂骨盆髋臼骨折术后下肢深静脉血栓的预防效果比较[J].解放军医药杂志,2019,31(7):42-45.
[15] 李小寒,尚少梅.基础护理学[M].5版.北京:人民卫生出版社,2012:440.
[16] 杜培泽,孙海波,孙聪毅,等.下肢深静脉血栓形成多种因素的临床分析和研究[J].重庆医学,2015,44(9):1265-1267.
[17] 李倩,靖倩,尚无怡.创伤性颅脑损伤患者下肢静脉血栓发生现状及相关因素分析[J].中国急救复苏与灾害医学杂志,2020,15(3):295-298,303.
[18] 覃利亚,黄耀凯,张昌碧.急诊创伤性骨盆骨折合并多发伤患者发生下肢深静脉血栓的影响因素分析[J].中国急救复苏与灾害医学杂志,2021,16(3):278-281.
[19] 苗云,常红,赵洁,等.首发急性缺血性卒中患者深静脉血栓预测模型的构建[J].中国急救复苏与灾害医学杂志,2021,16(4):380-384.
[20] Patel K,Fasanya A,Yadam S,et al. Pathogenesis and Epidemiology of Venous Thromboembolic Disease [J]. Crit Care Nurs Q,2017,40(3):191-200.
[21] 李明东,王丹,高星,等.手术方式和手术时间对老年髋部骨折术后深静脉血栓发生率的影响[J].中国骨与关节杂志,2017,6(5):375-378.
[22] 曾敬,赵洪普,杨展翔,等.全膝骨科大术后静脉血栓栓塞症危险因素的Meta分析[J].中华关节外科杂志:电子版,2019,13(1):78-85.
[23] 熊涛,李秀山.下肢骨折手术时应用止血带对患者凝血功能影响研究[J].血栓与止血学,2017,23(3):471-472.
[24] 殷士燕,高楠.集束化护理在低龄低体重室间隔缺损患儿微创封堵术围术期中的应用观察[J].中国现代医生,2019,57(25):162-165.
[25] 廖春艳,郑见宝,樊慧,等.集束化干预在预防腹腔镜下肠道疾病手术患者深静脉血栓形成中的作用[J].中国医药导报,2019,16(25):175-178.
[26] 李春会,李惠玲,邹叶芳,等.中老年髋膝骨科大术后患者下肢深静脉血栓的综合干预策略研究[J].中华护理杂志,2015,50(5):532-536.
[27] 吴玉宝,李祝华,刘桂香.间歇气压治疗长期卧床患者下肢深静脉血栓及护理干预效果观察[J].中国医药科学,2020,10(2):118-121.
[28] 张桂宁.早期活动干预对预防ICU患者下肢深静脉血栓形成的研究[D].南宁:广西医科大学,2018.
[29] 潘海燕.围手术期骨科集束化护理策略对术后下肢深静脉血栓的预防效果观察[J].中国实用医药,2019,14(19):181-182. |
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