|
|
|
| Preventive effect of postoperative nursing based on quality control circle on deep venous thrombosis of lower limbs after lower limb fracture surgery |
| JIN Niannian |
Department of Spine Surgery, Anqing First People’s Hospital, Anhui Province, Anqing 246003, China
|
|
|
|
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.
|
|
|
|
|
|
[1] 杜峰莉，卜容蓉.品管圈活动在机械通气患者下肢深静脉血栓预防中的应用效果[J].血栓与止血学，2021，27（4）：696-697.
[2] Canty D，Mufti K，Bridgford L，et al. Point-of-care ultrasound for deep venous thrombosis of the lower limb [J]. Australas J Ultrasound Med，2019，23（2）：111-120.
[3] 徐娜，顾军.下肢骨折术后预防深静脉血栓干预中构建专职分层小组的效果[J].临床与病理杂志，2022，42（4）：931-936.
[4] 钱嫣然.预见性护理模式联合FTS理念对老年下肢骨折患者术后下肢DVT发生率及生活质量的影响[J].医学理论与实践，2020，33（19）：3287-3289.
[5] 徐燕飞，龚颖颖，王静.品管圈在降低腹腔镜结肠癌根治术后患者下肢深静脉血栓发生率中的应用[J].解放军护理杂志，2019，36（9）：45-48.
[6] Krauss ES，Segal A，Dengler N，et al. Utilization of the Caprini Score for Risk Stratification of the Arthroplasty Patient in the Prevention of Postoperative Venous Thrombosis [J]. Semin Thromb Hemost，2022，48（4）：407-412.
[7] 李晓强，张福先，王深明.深静脉血栓形成的诊断和治疗指南（第三版）[J].中华普通外科杂志，2017，32（9）：807- 812.
[8] 熊永乐，方茜，刘婧，等.基于循证的DVT链式护理预防策略在骨科大手术患者中的运用效果研究[J].贵州中医药大学学报，2020，42（2）：49-52.
[9] 陈晓菊，桑玲，陈兴露，等.股骨骨折术后住院期间下肢深静脉血栓形成的影响因素[J].血管与腔内血管外科杂志，2022，8（10）：1207-1211，1235.
[10] 何燕，刘彐娜.下肢骨折手术患者并发下肢深静脉血栓风险预测模型的构建[J].临床护理杂志，2022，21（4）：5-9.
[11] 黄道礼，黄海珍，肖庆华，等.入院早期神经阻滞超前镇痛在高龄高危下肢骨折患者围手术期的应用[J].当代医学，2022，28（24）：4.
[12] 王晓萌，黄诗玫，周炜，等.多普勒超声参数联合血清sCD40L在产褥期下肢深静脉血栓评估中的应用价值[J].疑难病杂志，2022，21（5）：502-506.
[13] 刘雪，巴根，王瑞，等.护理流程系统化干预模式预防老年下肢骨折患者术后深静脉血栓的效果[J].中国医科大学学报，2021，50（11）：1036-1039.
[14] Zhao Z，Tian Q，Zhang B. Effects of rehabilitation nursing care on deep vein thrombosis of the lower limbs following spinal fractures [J]. Am J Transl Res，2021，13（3）：1877- 1883.
[15] 温巧玲，余诗军，丘细凤.品管圈活动的早期下床锻炼在全髋关节置换术患者中的应用[J].齐鲁护理杂志，2022，28（22）：142-145.
[16] 宋永财，卫永鲲，杨立峰，等.血栓弹力图参数联合D-二聚体对胸腰椎结核术后并发深静脉血栓形成的预测作用[J].疑难病杂志，2021，20（2）：171-175.
[17] 徐通，何鸿炉，吴杰安.自拟活血药方预防不稳定型股骨颈骨折内固定术后下肢深静脉血栓的效果[J].中国当代医药，2022，29（14）：78-80.
[18] 王新霞，侯永娜，王丽娜，等.品管圈活动对降低经桡动脉PCI术后患者肢体肿胀发生率的影响[J].护理实践与研究，2021，18（17）：2645-2649.
[19] 居敏燕，刘元，何莉.共管模式在老年髋部骨折患者围术期护理中的应用效果[J].护理实践与研究，2021，18（20）：3064-3067.
[20] Yu J，Qi R，Wang W，et al. Effect of quality control circle on nursing in orthopaedic trauma surgery [J]. Am J Transl Res，2022，14（6）：4380-4387.
[21] 马晴，许贤荣，许静，等.风险护理思维预防连续性血液净化患者下肢静脉血栓形成效果[J].中国医药导报，2022，19（31）：166-169，181.
[22] 刘璐，傅银娣，杨丽兰.阶段-护理相宜模式在ICU患者下肢深静脉血栓预防中的效果观察[J].护理实践与研究，2022，19（16）：2380-2384.
[23] Qian H，Liu J，Xu C，et al. Predisposing factors and effect of bundle nursing in PICC-related upper extremity deep venous thrombosis in patients with non-Hodgkin’s lymphoma undergoing chemotherapy [J]. Am J Transl Res，2021，13（8）： 9679-9686.
[24] 唐宏伟，徐珍瑾，蔡迎佳.综合康复训练预防腰椎骨折术后深静脉血栓形成效果观察[J].齐鲁护理杂志，2022， 28（20）：87-89.
[25] 王妍丽，吕国翠，楚立云.下肢骨折术后深静脉血栓Caprini评估与预见性护理[J].中国矫形外科杂志，2022，30（18）：1712-1715.
[26] 王慧华，胡筱艳，曾克非，等.快速康复外科护理模式在妇科恶性肿瘤术后预防下肢深静脉血栓中的作用[J].护理实践与研究，2022，19（23）：3571-3575.
[27] 李娟，程闯，胡凯，等.计划行为理论干预预防胃癌根治术后患者下肢DVT效果观察[J].齐鲁护理杂志，2022， 28（20）：103-106.
[28] 齐凤华，唐素华，杨杰，等.品管圈活动对骨科住院患者健康宣教满意度的影响[J].中国医药导报，2020，17（19）：183-185，189.
[29] 吴翠荣.品管圈活动对全膝关节置换术患者护理依从性与满意度的影响[J].护理实践与研究，2019，16（17）：64- 66. |
|
|
|
