综合护理干预对预防脑卒中并发下肢深静脉血栓形成的效果分析.pdfVIP

维普资讯 齐鲁护理杂志2008年第 14卷第 11期 综合护理干预对预防脑卒中并发下肢深静脉 血栓形成的效果分析 刘桂娟 (枣庄市立医院 山东 枣庄 277102) 摘 要 目的：探讨综合护理干预对预防脑卒中并发下肢深静脉血栓形成(DVT)的效果。方法：将应用Wells 评分筛选的206例 中、高危脑卒中患者随机分为干预组 104例和对照组 102例，对照组实施常规护理，干预组实施 综合护理干预措施，比较两组DVT发生率、脑卒中相关并发症发生率及 患者 家属满意度。结果：干预组DVT发生 率为 1、92％，相关并发症发生率为0．96％，患者家属满意度为89．42％；对照组DVT发生率为 21．57％，相关并发症 发生率为8．82％，患者家属满意度为60．78％，两组比较均有显著性差异 (P0．05)。结论：对 中、高危脑卒中患者 采取综合护理干预措施，可有效降低DVT发生率，减少并发症的发生，提高患者家属满意度。 关键词 脑卒中；深静脉血栓形成；护理干预 中图分类号：R473、5 文献标识码：A 文章编号：1006—7256(2008)ll一0007—02 Analysisoftheeffectivenessofcomprehensivenursinginterventiononpreventionofcomplicateddeepveinthrombosis inthelowerextremitiesofpatientswithstroke LiuGui一 口n (ZaozhuangMunicipalHospital，ZaozhuangShandong277102，China) Abstract Objective：Tostudytheeffectivenessofcomprehensivenursinginterventiononpreventionofcomplicated deepveinthrombosis(DVT)inthelowerextremitiesofpatientswithstroke．Methods：Twohundredandsixpatientswith strokescreenedbyWellsscoringsystemwererandomlydividedintointerventiongroup(n=140 )andcontrolgroup(n= 102)、Thepatientsincontrolrgoupweregivenroutinenursingcare，whilecomprehensivenursinginterventionwasapplied tothepatientsininterventiongroup．ThecomparisonwasmadeintheincidenceofDVT，thestroke—relatedcomplications andthesatisfactionofpatientsrelativesbetweenthetwogroups．Results：TheincidenceofDVTwas1．92％ ，stroke—relat· edcomplicationwas0．96％ andthesatisfactionofpatientsrelativeswas89．42％ intheinterventionrgoup：andrespective· ly21．57％ ，8、8％ and60、78％ inthecontrolgroup．Thereweresignificantdifferencesinthecomparisonbetweenthetwo rgoups(P0．05)．Conclusion：TheincidenceofDVTandstroke—relatedcomplicationscaneffectivelyreducedSOthat satisfactionofpatientsrelativeswillbeincreasedbyimplementingscientificeval