优质护理服务理念应用于剖宫产后下肢深静脉栓塞效果评价.docVIP

优质护理服务理念应用于剖宫产后下肢深静脉栓塞的效果评价 　　[摘要] 目的 探讨优质护理应用于剖宫产后下肢深静脉栓塞的临床效果。 方法 利用实验性研究，选择2011年1月～2015年6月我院剖宫产后下肢深静脉栓塞的患者116例，随机分为实验组和对照组，每组各58例。对照组采用常规护理，实验组在对照组基础上增加优质护理。观察比较两组患者对护理的满意度、住院时间及并发肺栓塞的发病率等指标。 结果 本研究发现实验组和对照组患者并发肺栓塞的发病率分别为1.7%、5.2%，差异有统计学意义（χ2=4.83，P0.05）；另外实验组的患者对护理的满意度（93.1%）高于对照组患者（79.3%），差异具有统计学意义（χ2=4.64，P0.05）；而且对照组患者平均住院时间（14.82±0.98）d明显长于观察组患者的平均住院时间（13.56±1.38）d，差异具有统计学意义（χ2=5.67，P0.05）。 结论 优质护理能够降低剖宫产后下肢深静脉栓塞患者并发肺栓塞的发病率，减少住院天数及提高患者对护理的满意度，比常规护理疗效较好，可以在临床工作中推广应用。 　　[关键词] 优质护理；应用；剖宫产后；下肢深静脉栓塞 　　[中图分类号] R473.6 [文献标识码] B [文章编号] 1673-9701（2016）06-0133-03 　　Effect of high quality nursing care implemented on the patient with deep venous thrombosis after cesarean section 　　ZHANG Dan1 ZHANG Ruiyun2 　　Department of Urology Hernia， the Second Hospital of Shaoxing City in Zhejiang Province， Shaoxing 312000， China 　　[Abstract] Objective To discuss the clinical effect of high quality nursing care in lower limb deep jugular vein embolism after cesarean section. Methods Used experimental research， from January 2011 to June 2015， selected our hospital 116 cases of lower extremity deep venous thrombosis in patients with cesarean section， were randomly divided into experimental group and control group， each group of 58 patients. The control group using conventional care， experimental group on the basis of the control group increased the quality of nursing. The two groups of patients of nursing satisfaction， length of hospital stay and the incidence of pulmonary embolism were compared. Results This study found that the incidence of the experimental group and the control group patients complicated with pulmonary embolism were 1.7% and 5.2% respectively， the results had significant difference（chi-square=4.83， P 　　[Key words] High quality nursing care； Application； After cesarean section； Deep venous thrombosis 　　下肢深静脉栓塞是一种常见病，指静脉血液在下肢深静脉血管内的凝结[1]。它的发病率较高特别是剖宫产后易形成深静脉血栓[2]。它的病因可能是由于孕妇剖宫产中血液处于高凝固状态、手术带来的创伤及产后卧床休息导致下肢血流滞缓[2-4]。治疗剖宫产孕妇下肢深静脉栓塞不仅需要临床药物治疗，同时需要配合优质的护理，才能促进患