集束化护理在老年患者骨科术后下肢深静脉血栓预防中效果.PDFVIP

专科管理 Advanced Nursing Practice 集束化护理在老年患者骨科术后下肢深静脉 血栓预防中的效果观察 王升英 初慧中 于雁 王凯 [ 摘 要] 目的：评价集束化护理在老年患者骨科术后下肢深静脉血栓预防中的应用效果。方法：选取 2014 年1-6 月在我科进行大手术的患者70 例为对照组，实施骨科的常规护理；选取 2014 年7-12月在我科进行大手术的患者 67例 为实验组，在常规护理的基础上采用集束化护理措施，比较两组患者下肢深静脉血栓的发生率。结果：实验组下肢深静 脉血栓发生率明显低于对照组（ 2 χ=30.435，P=0.046）。结论：集束化护理措施可有效降低患者下肢深静脉血栓的发生率， 促进患者的康复。 [ 关键词 ] 集束化护理；老年人；深静脉血栓；下肢 [中图分类号] R47 [DOI] 10.3969/j.issn.1672-1756.2016.02.030 The effect of cluster nursing on prevention of Deep Vein Thrombosis of lower extremity among elderly patients / WANG Shengying, CHU Huizhong, YU Yan, WANG Kai // Department of Othopaedics, Qingdao Municipal Hospital, Qingdao, Shandong province, 266011 China /// Chinese Nursing Management-2016,16(2): 263-265 [Abstract] Objective: To explore the effect of cluster nursing on Deep Vein Thrombosis of lower extremity among elderly patients in the orthopaedic department. Methods: We recruited and divided major operation patients in our department into control group from January to June, 2014 and study group from July to December, 2014 with 70 patients in each group. The control group received routine care, while the study group with 67 patients finishing the whole intervention adopt cluster nursing management in addition to routine care. We compared the incidence of Deep Vein Thrombosis of lower extremity between the patients in two groups. Results: The incidence of Deep Vein Thrombosis of lower extremity was significantly lower in study group than that of the control group (P0.05). Conclusions: Cluster nursing could reduce the incidence of Deep Vein Thrombosis of lower extremity effectively and enhance the patients rehabilitation. [Ke