基于护理计划表的护理预防骨科手术患者术后深静脉血栓的效果分析.pdfVIP

CHINESECOMMUNITYDOCTORS护理论著

基于护理计划表的护理预防骨科手术患者

术后深静脉血栓的效果分析

郭秋颖李晓光(通信作者)

121000锦州医科大学附属第一医院，辽宁锦州

doi:10.3969/j.issn.1007-614x.2024.31.051

摘要目的：分析基于护理计划表的护理预防骨科手术患者术后深静脉血栓(DVT)的效果。方法：选取2023年1月—

2024年6月于锦州医科大学附属第一医院骨科行手术治疗的患者100例作为研究对象，随机分为对照组和观察组，

各50例。对照组实施常规护理，观察组实施基于护理计划表的护理。比较两组护理效果。结果：护理后，对照组腘静

脉血流速度低于护理前及同期观察组，红细胞聚集指数、血浆D-二聚体水平高于护理前及同期观察组(P＜0.05)；两组

下肢周径大于护理前，但观察组小于对照组(P＜0.05)。观察组DVT发生率低于对照组(P=0.027)。护理后，两组静脉

功能评分低于护理前，且观察组低于对照组(P＜0.05)；两组DVT认知调查表评分高于护理前，且观察组高于对照组

(P＜0.05)。结论：基于护理计划表的护理预防骨科手术患者术后DVT的效果显著，可改善下肢血流指标和静脉功能，

预防DVT，提高患者DVT认知度。

关键词基于护理计划表的护理；骨科手术；深静脉血栓

中图分类号R473.6文献标识码A

EffectAnalysisofNursingSchedule-BasedNursinginPreventingPostoperativeDeepVeinThrombosisinPatients

UndergoingOrthopedicSurgery

GuoQiuying,LiXiaoguang(correspondingauthor)

TheFirstAffiliatedHospitalofJinzhouMedicalUniversity,Jinzhou121000,LiaoningProvince,China

AbstractObjective:Toanalyzetheeffectofnursingschedule-basednursinginpreventingpostoperativedeepveinthrombosis

(DVT)inpatientsundergoingorthopedicsurgery.Methods:Atotalof100patientswhounderwentsurgicaltreatmentintheFirst

AffiliatedHospitalofJinzhouMedicalUniversityfromJanuary2023toJune2024wereselectedasthestudysubjects.Theywere

randomlydividedintocontrolgroupandobservationgroup,with50casesineachgroup.Thecontrolgroupreceivedroutine

nursingcare,whiletheobservationgroupreceivednursingschedule-basednursingcare.Thenursingeffectswerecompared

betweenthetwogroups.Results:Afternursing,thebloodflowvelocityofpoplitealveininthecontrolgroupwaslowerthanthat

beforenursingandintheobservationgroupduringthesameperiod,andtheerythrocyteaggregationindexandplasmaD-dimer

levelinthecontrolgroupwerehigherthanthosebeforenursingandintheobservationgroupduringthesameperiod(P0.05).

Thelowerlimbcircumferencein