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高龄人工股骨头置换及下肢骨折术后深静脉血栓形成的预防及护理 被引量:15

Nursing intervention of forming of limp deep vein thrombosis for elderly patients with hip fracture
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摘要 目的探讨老年患者下肢骨折术后深静脉血栓形成(DVT)的原因及预防措施。方法选择该院2009年3月—2012年12月期间收治的老年骨折患者130例,按不同护理方法分为实验组和对照组各65例,对照组采用常规护理,实验组在此基础上再加用系统护理干预,比较两组患者护理后下肢深静脉血栓形成情况、并发症及住院时间,并调查比较两组对护理的满意度。结果实验组患者采用系统护理后DVT发生5例,发生率7.7%,明显较对照组DVT发生率15.4%低,差异有统计学意义,P<0.05。实验组患者并发症及住院时间均较对照组少,患者对护理的满意度明显高于对照组,差异均有统计学意义(P<0.05)。结论系统护理干预能有效的预防和减少老年人骨折术后下肢深静脉血栓形成,可提高患者生存质量及对护理工作的满意度。 Objective To explore the effect of systemic nursing intervention on prevention of elderly of lower extremity deep venous thrombosis after hip fracture. Methods 130 cases of hip fracture in elderly patients from March 2009 to December 2012,according to different nursing methods,were divided into experimental group and control group with 65 cases in each group. The control group re- ceived routine nursing care ,which the experimental group, on this basis, coupled with the systematic nursing intervention. We compared two groups of patients with nursing after lower limbs deep vein thrombosis in complications arid hospitalization time and the satisfaction of nursing. Results in the experimental group DVT occurred in 5 patients (7.7%) ,significantly lower than the control group 15.4%. The difference had statistical significance (P 〈 0.05 ). Complications and hospitalization time of patients in experimental group were less than those in the control group,and patients' satisfaction with nursing care was significantly higher than that in the control group. The difference was statistically significant (P 〈 0.05). Conclusions Systematic nursing intervention can prevent arid reduce the occurrence of lower extremity deep venous thrombosis among elderly patients,which can improve the quality of life of patients and the patients' satisfaction with nursing service.
作者 刘春蓉
出处 《安徽医药》 CAS 2014年第1期183-185,共3页 Anhui Medical and Pharmaceutical Journal
关键词 下肢深静脉血栓 系统护理 骨折 预防 lower extremity deep venous thrombosis systematic nursing fracture prevent
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