摘要
目的分析路径式护理干预在下肢深静脉血栓导管溶栓患者中的应用效果,旨在提高导管溶栓效果提供依据。方法选取绍兴市人民医院2017年7月—2019年12月期间收治的84例下肢深静脉血栓患者,按数字随机表法分为2组,即对照组42例,采用常规护理;观察组42例,采用路径式护理干预;比较2组患者的康复情况(患者康复时间、住院时间、住院费用)、健康知识水平(健康教育知识量表)、凝血功能(测定纤维蛋白原、凝血酶时间、凝血酶原时间)以及满意率,分析患者术后并发症发生率(导管堵塞、导管脱落、伤口感染、出血等);采用SPSS 23.0统计学软件处理数据。结果观察组患者康复时间、住院时间短于对照组(t=6.972、5.245,均P<0.05),住院费用低于对照组(t=5.997,P<0.05),观察组术后纤维蛋白原含量低于对照组(t=7.441,P<0.05),凝血酶时间、凝血酶原时间、活化部分凝血活酶时间长于对照组(t=11.121、11.387、6.355,均P<0.05)。观察组护理后健康教育知识评分高于对照组(t=5.835,P<0.05),观察组并发症发生率(2.38%)低于对照组(23.81%),差异有统计学意义(χ^2=8.372,P=0.004);观察组护理满意率(97.62%)高于对照组(76.19%),差异有统计学意义(P<0.05)。结论路径式护理干预能降低下肢深静脉血栓导管溶栓患者并发症发生率,提高康复效果,改善机体凝血功能。
Objective To analyze the application effect of path-based nursing intervention in patients with deep vein thrombosis catheter thrombolysis of lower extremity,aiming to provide basis for improving the effect of catheter thrombolysis.Methods A total of 84 patients with deep venous thrombosis of lower extremities admitted in our hospital from July 2017 to December 2019 were selected and divided into two groups according to the digital random table method,that is,42 cases in the control group and routine care,42 cases in the observation group and pathology Nursing intervention.The rehabilitation status of the two groups of patients(detection of patients’rehabilitation time,hospitalization time,hospitalization cost),health knowledge level(health education knowledge scale made by our hospital department),coagulation function(determination of fibrinogen,thrombin time,Prothrombin time)and satisfaction rate were compared.The incidence of postoperative complications of patients(catheter blockage,catheter shedding,wound infection,bleeding,etc.)were analyzed.SPSS 23.0 statistical processing data was used for the specific data of the two groups.Results The recovery time and hospitalization time of the observation group were shorter than that of the control group(t=6.972,5.245,all P<0.05).The hospitalization cost was lower than that of the control group(t=5.997,P<0.05).The content of posterior fibrinogen was lower than that of the control group(t=7.441,P<0.05).Thrombin time,prothrombin time,APTT were longer than the control group,the difference was statistically significant(t=11.121,11.387,6.355;all P<0.05).The observation group’s post-nursing health education knowledge score was higher than that of the control group(t=5.835,P<0.05).The incidence of complications in the observation group was 2.38%,lower than that of the control group,23.81%,the difference was statistically significant(χ~2=8.372,P=0.004).The nursing satisfaction rate in the observation group was 97.62%,higher than that in the control group,76.19%,the difference was statistically significant(P<0.05).Conclusion Path-based nursing intervention can reduce the incidence of complications in patients with deep vein thrombosis catheter thrombolysis of lower extremities,improve the rehabilitation effect,and improve the coagulation function of the body,which is worthy of application.
作者
孙国芳
徐钰
孟立平
郭航远
黄玲娟
SUN Guo-fang;XU Yu;MENG Li-ping;GUO Hang-yuan;HUANG Ling-juan(Department of Vascular Hernia Surgery,Shaoxing People’s Hospital,Shaoxing,Zhejiang 312000,China;不详)
出处
《中华全科医学》
2020年第9期1599-1602,共4页
Chinese Journal of General Practice
基金
浙江省公益技术应用社会发展项目(LGF18H020009)
绍兴市科技计划项目(2019B24004)。
关键词
路径式护理干预
下肢深静脉血栓
导管溶栓
Path nursing intervention
Lower extremity deep vein thrombosis
Catheter thrombolysis
