摘要
目的研究循证护理在下肢静脉血栓(LEDVT)介入术后并发症的应用效果。方法选择2017年3月—2019年11月本院介入科收治的介入溶栓治疗LEDVT患者共60例作为研究对象,按照随机数表法分为循证护理组和常规护理组两组,每组各30例。观察组采用循证护理模式,对照组采用传统护理模式进行护理。比较两组患者并发症的发生率。结果循证护理组中介入术后一周内发生患肢肿胀消退达到中等2例(6.7%),无皮下淤血发生,未见留置溶栓导管鞘出血发生;对照组中发生3例肿胀消退达到中等(10.00%),局部皮下淤血发生3例(10.00%),发生留置溶栓导管鞘穿刺点出血2例(6.7%)。两组均未发生消化道出血、颅内出血、肺栓塞和护理纠纷,术后疼痛均不明显或轻微疼痛,无明显差异。结论下肢静脉血栓患者介入治疗术后康复过程中,采用循证护理模式进行护理,可有效降低并发症发生率,促进患者康复,减轻痛苦,改善患者的精神状态和生活质量,提升疗效,从而改善护理满意度,值得临床推广。
Objective To study the application effect of evidence-based nursing on complications after interventional therapy for lower extremity venous thrombosis(LEDVT).Methods From March 2017 to November 2019, a total of 60 patients with LEDVT who were treated by interventional thrombolysis in the interventional department of our hospital were selected as the research objects. According to the random number table method, they were divided into evidence-based nursing group and conventional nursing group, each group had 30 patients. The observation group adopted evidence-based nursing mode, while the control group adopted traditional nursing mode. The incidence of complications was compared between the two groups.Results In the evidence-based nursing group, 2 patients(6.7%) experienced swelling and regression within one week after operation, no subcutaneous congestion and no bleeding of catheter sheath occurred.In the control group, 3 patients(10.00%) experienced swelling and regression, 3 patients(10.00%) experienced local subcutaneous congestion and 2 patients(6.7%) experienced bleeding of catheter sheath puncture point. There were no digestive tract hemorrhage, intracranial hemorrhage, pulmonary embolism and nursing disputes in the two groups. The postoperative pain was not obvious or slight, and there was no significant difference.Conclusions Evidence-based nursing could effectively reduce the incidence of complications, promote the recovery of patients, alleviate pain, improve the mental state and quality of life of patients, improve the curative effect, and thus improve nursing satisfaction, which is worthy of clinical promotion.
作者
张洁
ZHANG Jie(The second department of intervention,second people's hospital of Wuhu City,Wuhu,Anhui,241000,China)
出处
《齐齐哈尔医学院学报》
2020年第10期1291-1294,共4页
Journal of Qiqihar Medical University
基金
院内资金资助课题(2017B07)。
关键词
循证护理
下肢静脉血栓
介入治疗
术后并发症
Evidence-based nursing
Lower extremity venous thrombosis
Interventional therapy
Postoperative complications
