摘要
目的探讨共管模式在老年髋部骨折患者围手术期静脉血栓栓塞症(VTE)预防中的应用效果。方法采用便利抽样法,选取2019年1—12月郑州大学第一附属医院收治的146例老年髋部骨折患者为研究对象,将2019年1—6月收治的73例患者设为对照组,接受常规静脉血栓风险评估、治疗、宣教等,将2019年7—12月收治的73例患者设为试验组,接受共管模式管理。比较两组患者的VTE发生率、首次下床活动时间、住院天数及费用、VTE相关知识知晓率、DVT健康信念水平。结果实施共管模式后,试验组患者的术后VTE发生率低于对照组(P<0.05);试验组的首次下床活动时间、住院天数短于对照组,住院费用少于对照组,DVT健康信念评分、VTE相关知识评分均高于对照组,差异有统计学意义(P<0.05);试验组DVT健康信念中疾病的易感性、疾病严重性、健康行为的益处、自我效能方面得分均高于对照组(P<0.05);两组健康行为的障碍维度得分、健康动力得分比较,差异无统计学意义(P>0.05)。结论老年髋部骨折患者在围手术期实施共管模式可提高患者DVT健康信念及改善VTE知识掌握度,缩短患者住院时间,有效预防VTE的发生,促进患者快速康复。
Objective To explore the application effect of co management mode in the prevention of perioperative venous thromboembolism(VTE)in elderly patients with hip fractures.Methods Using the convenient sampling method,a total of 146 elderly patients with hip fractures who were admitted to the First Affiliated Hospital of Zhengzhou University from January to December 2019 were selected as the research objects.A total of 73 patients admitted from January to June 2019 were set as the control group and they were given routine venous thrombosis risk assessment,treatment,education and so on,while 73 patients admitted from July to December 2019 were set as the experimental group and they were given management according to co-management mode.The incidence of VTE,first out-of-bed activity time,hospital stays and expenses,awareness rate of VTE-related knowledge and level of DVT health belief were compared between the two groups.Results After implementing the co management mode,the incidence of postoperative VTE in the experimental group was lower than that in the control group(P<0.05).The first out-of-bed activity time and hospital days in the experimental group were shorter than those in the control group,the hospital expense was lower than that in the control group,and DVT health belief score and VTE-related knowledge score were higher than those in the control group,and the differences were statistically significant(P<0.05).The scores of disease susceptibility,disease severity,health behavior benefits and self-efficacy in DVT health beliefs in the experimental group were higher than those in the control group(P<0.05).There was no statistically significant difference in the scores of obstacle and health motivation dimensions of healthy behaviors between the two groups(P>0.05).Conclusions The application of co-management mode in elderly patients with hip fractures during the perioperative period can improve DVT health beliefs of patients and improve their VTE-related knowledge mastery,shorten the hospital stay,effectively prevent the occurrence of VTE and promote rapid recovery of patients.
作者
王彦艳
李靖
郭玉茹
蔡立柏
张翼
张莉珂
范豪
刘延锦
Wang Yanyan;Li Jing;Guo Yuru;Cai Libai;Zhang Yi;Zhang Like;Fan Hao;Liu Yanjin(Department of Orthopedics,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Nutritional Department,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Rehabilitation Department,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Nursing Department,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)
出处
《中华现代护理杂志》
2021年第4期431-436,共6页
Chinese Journal of Modern Nursing
基金
河南省卫生健康委员会省部共建课题(SB201902010)。
关键词
老年人
髋骨折
围手术期护理
静脉血栓栓塞
静脉血栓形成
共管模式
多学科协作
Aged
Hip fracture
Perioperative care
Venous thromboembolism
Venous thrombosis
Co-management mode
Multidisciplinary collaboration
