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护理干预在妇科肿瘤术后患者深静脉血栓的预防效果研究(1)
http://www.100md.com 2019年1月22日 《医学信息》 2019年第3期
     摘要:目的 研究護理干预措施应用于妇科肿瘤术后患者下肢深静脉血栓的效果研究。方法 选取2016年1月~2017年12月我院收治的203例妇科肿瘤患者为研究对象,按入院时间随机分组,2016年1月~12月收治的98例患者纳入对照组并给予常规护理干预,2017年1月~12月收治的105例患者纳入研究组并给予预防护理干预,对比两组患者DVT发生率、自理能力评分、患者满意度和住院时间。结果 研究组的DVT发生率低于对照组(7.61% vs 11.22%),自理能力评分[(97.00±1.47)分 vs(92.00±1.61)分]、满意度得分[(96.52±1.46)分 vs(92.41±1.27)分]均高于对照组,住院时间短于对照组[(8.31±4.45)d vs (10.13±3.30)d],差异有统计学意义(P<0.05)。结论 护理干预有效预防妇科肿瘤术后患者深静脉血栓形成,提高了患者护理质量并缩短了在院时间,提高患者满意度。

    关键词:护理干预;妇科肿瘤;深静脉血栓
, 百拇医药
    中图分类号:R473.6 文献标识码:A DOI:10.3969/j.issn.1006-1959.2019.03.061

    文章编号:1006-1959(2019)03-0178-02

    Abstract:Objective To study the effect of nursing interventions on deep venous thrombosis of lower limbs in patients with gynecologic tumors. Methods A total of 203 gynecologic tumor patients admitted to our hospital from January 2016 to December 2017 were enrolled. The patients were randomized according to the admission time. 98 patients admitted from January to December 2016 were included in the control group and given routine nursing intervention. 105 patients admitted from January to December 2017 were enrolled in the study group and given preventive nursing intervention. The incidence of DVT, self-care ability score, patient satisfaction and hospitalization time were compared between the two groups. Results The incidence of DVT in the study group was lower than that in the control group (7.61% vs 11.22%), the self-care ability score [(97.00±1.47) points vs (92.00±1.61) points], and the satisfaction score [(96.52±1.46) points vs ( 92.41±1.27)] were higher than the control group, and the hospital stay was shorter than the control group [(8.31±4.45)d vs (10.13±3.30)d], the difference was statistically significant (P<0.05). Conclusion Nursing intervention can effectively prevent deep vein thrombosis in patients after gynecologic tumor surgery, improve the quality of patient care and shorten the time of hospitalization and improve patient satisfaction score.
, 百拇医药
    Key words:Nursing intervention;Gynecological tumor;Deep vein thrombosis

    深静脉血栓(deep vein thrombosis,DVT)是妇科手术后常见的并发症。临床症状主要表现为疼痛、肿胀,并会出现肺栓塞、出血以及血栓形成综合征等并发症,其中肺栓塞的致死率高达70%。同时,若深静脉血栓没有得到及时的诊断治疗,极容易出现后遗症,长期影响患者的生活[1]。患者出现下肢深静脉血栓的主要发病因素包括麻醉、手术、肿瘤刺激、术后卧床等,下肢血液流速减慢,使血液黏稠度增高,从而形成深静脉血栓。妇科肿瘤手术特别是恶性肿瘤长时间手术后,该类并发症的发病率不断升高,需要引起重视[2]。为了有效预防妇科肿瘤术后患者下肢深静脉血栓的产生,笔者以我院收治的203例妇科肿瘤患者为研究对象,通过护理干预收到成效显著,现将经过报道如下。, http://www.100md.com(马静 杨绍平)
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