DOI：10.16662/j.cnki.1674-0742.2020.22.156 普外科手术患者行优质护理对DVT的效果分析(1)
[摘要] 目的 研究优质护理运用在普外科手術患者中对深静脉血栓形成(Deep Vein Thrombosis ，DVT)的效果。方法 研究对象为方便选取2018年7月—2019年7月在该院普外科就诊且行手术治疗的88例患者，经由随机数字表法进行分组，即：对照组(44例，予以常规护理)与实验组(44例，予以优质护理)，比较两组的血液流变学情况、临床指标、DVT发生情况、患者满意度。结果 ①实验组干预后的血液流变学指标均低于对照组，差异有统计学意义(t=8.013、2.049、2.562、3.430，P=0.000、0.044、0.012、0.001<0.05);②实验组手术时间(252.38±10.95)min、弹力袜使用时间(31.81±2.98)d、下床活动时间(25.52±3.58)h均少于对照组[(285.68±10.38)min、(46.68±2.58)d、(29.85±3.65)h]，差异有统计学意义(t=14.640、25.024、5.618，P<0.05);③实验组DVT发生率(2.27%)低于对照组(15.91%)，差异有统计学意义(χ2=4.950，P<0.05)。结论 在普外科手术患者中提供优质护理，可有效预防DVT。
[关键词] 普外科;手术;优质护理;DVT;效果
[中图分类号] R47 [文献标识码] A [文章编号] 1674-0742(2020)08(a)-0156-03
Analysis of the Effect of High Quality Nursing on DVT in General Surgery Patients
LIANG Shui-hua， SHI Mei-ying， YAN Ting
Department of General Surgery， Fujian Lijinshan Hospital， Fuzhou， Fujian Province， 350001 China
[Abstract] Objective To study the effect of high quality nursing on deep vein thrombosis (DVT) in general surgery patients. Methods 88 patients who were treated in general surgery of the hospital from July 2018 to July 2019 were convenient selection divided into control group (44 cases， given routine nursing) and experimental group (44 cases， given quality nursing). The hemorheology， clinical indicators， DVT occurrence and patient satisfaction of the two groups were compared. Results 1.The hemorheological indexes of the experimental group after intervention were lower than those of the control group，the difference was statistically significant(t=8.013，2.049，2.562，3.430，P=0.000，0.044，0.012，0.001<0.05); 2.The operation time of the experimental group (252.38±10.95) min， the use of stretch socks (31.81±2.98) d， and the time of getting out of bed (25.52±3.58) h were shorter than the control group [(285.68±10.38) min， (46.68±2.58) d， (29.85±3.65) h]，the difference was statistically significant(t=14.640，25.024，5.618，P<0.05) 3.The incidence of DVT in the experimental group (2.27%) was lower than that in the control group (15.91%) ，the difference was statistically significant(χ2=4.950，P<0.05). Conclusion DVT can be effectively prevented by providing high quality nursing in general surgery patients.
[Key words] General Surgery; Operation; Quality nursing; DVT; Effect
普外科手术中易发生DVT，可降低患者生活质量，增加身心负担，且若是不及时干预，可造成肺梗死，危及患者生命安全。引起DVT的常见因素主要是血管壁损伤、血黏度高以及血流缓慢。有研究结果显示[1]，普外科术后发生DVT的概率可达19%，因此，有必要采取护理干预措施降低DVT发生风险。常规护理着眼于患者病情恢复，对DVT关注度较少，不利于减少DVT发生率。近年来的临床研究结果指出[2]，优质护理对于改善普外科DVT发生情况有一定的效果。该文以该院普外科2018年7月—2019年7月收治且行手术治疗的88例患者作为该次研究活动的观察对象，就优质护理运用在普外科手术患者中对DVT的效果进行了探究，现报道如下。, http://www.100md.com(梁水华 施梅英 严婷)
[关键词] 普外科;手术;优质护理;DVT;效果
[中图分类号] R47 [文献标识码] A [文章编号] 1674-0742(2020)08(a)-0156-03
Analysis of the Effect of High Quality Nursing on DVT in General Surgery Patients
LIANG Shui-hua， SHI Mei-ying， YAN Ting
Department of General Surgery， Fujian Lijinshan Hospital， Fuzhou， Fujian Province， 350001 China
[Abstract] Objective To study the effect of high quality nursing on deep vein thrombosis (DVT) in general surgery patients. Methods 88 patients who were treated in general surgery of the hospital from July 2018 to July 2019 were convenient selection divided into control group (44 cases， given routine nursing) and experimental group (44 cases， given quality nursing). The hemorheology， clinical indicators， DVT occurrence and patient satisfaction of the two groups were compared. Results 1.The hemorheological indexes of the experimental group after intervention were lower than those of the control group，the difference was statistically significant(t=8.013，2.049，2.562，3.430，P=0.000，0.044，0.012，0.001<0.05); 2.The operation time of the experimental group (252.38±10.95) min， the use of stretch socks (31.81±2.98) d， and the time of getting out of bed (25.52±3.58) h were shorter than the control group [(285.68±10.38) min， (46.68±2.58) d， (29.85±3.65) h]，the difference was statistically significant(t=14.640，25.024，5.618，P<0.05) 3.The incidence of DVT in the experimental group (2.27%) was lower than that in the control group (15.91%) ，the difference was statistically significant(χ2=4.950，P<0.05). Conclusion DVT can be effectively prevented by providing high quality nursing in general surgery patients.
[Key words] General Surgery; Operation; Quality nursing; DVT; Effect
普外科手术中易发生DVT，可降低患者生活质量，增加身心负担，且若是不及时干预，可造成肺梗死，危及患者生命安全。引起DVT的常见因素主要是血管壁损伤、血黏度高以及血流缓慢。有研究结果显示[1]，普外科术后发生DVT的概率可达19%，因此，有必要采取护理干预措施降低DVT发生风险。常规护理着眼于患者病情恢复，对DVT关注度较少，不利于减少DVT发生率。近年来的临床研究结果指出[2]，优质护理对于改善普外科DVT发生情况有一定的效果。该文以该院普外科2018年7月—2019年7月收治且行手术治疗的88例患者作为该次研究活动的观察对象，就优质护理运用在普外科手术患者中对DVT的效果进行了探究，现报道如下。, http://www.100md.com(梁水华 施梅英 严婷)