To explore the importance of all-around nursing intervention in preventing deep vein thrombosis of lowerlimbs in bed ridden patients after orthopedic surgery
探究全方面护理干预对预防骨科术后卧床患者下肢深静脉血栓形成的重要性

摘要

目的 文章对全方面护理干预进行分析，并探讨其在骨科术后卧床患者护理中对下肢深静脉血 栓形成的价值。方法 将我院 2021 年 1 月-2022 年 1 月 100 例骨科进行手术的患者通过电脑盲选均分两组施 以不同的护理干预，经患者自愿同意以及伦理委员会批准后展开研究，研究组全方面护理，参照组常规护 理，观察两组患者生活质量评分、心理情绪评分、下肢深静脉血栓发生率、护理满意度等，同时利用统计 学方法进行数据对比，分析临床应用措施的有效性及价值。结果 护理后研究组 VS 参照组：生活质量评分 （生理功能、心理功能、社会功能、躯体功能）P＜0.05；SAS 评分、SDS 评分 P＜0.05；下肢深静脉血栓 发生率研究组 1（2.00%）VS 参照组 12（24.00%）P＜0.05；研究组 50（100.00%）VS 参照组 39（78.00%） P＜0.05；组间研究组各项情况对比均好于参照组，本次统计学研究成立。护理前：研究组 VS 参照组，生 活质量评分、SAS 评分、SDS 评分 P＞0.05，组间差异无统计学意义。结论 在骨科术后卧床患者护理中施 以全面护理干预可提升临床护理质量，有效降低下肢深静脉血栓形成几率，进而提升生活质量，令患者不 良情绪得到显著缓解，促使治疗安全性得到保障，效果获得患者满意，值得临床应用及推广。

Abstract

Objective To analyze all aspects of nursing intervention, and explore its value in the nursing of patients lying in bed after orthopedic surgery for lower limb deep vein thrombosis.
Methods 100 patients undergoing orthopedic surgery in our hospital from January 2021 to January 2022 were randomly divided into two groups through computer blind selection for different nursing interventions. The study was carried out after the voluntary consent of the patients and the approval of the ethics committee. The study group received all aspects of nursing care, while the reference group received routine nursing care. The quality of life scores, psychological and emotional scores, the incidence of lower limb deep vein thrombosis, and nursing satisfaction of the two groups were observed, At the same time, statistical methods were used for data comparison to analyze the effectiveness and value of clinical application measures.
Results Postnursing study group vs reference group: life quality score (physiological function, psychological function, social function, physical function) P<0.05; SAS score and SDS score P ＜ 0.05; The incidence of lower limb deep vein thrombosis in study group 1 (2.00%) vs control group 12 (24.00%) (P<0.05); 50 (100.00%) in study group vs 39 (78.00%) in reference group (P<0.05); All conditions in the study group were better than those in the reference group, and this statistical study was established. Before nursing: the study group vs the reference group, the life quality score, SAS score, SDS score P>0.05, there was nosignificant difference between the groups.
Conclusion   The comprehensive nursing intervention in the nursing of patients lying in bed after orthopedic surgery can improve the quality of clinical nursing, effectively reduce the probability of deep vein thrombosis of lower limbs, and then improve the quality of life, so that the patients' bad mood can be significantly relieved, the safety of treatment can be guaranteed, and the effect can be satisfied with patients, which is worthy of clinical application and promotion.