Observation on the preventive effect of nursing intervention based on (improved) Caprini risk assessment modelon VTE in elderly patients with femoral intertrochanteric fracture
基于（改良）Caprini 风险评估模型的护理干预对老年股骨粗隆间骨折患者 VTE 的预防效果观察

摘要

目的 探讨应用改良 Caprini 风险评估表降低老年股骨粗隆间骨折患者 VTE 发生率的效果。方法 回 顾性调查 2020 年 1 月-12 月（应用评估模型前）老年股骨粗隆间骨折患者 100 例临床资料设为对照组，选取 2021 年 6 月-2022 年月 5 月老年股骨粗隆间骨折患者 100 例设为观察组。观察组使用改良 Caprini 风险评估模型进行风 险评估，根据风险等级给予预见性护理，比较 2 组患者 VTE 发生情况，得出结论。结果 护理之后观察组 VTE 发生率低于对照组，差异有统计学意义（P＜0.05）。结论 使用本研究方法进行护理，可以促进医护人员对预防 VTE 指南的循证实践，建立有效的 VTE 风险管理体系，提高护理工作效率，保障高危患者安全，值得临床推广 应用。

Abstract

Objective To explore the effect of using the modified Caprini risk assessment form to reduce the incidence of VTE in elderly patients with femoral intertrochanteric fractures.
Methods A retrospective study was conducted on the clinical data of 100 elderly patients with intertrochanteric fractures of the femur from January to December 2020 (before the application of the evaluation model) as a control group, and 100 elderly patients with intertrochanteric fractures of the femur from June 2021 to May 2022 were selected as an observation group. The observation group used the improved Caprini risk assessment model for risk assessment, and provided predictive care based on the risk level. The incidence of VTE in the two groups was compared, and a conclusion was reached.
Results After nursing, the incidence of VTE in the observation group was lower than that in the control group, with a statistically significant difference (P<0.05).
Conclusion   Using this research method for nursing can promote evidence-based practice of VTE prevention guidelines by medical personnel, establish an effective VTE risk management system, improve nursing efficiency, and ensure the safety of high-risk patients, which is worthy of clinical promotion and application.