Effect of pooling interventions on coagulation markers in patients with deep vein thrombosis and pulmonarythromboembolism
集束化干预措施对下肢深静脉血栓形成并发肺血栓栓塞症重症患者凝血指标的影响

摘要

目的 重点观察集束化干预措施在下肢深静脉血栓形成（DVT）并发肺血栓栓塞症（PTE）重症患 者凝血指标上的影响价值，旨在为相关研究提供理论与实践依据。方法 该实验开展期限为 2020 年 5 月至 2023 年 5 月间，所选样本均为此时段于本院接受治疗的下肢 DVT 并发 PTE 患者，共计 108 例，采用“平衡序贯法”将 所有患者均衡分至两组，组间命名为实验组与研究组，其中针对 54 例实验组患者开展常规护理干预；另 54 例患 者开展集束化护理干预，并对相关数据进行收集整理，利用统计学方法予以比对，比对内容涵盖：患者护理后 3 天血凝指标变化情况、并发症发生情况、生活质量以及护理满意度情况。结果 开展不同护理干预后发现，两组 患者 PLT 水平正常水平；D-D 上调和 Fbg 下调差异显著（P 值＜0.05）；PT 和 aPTT 则显著延长 P 值达不足 0.05 标准；两组患者在并发症发生率与护理满意度方面呈现，研究组均显优实验组，优劣差异显著，临床比对价值极 高。结论 通过针对两组患者施以不同干预措施后，集束化护理方案的优异性得以充分体现，不仅切实改善患者 凝血功能，且有效降低并发症发生率，使患者生活质量与护理满意度显著提高，其临床应用价值与影响意义巨大， 值得引用。

Abstract

Objective To observe the impact value of clustering interventions on coagulation indicators in patients with deep vein thrombosis (DVT) complicated with pulmonary thromboembolism (PTE), and to provide theoretical and practical basis for related research.
Methods The experiment runs between May 2020 and May 2023, All selected samples were patients with PTE of lower extremity DVT treated at our hospital, A total of 108 cases, All patients were balanced into two groups using a "balanced sequential method", The groups were named as the experimental group and the study group, Among them, 54 patients in the experimental group had routine nursing intervention; Another 54 patients underwent cluster care intervention, And to collect and organize the relevant data, By comparison by using statistical methods, The comparison covers: the change of hemagglutination index, the occurrence of complications, quality of life and nursing satisfaction within 3 days after nursing.
Results After different nursing interventions, normal PLT level; D-D and Fbg decreased significantly (P value <0.05); PT and aPTT significantly extended P value less than 0.05; the incidence of complications and nursing satisfaction were both superior experimental group, with significant differences and high clinical comparison value.
Conclusion   After applying different interventions measures for the two groups of patients, the excellence of the cluster care program is fully reflected, which not only effectively improves the coagulation function of patients, but also effectively reduces the incidence of complications, and significantly improves the quality of life and nursing satisfaction of patients. Its clinical application value and influence significance are great, which is worthy of reference.