摘要
目的 分析在脊柱骨科术后患者中实施预见性护理对深静脉血栓形成的影响效果。方法 此次研究
病例筛选 2022 年 1 月-2022 年 12 月期间脊柱骨科手术患者 160 例,将入选的患者通过电脑随机选取法分成两组
开展护理研究,组别包括观察组与对照组,每组中患者人数为 80 例,两组患者均接受手术治疗,治疗期间给予
对照组常规护理,给予观察组预见性护理干预,详细对比两组最终获得的护理效果。结果 护理后两组各项指标
结果对比显示,观察组的护理管理质量和患者依从性与对照组相比显著提升,患者的凝血功能控制效果均优于
对照组,术后患者疼痛程度轻于对照组,下床活动时间和住院时间均短于对照组,深静脉血栓形成率低于对照
组,(P<0.05)。结论 在脊柱骨科手术患者中开展预见性护理干预,可有效提高临床护理管理质量,增强患者的
依从性,减轻患者的疼痛程度,减少深静脉血栓形成率,促进患者术后身体恢复效率,改善患者生活质量。
关键词: 深静脉血栓形成;预见性护理干预;脊柱骨科;效果分析
Abstract
Objective To analyze the effect of foresight care on deep vein thrombosis in spinal orthopedic
patients. Methods the study case screening during January 2022-20220 spinal orthopedic surgery patients 160 cases,
selected patients by computer random selection method is divided into two groups for nursing research, group including
observation group and control group, the number of patients in each group is 80 patients, two groups of patients receive
surgical treatment, treatment during the control group routine care, give observation group predictable nursing
intervention, detailed comparison of the two groups eventually get nursing effect. Results after the two groups, the
quality of nursing management and patient compliance of the observation group significantly compared with the control
group, the coagulation function control effect of patients are better than the control group, postoperative pain is less than
the control group, the activity time and hospital time are shorter than that of the control group, the deep venous
thrombosis rate is lower than that of the control group,(P<0.05).Conclusion Foretive nursing intervention in patients
with spinal orthopedic surgery can effectively improve the quality of clinical nursing management, enhance patient
compliance, reduce patient pain, reduce deep vein thrombosis rate, promote the efficiency of postoperative physical
recovery of patients, and improve the quality of life of patients.
Key words: deep vein thrombosis; predictive nursing intervention; spinal orthopedics; effect analysis
参考文献 References
[1] 李晨曦,周冰,牛培君.预见性护理在脊柱骨科术后患者深静脉血栓形成中的应用效果[J].包头医学,2022,46(2):47-49.
[2] 曲晓春.综合康复护理对预防脊柱骨折术后患者下肢疼痛发生率和深静脉血栓形成率的影响[J].中国医药指南,2022,20(17):171-173.
[3] 王丹灵.综合康复护理对预防脊柱骨折术后患者下肢疼痛和深静脉血栓形成的影响[J].黑龙江中医药,2022,51(2):212-214.
[4] 何杏贤,卢向莉,谢水群,谭爱欢,冯秀萍.脊柱骨折手术病人术后深静脉血栓形成危险因素及防控护理分析[J].全科护理,2021,19(16):2167-2170.
[5] 焦翠丽,张艳艳,陈晓,等.预防性护理预防老年脊柱骨折术后患者压疮和下肢深静脉血栓风险的价值[J].现代中西医结合杂志,2021,30(7):774-777.
[6] 邢丽新.骨科术后卧床患者预防下肢深静脉血栓形成的护理体会[J].中国冶金工业医学杂志,2021,38(1):52.
[7] 都凤丽,刘永娟,郝媛媛,等.脊柱骨科术后患者深静脉血栓形成因素分析及护理对策[J].血栓与止血学,2020,26(6):1058-1060.
[8] 崔佳蜂.康复护理用于骨科术后患者中对预防下肢深静脉血栓形成的影响[J].心理月刊,2020,15(6):122.
[9] 范鑫超,鲍文娟,张凯,等.D-二聚体、红细胞沉降率和 C-反应蛋白在髋、膝关节置换后下肢深静脉血栓形成中的诊断价值[J].2021,(33).
[10] 朱家佳,高宜川,王赵洋,等.血栓弹力图与常规凝血指标对 腰 椎 术 后 下 肢 深 静 脉 血 栓 形 成 的 预 测 价 值[J].2021,(3).