Effect of cluster nursing care on Deep vein thrombosis of lower limbs in orthopaedic surgery
集束化护理骨科手术下肢深静脉血栓的效果

摘要

目的 探究对骨科手术下肢深静脉血栓患者采用集束化护理干预模式的护理应用效果。方法 选择我 院于 2021 年 12 月至 2023 年 2 月期间收治的 60 例骨科手术下肢深静脉血栓患者为研究对象，采用随机抽签法将 其分为对照组（行常规护理）与实验组（行集束化护理），每组均 30 例。结果 护理干预后，实验组患者的焦虑 抑郁评分均显著低于对照组，P＜0.05；实验组患者的疼痛、稳定性、关节活动度、肌力等关节功能评分均显著 高于对照组，P＜0.05；实验组患者的术区感染、神经损伤、关节功能障碍、静脉血栓等并发症发生情况显著低 于对照组，P＜0.05；实验组患者的躯体疼痛、运动锻炼及日常活动等生活质量评分均较佳，且其生活质量评分 均显著优于对照组，P＜0.05，存在统计学差异。结论 对骨科患者采用集束化护理指引干预，能够有效提升患者 的生活质量，降低患者的焦虑抑郁情绪，集束化护理指引是一项具有较强应用价值的新型护理模式，值得临床推 广。

Abstract

Objective To explore the effect of cluster nursing intervention mode on patients with lower limb Deep vein thrombosis undergoing orthopedic surgery.
Methods 60 patients with lower limb Deep vein thrombosis who were admitted to our hospital from December 2021 to February 2023 for orthopedic surgery were selected as the research objects. They were randomly divided into the control group (routine nursing) and the experimental group (cluster nursing), with 30 patients in each group. Result After nursing intervention, the anxiety and depression scores of the experimental group patients were significantly lower than those of the control group, P<0.05; The pain, stability, joint range of motion, muscle strength and other joint function scores of the experimental group patients were significantly higher than those of the control group, P<0.05; The incidence of complications such as surgical site infection, nerve injury, joint dysfunction, and venous thrombosis in the experimental group was significantly lower than that in the control group (P<0.05); The experimental group had better quality of life scores in terms of physical pain, exercise, and daily activities, and their quality of life scores were significantly better than those of the control group (P<0.05), indicating a statistically significant difference.
Conclusion   The use of cluster nursing guidance intervention for orthopedic patients can effectively improve their quality of life and reduce their anxiety and depression. Cluster nursing guidance is a new nursing model with strong application value and is worth promoting in clinical practice.