综合护理干预在预防下肢骨折术后深静脉血栓形成中的应用效果

陆群

【摘要】 目的：分析综合护理干预在预防下肢骨折术后深静脉血栓形成（DVT）中的应用效果。方法：选取本院于2015年3月-2016年5月期间收治的80例下肢骨折患者，按照入院病床单双号将其分为观察组和对照组，每组各40例。对照组应用常规护理，观察组应用综合护理，比较两组护理模式的应用效果。结果：护理后，观察组护理满意度97.5%高于对照组77.5%，用药依从性、健康教育依从性以及复诊依从性比例均高于对照组，深静脉血栓发生率低于对照组，住院用时以及下床用时少于对照组，两组比较差异均有统计学意义（P<0.05）。结论：将综合护理模式应用于下肢骨折手术患者中，能够显著降低术后深静脉血栓发生率，有效提升患者护理满意度。

【关键词】 综合护理； 下肢骨折； 深静脉血栓； 应用效果

Effects of Comprehensive Nursing Intervention on Prevention of Deep Vein Thrombosis after Operation of Lower Extremity Fracture/LU Qun.//Medical Innovation of China，2017，14（19）：108-111

【Abstract】 Objective：To analyze the effect of comprehensive nursing intervention on prevention of deep vein thrombosis after operation of lower extremity fracture.Method：A total of 80 patients with lower extremity fractures admitted in our hospital from March 2015 to May 2016 were divided into the observation group and the control group according to the single and double number of admission hospital，40 cases in each group.The control group was taken with routine nursing，the observation group was taken with comprehensive nursing，the nursing effect of two groups were compared.Result：After nursing，the nursing satisfaction of the observation group was 97.5% higher than that of the control group 77.5%，the proportion of compliance of medication，health education and return visit in observation group were higher than those of the control group，the incidence of deep vein thrombosis of the observation group was lower than that of the control group，length of stay and getting out-of-bed time of the observation group were less than those of the control group，the differences were statistically significant（P<0.05）.Conclusion：The comprehensive nursing model is applied to patients with lower limb fractures，which can significantly reduce the incidence of postoperative deep vein thrombosis and improve the patients' nursing satisfaction.

【Key words】 Comprehensive nursing； Lower extremity fracture； Deep vein thrombosis； Application effect

First-authors address：Guangxi Frontier Armed Police Corps Hospital，Nanning 530022，China

doi：10.3969/j.issn.1674-4985.2017.19.031

伴隨下肢创伤以及外伤截瘫比例的不断提升，人工髓关节以及膝关节置换术的广发应用，致使患者术后下肢静脉深血栓发生率显著提升[1]。深静脉血液因为相关因素产生的异常凝血为深静脉血栓，是发病率较高的一种并发症，通常在术后3～5 d出现，主要症状表现为疼痛、下肢出现肿胀及浅静脉曲张等[2]。如果对患者术后进行相应的防治，可将患者肢体功能丧失现象予以改善。此研究分析综合护理干预在预防下肢骨折术后深静脉血栓形成（DVT）中的应用效果，现报道如下。

1 资料与方法

1.1 一般资料 选取本院于2015年3月-2016年5月期间收治的80例下肢骨折患者，按照入院病床单双号将其分为观察组和对照组，每组各40例。对照组男22例，女18例；年龄32～74岁，平均（61.3±5.4）岁；胫腓骨骨折15例，股骨干骨折12例，股骨颈骨折10例，其他类型骨折3例。……