层级护理管理模式对预防宫颈癌术后深静脉血栓的效果分析

[摘要] 目的 分析层级护理管理模式对预防宫颈癌术后深静脉血栓中的应用效果。方法 选取该院2019年1—4月收治的88例宫颈癌患者，随机均分为观察组和参考组，各44例。参照组实施一般护理管理，观察组实施层级护理管理，对比两组患者护理前后心理状态变化、护理满意度情况。结果 观察组基本护理（95.10±4.21）分、病区管理（96.32±3.72）分、护理记录（93.70±4.32）分、护理实施情况（95.12±4.22）分、急救用品管理（93.24±4.26）分、药品以及医用器械管理（95.12±4.35）分、护理人员的专业素质（92.59±3.85）分高于参照组（P<0.05），观察组患者护理满意度评分明显高于参照组（P<0.05），观察组深静脉血栓发生率2.27%明显低于参照组13.64%（P<0.05）。结论 层级护理管理模式可以有效地预防宫颈癌术后深静脉血栓，提高患者护理满意度和护理质量。

[关键词] 层级管理;护理管理;宫颈癌术后;静脉血栓

[中图分类号] R47 [文献标识码] A [文章编号] 1672-5654（2020）05（b）-0078-03

Analysis of the Effect of Hierarchical Nursing Management Model on the Prevention of Deep Vein Thrombosis after Cervical Cancer Surgery

ZHANG Cai

Cancer Hospital of Hunan Province（Cancer Hospital of Xiangya Medical College of Central South University）， Changsha， Hunan Province， 410000 China

[Abstract] Objective To analyze the effect of hierarchical nursing management model on the prevention of deep vein thrombosis after cervical cancer surgery. Methods 88 patients with cervical cancer who were treated in our hospital from January to April 2019 were randomly divided into observation group and reference group with 44 cases each. The reference group implemented general nursing management， the observation group implemented hierarchical nursing management， and compared the changes in psychological state and nursing satisfaction of the two groups of patients before and after nursing. Results Observation group： basic nursing （95.10±4.21）points， ward management （96.32±3.72）points， nursing record （93.70±4.32）points， nursing implementation （95.12±4.22）points， first aid supplies management （93.24±4.26）points， medicine and medical device management （95.12±4.35）points， professional quality of nursing staff （92.59±3.85）points were higher than the reference group （P<0.05）， and the patient satisfaction score in the observation group was significantly higher than the reference group（P<0.05）， the incidence of deep vein thrombosis in the observation group was 2.27% significantly lower than that in the reference group of 13.64%（P<0.05）. Conclusion Hierarchical nursing management model can effectively prevent deep vein thrombosis after cervical cancer surgery， improve patient satisfaction and quality of care.

[Key words] Hierarchical management; Nursing management; Prevention of cervical cancer surgery; Venous thrombosis

患有惡性肿瘤患者常因血液高凝结状态以及通过治疗导致的血管壁受损、血流改变以及抗凝、纤溶系统失衡等因素而形成静脉血栓，其发生率是非手术治疗患者的3倍甚至以上[1-3]。宫颈癌是影响妇女生命健康的常见病之一，在女性生殖器官癌中位居首位。手术治疗明显改善了患者的生存时间，而愈来愈多的患者在术后容易形成深静脉血栓。层级护理管理模式作为一种先进的管理模式，护理人员按等级划分制度进行管理，分配给护理人员不同的工作任务、护理权限以及工作职责，并且依据患者的临床表现，提供不同的护理服务。该文选取在该院在2019年1—4月收治的88例宫颈癌患者，分析了层次护理管理模式在预防宫颈癌术后深静脉血栓形成中应用的效果，现报道如下。

1  资料与方法

1.1  一般资料

选取在该院收治的88例宫颈癌患者，随机均分为观察组和参考组，各44例。……