早期护理对老年骨创伤患者下肢深静脉血栓形成的影响(1)
[摘要] 目的 探討早期护理对老年骨创伤患者下肢深静脉血栓形成的影响。 方法 方便收集2018年4月—2019年3月期间在该院骨科住院治疗的老年骨创伤患者100例，采用随机数字表法将患者分为早期干预组和常规组，每组50例。常规组患者接受常规护理干预。早期干预组患者则接受早期护理干预。对比两组患者护理前后的下肢血流速度、DVT发生情况，并比较两组的护理质量评分。 结果 护理干预组下肢血流速度在干预后为(29.7±4.9)cm/s，明显快于常规组的(23.5±5.2)cm/s(t=6.136， P<0.05)，DVT发生率为4.0%，明显低于常规组的20.0%(χ2=6.061，P<0.05)，同时发现早期护理组的DVT预防技能教育、专科护理能力、关爱和沟通、护理态度和主动性评分分别为(89.7±3.8)分、(90.3±5.4)分、(95.4±6.2)分、(94.6±7.1)分，明显优于常规组的(82.0±8.2)分、(81.6±7.8)分、(89.0±4.3)分、(87.3±6.0)分(t=6.025、6.485、5.998、5.553，P<0.05)。 结论 对老年骨创伤患者，在创伤后早期实施护理干预，能明显的提升下肢血流速度，降低DVT的发生风险，改善整体护理质量。
[关键词] 早期护理;老年骨创伤患者;下肢静脉血栓形成
[Abstract] Objective To explore the effect of early nursing on deep vein thrombosis of lower limbs in elderly patients with bone trauma. Methods Convenient select a total of 100 elderly patients with bone trauma who were hospitalized in the hospital's orthopaedic department from April 2018 to March 2019 were collected. The patients were divided into early intervention group and routine group by random number table method， with 50 cases in each group. Patients in the routine group received routine nursing intervention. Patients in the early intervention group received early care intervention. The lower extremity blood flow velocity and the incidence of DVT were compared between the two groups of patients before and after nursing， and the quality of care scores of the two groups were compared. Results The blood flow velocity of the lower extremities in the nursing intervention group was (29.7±4.9) cm/s after the intervention， which was significantly faster than that in the conventional group(23.5±5.2) cm/s(t=6.136， P<0.05). The incidence of DVT was 4.0%， significantly lower than the 20.0% in the conventional group(χ2=6.061， P<0.05). At the same time， DVT prevention skills education， specialist nursing ability， care and communication， nursing attitude and initiative scores were found in the early care group (89.7±3.8) points， (90.3±5.4)points，(95.4±6.2)points， (94.6±7.1) points， which are significantly better than the conventional group's (82.0±8.2) points， (81.6±7.8) points， and (89.0±4.3) points， (87.3±6.0) points(t=6.025， 6.485， 5.998， 5.553， P<0.05). Conclusion For elderly patients with bone trauma， implementing nursing intervention early after trauma can obviously improve the blood flow velocity of lower limbs， reduce the risk of DVT， and improve the overall quality of care.
[Key words] Early care; Elderly patients with bone trauma; Lower extremity venous thrombosis, 百拇医药(周英红 江伟伟)
[关键词] 早期护理;老年骨创伤患者;下肢静脉血栓形成
[Abstract] Objective To explore the effect of early nursing on deep vein thrombosis of lower limbs in elderly patients with bone trauma. Methods Convenient select a total of 100 elderly patients with bone trauma who were hospitalized in the hospital's orthopaedic department from April 2018 to March 2019 were collected. The patients were divided into early intervention group and routine group by random number table method， with 50 cases in each group. Patients in the routine group received routine nursing intervention. Patients in the early intervention group received early care intervention. The lower extremity blood flow velocity and the incidence of DVT were compared between the two groups of patients before and after nursing， and the quality of care scores of the two groups were compared. Results The blood flow velocity of the lower extremities in the nursing intervention group was (29.7±4.9) cm/s after the intervention， which was significantly faster than that in the conventional group(23.5±5.2) cm/s(t=6.136， P<0.05). The incidence of DVT was 4.0%， significantly lower than the 20.0% in the conventional group(χ2=6.061， P<0.05). At the same time， DVT prevention skills education， specialist nursing ability， care and communication， nursing attitude and initiative scores were found in the early care group (89.7±3.8) points， (90.3±5.4)points，(95.4±6.2)points， (94.6±7.1) points， which are significantly better than the conventional group's (82.0±8.2) points， (81.6±7.8) points， and (89.0±4.3) points， (87.3±6.0) points(t=6.025， 6.485， 5.998， 5.553， P<0.05). Conclusion For elderly patients with bone trauma， implementing nursing intervention early after trauma can obviously improve the blood flow velocity of lower limbs， reduce the risk of DVT， and improve the overall quality of care.
[Key words] Early care; Elderly patients with bone trauma; Lower extremity venous thrombosis, 百拇医药(周英红 江伟伟)
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