针对性预见护理在妇科肿瘤术后有并发下肢深静脉血栓倾向患者中的应用效果(1)

http://www.100md.com 2020年5月5日 《中国当代医药》 202013

     [摘要]目的 探討针对性预见护理在妇科肿瘤术后并发下肢深静脉血栓(DVT)倾向患者中的应用效果。方法 选取2017年5月～2019年6月我院收治的50例妇科肿瘤术后并发下肢DVT倾向的患者作为研究对象，根据入院时间先后顺序将其分为对照组和实验组，每组各25例。对照组采用常规护理干预，实验组采用针对性预见护理干预，比较两组下肢DVT发生率、临床各项指标、患者护理满意度。结果 实验组下肢DVT发生率低于对照组，差异有统计学意义(P<0.05);实验组血流速度、抗凝因子Xa高于对照组，而实验组下肢周径小于对照组，凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)长于对照组，差异均有统计学意义(P<0.05)。实验组护理满意度评分高于对照组，差异有统计学意义(P<0.05)。结论 针对妇科肿瘤术后并发下肢DVT倾向患者，需术前做好针对性评估，给予有效预见性护理措施，对降低妇科肿瘤术后并发下肢DVT发生率、提高患者护理满意度有重要作用，值得临床推广。

    [关键词]妇科肿瘤;术后并发下肢深静脉血栓;预见护理干预

    [中图分类号] R473.73 [文献标识码] A [文章编号] 1674-4721(2020)5(a)-0224-03

    Application effect of targeted predictive nursing in patients with tendency of deep venous thrombosis of lower extremity after gynecologic tumor surgery

    YU Ai-zhen

    Nanchang New District Blood Control Station， Jiangxi Province， Nanchang 330100， China

    [Abstract] Objective To investigate the effect of targeted predictive nursing in patients with tendency of deep venous thrombosis (DVT) of lower extremity after gynecologic tumor surgery. Methods A total of 50 patients with gynecologic tumors postoperative DVT tendence of lower extremity admitted to our hospital from May 2017 to June 2019 were selected as research objects， according to the sequence of admission time， they were divided into control group and experimental group， 25 cases in each group. The control group received routine nursing intervention， and the experimental group used targeted predictive nursing， the incidence of DVT of lower extremities， clinical indicators， and patient nursing satisfaction were compared between two groups. Results The incidence of DVT in the lower extremities of the experimental group was lower than that of the control group， with statistical difference (P<0.05). The blood flow velocity and anticoagulant factor Xa in the experimental group were higher than those in the control group， while the lower extremities circumference of the experimental group was smaller than that in the control group， the differences were statistically significant (P<0.05). In the control group， prothrombin time(PT) and activated partial thromboplastin time (APTT) were longer than those of the control group， and the differences were statistically significant (P<0.05). The nursing satisfaction score of the experimental group was higher than that of the control group， and the difference was statistically significant (P<0.05). Conclusion For patients with postoperative venous tumors with tendency to DVT of the lower extremity， it is necessary to make a targeted assessment before surgery and give effective predictive nursing measures to reduce the incidence of DVT in the lower limbs after gynecologic tumor surgery. Patient nursing satisfaction plays an important role， and good measures are worthy of clinical promotion.(余爱珍)

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