国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2014年
11期
1639-1641
,共3页
循证护理%骨科%下肢深静脉血栓
循證護理%骨科%下肢深靜脈血栓
순증호리%골과%하지심정맥혈전
Evidence-based care%Orthopedics%Deep venous thrombosis
目的 分析循证护理在髋关节手术后预防下肢深静脉血栓中的作用.方法 将在兴宁中医医院骨科进行髋关节手术治疗的108例患者分为观察组58例与对照组50例,两组均进行常规护理干预,观察组增加循证护理,包括:心理因素干预,提升肢体锻炼依从性、保持良好饮食习惯、药物治疗及中药配合按摩等.结果 发生下肢深静脉血栓(deep venous thrombosis,DVT)观察组1例(2.O％),对照组7例(12.1％),差异有统计学意义(P =0.046),观察组与对照组的卧床时间分别为(14.9±2.6)d vs(16.4±2.3)d,住院时间分别为(20.3±3.1)d vs(24.7±3.4)d,两组比较差异有统计学意义(P＜0.05).结论 科学、全面的循证护理可有效减轻下肢深静脉血栓发病率,减少骨科术后患者的卧床时间及住院时间,值得应用.
目的 分析循證護理在髖關節手術後預防下肢深靜脈血栓中的作用.方法 將在興寧中醫醫院骨科進行髖關節手術治療的108例患者分為觀察組58例與對照組50例,兩組均進行常規護理榦預,觀察組增加循證護理,包括:心理因素榦預,提升肢體鍛煉依從性、保持良好飲食習慣、藥物治療及中藥配閤按摩等.結果 髮生下肢深靜脈血栓(deep venous thrombosis,DVT)觀察組1例(2.O％),對照組7例(12.1％),差異有統計學意義(P =0.046),觀察組與對照組的臥床時間分彆為(14.9±2.6)d vs(16.4±2.3)d,住院時間分彆為(20.3±3.1)d vs(24.7±3.4)d,兩組比較差異有統計學意義(P＜0.05).結論 科學、全麵的循證護理可有效減輕下肢深靜脈血栓髮病率,減少骨科術後患者的臥床時間及住院時間,值得應用.
목적 분석순증호리재관관절수술후예방하지심정맥혈전중적작용.방법 장재흥저중의의원골과진행관관절수술치료적108례환자분위관찰조58례여대조조50례,량조균진행상규호리간예,관찰조증가순증호리,포괄:심리인소간예,제승지체단련의종성、보지량호음식습관、약물치료급중약배합안마등.결과 발생하지심정맥혈전(deep venous thrombosis,DVT)관찰조1례(2.O％),대조조7례(12.1％),차이유통계학의의(P =0.046),관찰조여대조조적와상시간분별위(14.9±2.6)d vs(16.4±2.3)d,주원시간분별위(20.3±3.1)d vs(24.7±3.4)d,량조비교차이유통계학의의(P＜0.05).결론 과학、전면적순증호리가유효감경하지심정맥혈전발병솔,감소골과술후환자적와상시간급주원시간,치득응용.
Objective To explore the role of evidence-based care in prevention of orthopedic surgery deep venous thrombosis.Methods 108 cases with major orthopedic surgery were divided into the observation group and the control group in our hospital.The control group (n=58) was treated with routine care intervention,the observation group (n=50) was treated with evidence-based care on the basis of control group's nursing intervention,which included psychological interventions,improving adherence of physical exercise,maintaining good diet,drug therapy and traditional Chinese medicine.Results 1 patient with deep venous thrombosis (DVT) in the observation group,7 cases with DVT in the control group,showing statistical significant difference,P=0.046.Bed time in the observation group and control group was (14.9 ± 2.6) d vs (16.4 ± 2.3) d,hospital stay was (20.3 ± 3.1) d vs (24.7 ± 3.4) d,with statistical significant difference(P ＜ 0.05).Conclusion Evidence-based care can effectively reduce the incidence of DVT,reduce the bed time and hospital stay of postoperative orthopedic by scientific and comprehensive method.
