中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2014年
16期
138-141
,共4页
关节置换%深静脉血栓%专科护理
關節置換%深靜脈血栓%專科護理
관절치환%심정맥혈전%전과호리
Joint replacement%Deep venous thrombosis%Special nursing
目的：探讨专科护理对关节置换术围术期深静脉血栓(DVT)的预防作用。方法选取2012年1~6月的45例关节置换患者为对照组，围术期采用关节置换常规护理；选取2012年7~12月的45例关节置换患者为观察组，围术期在关节置换常规护理基础上采用专科护理，包括采用Autar量表式进行前瞻性的分析、评估，筛选出中、高风险患者，制订防范的优先行动计划，同时进行护理干预措施，重视疼痛管理，早期提供功能训练椅及循环驱动冰桶冷敷仪联合弹力绷带、圆筒垫、沙袋、进行个案护理，三级护理质量监控，比较两组的Homans征、Neuhof征、DVT发生率、健康教育知识评分及护理满意度。结果观察组的Homans征、Neuhof征、DVT发生率均低于对照组，健康教育知识评分及护理满意度均高于对照组，差异有统计学意义(P<0.05)。结论有预见性、有计划性地采用专科护理预防，可提高护理管理的科学性和客观性，有效预防关节置换术后DVT的发生。
目的：探討專科護理對關節置換術圍術期深靜脈血栓(DVT)的預防作用。方法選取2012年1~6月的45例關節置換患者為對照組，圍術期採用關節置換常規護理；選取2012年7~12月的45例關節置換患者為觀察組，圍術期在關節置換常規護理基礎上採用專科護理，包括採用Autar量錶式進行前瞻性的分析、評估，篩選齣中、高風險患者，製訂防範的優先行動計劃，同時進行護理榦預措施，重視疼痛管理，早期提供功能訓練椅及循環驅動冰桶冷敷儀聯閤彈力繃帶、圓筒墊、沙袋、進行箇案護理，三級護理質量鑑控，比較兩組的Homans徵、Neuhof徵、DVT髮生率、健康教育知識評分及護理滿意度。結果觀察組的Homans徵、Neuhof徵、DVT髮生率均低于對照組，健康教育知識評分及護理滿意度均高于對照組，差異有統計學意義(P<0.05)。結論有預見性、有計劃性地採用專科護理預防，可提高護理管理的科學性和客觀性，有效預防關節置換術後DVT的髮生。
목적：탐토전과호리대관절치환술위술기심정맥혈전(DVT)적예방작용。방법선취2012년1~6월적45례관절치환환자위대조조，위술기채용관절치환상규호리；선취2012년7~12월적45례관절치환환자위관찰조，위술기재관절치환상규호리기출상채용전과호리，포괄채용Autar량표식진행전첨성적분석、평고，사선출중、고풍험환자，제정방범적우선행동계화，동시진행호리간예조시，중시동통관리，조기제공공능훈련의급순배구동빙통랭부의연합탄력붕대、원통점、사대、진행개안호리，삼급호리질량감공，비교량조적Homans정、Neuhof정、DVT발생솔、건강교육지식평분급호리만의도。결과관찰조적Homans정、Neuhof정、DVT발생솔균저우대조조，건강교육지식평분급호리만의도균고우대조조，차이유통계학의의(P<0.05)。결론유예견성、유계화성지채용전과호리예방，가제고호리관리적과학성화객관성，유효예방관절치환술후DVT적발생。
Objective To investigate preventive effect of special nursing on perioperative deep vein thrombosis (DVT) after joint replacement. Methods 45 cases of patients with joint replacement from January 2012 to June 2012 were se-lected as control group,perioperative conventional joint replacement nursing was used in control group.45 cases of pa-tients with joint replacement from July 2012 to December 2012 were selected as observation group,special nursing was used in observation group basis on perioperative conventional joint replacement nursing,including forward-looking anal-ysis,evaluation were provided by Autar scale,medium and high risk patients were filtered,priority action plan for the prevention and nursing intervention was implemented,focus on pain management,early functional training instrument for chairs and loop-driven ice bucket ice combined with elastic bandage,drum pads,punching bag,care,three-level nursing quality control were provided.Homans,Neuhof,DVT incidence rate,health education score and nursing satisfaction rate in two groups was compared respectively. Results Homans,Neuhof,DVT incidence rate in observation group was lower than that in control group respectively,health education score and nursing satisfaction rate in observation group was higher than that in control group respectively,with statistical difference (P<0.05). Conclusion Predictable and planned special nursing applied in prevention,can improve the scientific and objective of nursing management,effectively prevent peri-operative DVT after joint replacement.
