中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
11期
1286-1289
,共4页
老年人%围手术期护理%静脉血栓形成%安全管理%骨科
老年人%圍手術期護理%靜脈血栓形成%安全管理%骨科
노년인%위수술기호리%정맥혈전형성%안전관리%골과
Elderly%Peri-operation%Deep venous thrombosis%Safety management%Orthopedics
目的 建立一套规范完整的预防下肢深静脉血栓(DVT)的老年围手术期护理安全管理流程,指导老年围手术期临床护理.方法 通过对70例老年骨科围手术期患者DVT危险因素的分析,量化DVT风险评估系统；依据风险级别实施对应的预防护理措施,监测患者腿围、血D-Dimmer及血管超声评价围手术期护理疗效.结果 70例患者均接受了预防深静脉血栓护理措施并量化监测护理疗效,围手术期无一例发生DVT；59例患者依从性良好,良好率为84.29％；62例患者舒适度满意,满意率为88.57％;70例患者术后14 d血D-Dimmer检查均在正常范围；术后3d患者下肢腿围膝上10 cm处及膝下10 cm处分别为(49.910±1.556),(37.320±1.803) cm,与术前的(49.170±1.535),(37.100±1.823) cm比较,差异均无统计学意义(P＞0.05).结论 建立一套规范完整的老年围手术期预防DVT的护理安全管理流程,并用于指导临床护理工作,能有效预防老年围手术期DVT的发生.
目的 建立一套規範完整的預防下肢深靜脈血栓(DVT)的老年圍手術期護理安全管理流程,指導老年圍手術期臨床護理.方法 通過對70例老年骨科圍手術期患者DVT危險因素的分析,量化DVT風險評估繫統；依據風險級彆實施對應的預防護理措施,鑑測患者腿圍、血D-Dimmer及血管超聲評價圍手術期護理療效.結果 70例患者均接受瞭預防深靜脈血栓護理措施併量化鑑測護理療效,圍手術期無一例髮生DVT；59例患者依從性良好,良好率為84.29％；62例患者舒適度滿意,滿意率為88.57％;70例患者術後14 d血D-Dimmer檢查均在正常範圍；術後3d患者下肢腿圍膝上10 cm處及膝下10 cm處分彆為(49.910±1.556),(37.320±1.803) cm,與術前的(49.170±1.535),(37.100±1.823) cm比較,差異均無統計學意義(P＞0.05).結論 建立一套規範完整的老年圍手術期預防DVT的護理安全管理流程,併用于指導臨床護理工作,能有效預防老年圍手術期DVT的髮生.
목적 건립일투규범완정적예방하지심정맥혈전(DVT)적노년위수술기호리안전관리류정,지도노년위수술기림상호리.방법 통과대70례노년골과위수술기환자DVT위험인소적분석,양화DVT풍험평고계통；의거풍험급별실시대응적예방호리조시,감측환자퇴위、혈D-Dimmer급혈관초성평개위수술기호리료효.결과 70례환자균접수료예방심정맥혈전호리조시병양화감측호리료효,위수술기무일례발생DVT；59례환자의종성량호,량호솔위84.29％；62례환자서괄도만의,만의솔위88.57％;70례환자술후14 d혈D-Dimmer검사균재정상범위；술후3d환자하지퇴위슬상10 cm처급슬하10 cm처분별위(49.910±1.556),(37.320±1.803) cm,여술전적(49.170±1.535),(37.100±1.823) cm비교,차이균무통계학의의(P＞0.05).결론 건립일투규범완정적노년위수술기예방DVT적호리안전관리류정,병용우지도림상호리공작,능유효예방노년위수술기DVT적발생.
Objective To establish standard and complete nursing safety management process to prevent peri-operative deep venous thrombosis (DVT) in elderly orthopedics patients and guide the clinical nursing.Methods The risky factors of DVT in 70 peri-operative elderly orthopedics patients were analyzed,and risk evaluation system was formulated.Corresponding measures were taken according to the level of risks,and muscle circumference,D-Dimmer and vascular ultrasound was measured to evaluate nursing effect.Results All 70 patients received nursing measures to prevent DVT and the effect was monitored,and there was no DVT during peri-operative period.50 patients had better compliance,with the rate of 84.29％,62 patients were satisfied with the comfort status,with the rate of 88.57％,and all 70 patients had normal D-Dimmer examination results 14 days after operation.Patients' muscle circumferences 10 cm above and below the knees were respectively (49.170 ± 1.535) cm and (37.100 ± 1.823) cm before operation,and (49.910 ± 1.556) cm and (37.320 ± 1.803) cm 3 days after operation,and there was no statistically significant difference (P ＞ 0.05).Conclusions Establishment and clinical application of standard and complete nursing safety management process can effectively prevent peri-operative deep venous thrombosis (DVT) in elderly orthopedics patients.
