中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2015年
18期
2185-2187
,共3页
股骨颈骨折%深静脉血栓形成%风险管理%预防
股骨頸骨摺%深靜脈血栓形成%風險管理%預防
고골경골절%심정맥혈전형성%풍험관리%예방
Femoral neck fracture%Venous thrombosis%Risk management%Prevention
目的：探讨风险管理对股骨颈骨折术后深静脉血栓形成（DVT）的预防效果。方法采用便利抽样法选择2012年7月—2013年6月实施股骨颈骨折手术的128例患者作为对照组，相同抽样方法选择2013年7月—2014年6月实施股骨颈骨折手术的136例患者作为观察组。对照组采用骨科常规护理方法进行护理，观察组患者在常规护理方法的基础上采用风险管理。比较两组患者深静脉血栓的发生情况、深静脉血栓预防相关知识的掌握情况和发生深静脉血栓的原因。并对深静脉血栓的发生与高危患者的相关性进行分析。结果观察组患者的血栓发生率为2.9%，显著低于对照组的10.9%，差异有统计学意义（χ2=6.611，P ＜0.05）。观察组患者深静脉血栓预防相关知识得分（93.6±4.7）分，显著高于对照组的（84.3±4.1）分，差异有统计学意义（t =8.073，P ＜0.05）。两组患者引发 DVT 的原因基本一致，均为高龄、制动、既往血栓史和卧床＞3 d，且各原因所致深静脉血栓的分布差异无统计学意义（P ＞0.05）。Pearson 相关性分析结果显示，深静脉血栓的发生与是否高危患者之间存在显著正相关（r =0.472，P =0.029）。结论风险管理对股骨颈骨折术后 DVT 具有较好的预防效果。
目的：探討風險管理對股骨頸骨摺術後深靜脈血栓形成（DVT）的預防效果。方法採用便利抽樣法選擇2012年7月—2013年6月實施股骨頸骨摺手術的128例患者作為對照組，相同抽樣方法選擇2013年7月—2014年6月實施股骨頸骨摺手術的136例患者作為觀察組。對照組採用骨科常規護理方法進行護理，觀察組患者在常規護理方法的基礎上採用風險管理。比較兩組患者深靜脈血栓的髮生情況、深靜脈血栓預防相關知識的掌握情況和髮生深靜脈血栓的原因。併對深靜脈血栓的髮生與高危患者的相關性進行分析。結果觀察組患者的血栓髮生率為2.9%，顯著低于對照組的10.9%，差異有統計學意義（χ2=6.611，P ＜0.05）。觀察組患者深靜脈血栓預防相關知識得分（93.6±4.7）分，顯著高于對照組的（84.3±4.1）分，差異有統計學意義（t =8.073，P ＜0.05）。兩組患者引髮 DVT 的原因基本一緻，均為高齡、製動、既往血栓史和臥床＞3 d，且各原因所緻深靜脈血栓的分佈差異無統計學意義（P ＞0.05）。Pearson 相關性分析結果顯示，深靜脈血栓的髮生與是否高危患者之間存在顯著正相關（r =0.472，P =0.029）。結論風險管理對股骨頸骨摺術後 DVT 具有較好的預防效果。
목적：탐토풍험관리대고골경골절술후심정맥혈전형성（DVT）적예방효과。방법채용편리추양법선택2012년7월—2013년6월실시고골경골절수술적128례환자작위대조조，상동추양방법선택2013년7월—2014년6월실시고골경골절수술적136례환자작위관찰조。대조조채용골과상규호리방법진행호리，관찰조환자재상규호리방법적기출상채용풍험관리。비교량조환자심정맥혈전적발생정황、심정맥혈전예방상관지식적장악정황화발생심정맥혈전적원인。병대심정맥혈전적발생여고위환자적상관성진행분석。결과관찰조환자적혈전발생솔위2.9%，현저저우대조조적10.9%，차이유통계학의의（χ2=6.611，P ＜0.05）。관찰조환자심정맥혈전예방상관지식득분（93.6±4.7）분，현저고우대조조적（84.3±4.1）분，차이유통계학의의（t =8.073，P ＜0.05）。량조환자인발 DVT 적원인기본일치，균위고령、제동、기왕혈전사화와상＞3 d，차각원인소치심정맥혈전적분포차이무통계학의의（P ＞0.05）。Pearson 상관성분석결과현시，심정맥혈전적발생여시부고위환자지간존재현저정상관（r =0.472，P =0.029）。결론풍험관리대고골경골절술후 DVT 구유교호적예방효과。
Objective To explore the prevention effect of risk management on deep vein thrombosis (DVT)after the operation of femoral neck fracture. Methods According to convenience sampling method,128 patients with femoral neck fractures in Xiaoshan District Traditional Chinese Medicine Hospital from July 2012 to June 2013 were as the control group. With the same convenience sampling method,136 cases with femoral neck fracture from July 2013 to June 2014 were as the observation group. The control group used the routine nursing care,while the observation group used risk management based on routine nursing method. The occurrence with DVT,prevention related knowledge,and causes for the occurrence of DVT were compared between the two groups. Results In the observation group,the incidence of thrombosis was 2. 9% ,which was significantly lower than that of the control group(10. 9% )(χ2 = 6. 611,P < 0. 05);score of prevention related knowledge of DVT in the observation group was(93. 6 ± 4. 7),which was significantly higher than that of the control group(84. 3 ± 4. 1)(t = 8. 073,P < 0. 05). There was no statistically significant difference in the causes of DVT,which contained the older age,previous history of thrombosis and braking,time in bed over three days,and the distribution of DVT between the two groups(P > 0. 05). Sperson correlation analysis showed that there was a significant correlation between DVT and whether high risk patients(r = 0. 472,P = 0. 029). Conclusions Risk management has a good protective effect on DVT after femoral neck fracture operation.
