护理研究
護理研究
호리연구
NURSING RESEARCH
2015年
25期
3124-3127
,共4页
静脉血栓栓塞症%预防%管理%Caprini 风险评估模型%高危人群%骨科
靜脈血栓栓塞癥%預防%管理%Caprini 風險評估模型%高危人群%骨科
정맥혈전전새증%예방%관리%Caprini 풍험평고모형%고위인군%골과
venous thromboembolism%prevention%management%Caprini risk assessment model%high risk groups%orthopedics
[目的]探讨住院病人静脉血栓栓塞症预防管理模式，有效降低病人静脉血栓栓塞症发生率。[方法]采用 Caprini 风险评估工具筛选高危病人，并对不同危险级别的病人采取相应的预防措施，比较实施血栓综合预防管理前后住院病人静脉血栓栓塞症发生率和护士预防静脉血栓栓塞症知识水平的变化。[结果]实施综合预防管理措施前后骨科住院病人中血栓高危病人所占比例无差异(P >0.05)，实施静脉血栓栓塞症综合预防管理后，血栓发生率明显下降(P <0.05)，护士知识水平有了明显提高(P <0.05)。[结论]住院病人静脉血栓栓塞症管理重在预防，建立全院范围的综合预防管理体系可有效降低病人静脉血栓栓塞症的发生率。
[目的]探討住院病人靜脈血栓栓塞癥預防管理模式，有效降低病人靜脈血栓栓塞癥髮生率。[方法]採用 Caprini 風險評估工具篩選高危病人，併對不同危險級彆的病人採取相應的預防措施，比較實施血栓綜閤預防管理前後住院病人靜脈血栓栓塞癥髮生率和護士預防靜脈血栓栓塞癥知識水平的變化。[結果]實施綜閤預防管理措施前後骨科住院病人中血栓高危病人所佔比例無差異(P >0.05)，實施靜脈血栓栓塞癥綜閤預防管理後，血栓髮生率明顯下降(P <0.05)，護士知識水平有瞭明顯提高(P <0.05)。[結論]住院病人靜脈血栓栓塞癥管理重在預防，建立全院範圍的綜閤預防管理體繫可有效降低病人靜脈血栓栓塞癥的髮生率。
[목적]탐토주원병인정맥혈전전새증예방관리모식，유효강저병인정맥혈전전새증발생솔。[방법]채용 Caprini 풍험평고공구사선고위병인，병대불동위험급별적병인채취상응적예방조시，비교실시혈전종합예방관리전후주원병인정맥혈전전새증발생솔화호사예방정맥혈전전새증지식수평적변화。[결과]실시종합예방관리조시전후골과주원병인중혈전고위병인소점비례무차이(P >0.05)，실시정맥혈전전새증종합예방관리후，혈전발생솔명현하강(P <0.05)，호사지식수평유료명현제고(P <0.05)。[결론]주원병인정맥혈전전새증관리중재예방，건립전원범위적종합예방관리체계가유효강저병인정맥혈전전새증적발생솔。
Objective:To probe into the prevention and management model of inpatients with VTE and to reduce the incidence of VTE effectively.Methods:The Caprini risk assessment tool was used for screening high risk pa-tients and the corresponding preventive measures were taken for the patients at different risk levels,then to compare the change of incidence of VTE inpatients and nurses’VTE prevention knowledge level before and af-ter the implementation of comprehensive prevention and management.Results:The proportion of patients with high risk of thrombosis(P >0.05)was not different in the department of orthopedics before and after the imple-mentation of comprehensive prevention and management.After the implementation of comprehensire prevention and management of VTE,the incidence of thrombosis significantly decreased(P <0.05),and the knowledge lev-el of nurses was significantly improved(P <0.05).Conclusion:VTE management of inpatients should be focused on prevention.The establishment of the comprehensive prevention and management system can effectively re-duce the incidence of patients with VTE in total hospital.
