循证护理对妇科腹腔镜术后静脉血栓的预防研究

发布时间：2018-03-11 13:49

本文选题：循证护理　切入点：妇科腹腔镜　出处：《中华全科医学》2016年05期 　论文类型：期刊论文

【摘要】：目的探讨循证护理对妇科腹腔镜手术患者术后静脉血栓的预防作用。方法选取丽水市人民医院2014年8月—2015年3月收治的300例妇科腹腔镜手术的患者为研究对象,采用随机、平行、双盲的方法分为2组,对照组采用常规护理,观察组采用循证护理预防术后静脉血栓,主要措施有术前Autar量表评估、认知干预及机械性预防等,比较2组术后静脉血栓的预防知识、下肢不适、静脉血栓的发生情况以及护理满意度。结果观察组术后6 d的静脉血栓预防知识得分为89.51±12.78,高于对照组的75.14±18.54,下肢肿胀、下肢疼痛、浅静脉曲张等下肢深静脉血栓(DVT)症状的发生率为10.7%,低于对照组的30.0%,差异有统计学意义(t=10.23,χ~2=12.51,P0.05)。观察组术后下肢深静脉流速为(25.53±3.47)cm/s,大于对照组的(20.14±2.51)cm/s,静脉血栓的发生率为2.0%,低于对照组的6.7%,静脉血栓的直径为(0.23±0.09)cm,小于对照组的(0.42±0.12)cm,差异有统计学意义(t=4.05,χ~2=3.94,t=2.17,P0.05)。观察组的护理满意度为96.0%,高于对照组的90.0%,差异有统计学意义(χ~2=5.14,P0.05)。结论循证护理能够有效减少妇科腹腔镜患者术后静脉血栓的发生率,规避术后护理风险。
[Abstract]:Objective to explore the preventive effect of evidence-based nursing on venous thrombosis in patients undergoing gynecological laparoscopic surgery. Methods 300 patients with gynecological laparoscopic surgery admitted in Lishui people's Hospital from August 2014 to March 2015 were selected as study objects. Parallel and double-blind methods were divided into two groups: the control group was treated with routine nursing, the observation group was treated with evidence-based nursing to prevent postoperative venous thrombosis, the main measures were preoperative Autar scale evaluation, cognitive intervention and mechanical prevention, etc. Results the preventive knowledge of venous thrombosis in the observation group was 89.51 卤12.78, which was higher than that in the control group (75.14 卤18.54). The incidence of DVT was 10.7, which was lower than that of the control group (30.0 cm / s). The difference was statistically significant (蠂 ~ (2 +) 12.51) P 0.055.The velocity of deep vein in the observation group was 25.53 卤3.47 cm / s, which was higher than that in the control group (20.14 卤2.51 cm / s), the incidence of venous thrombosis was 2.0 and low. The diameter of venous thrombosis was 0.23 卤0.09 cm in the control group and 0.42 卤0.12 cm in the control group. The difference was statistically significant (P 0.05). The nursing satisfaction of the observation group was 96.0, which was higher than that of the control group (P 0.05). Conclusion Evidence-based nursing can effectively reduce the rate of nursing care in the observation group. Incidence of venous thrombosis in patients with gynecological laparoscopy, To avoid postoperative nursing risk.
【作者单位】：丽水市人民医院妇科病房;
【基金】：2014年浙江省计划生育类适宜技术推广项目(2014-C23035)
【分类号】：R473.71;R-03

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