肺癌围术期患者静脉血栓栓塞症的预防与护理现状调查分析
发布时间：2018-09-06 15:53
【摘要】：背景与目的了解我国医院肺癌围术期患者静脉血栓栓塞症(venous thromboembolism,VTE)的预防与护理现状。方法采用自行设计的调查问卷,在第一届胸科加速康复外科(enhanced recovery after surgery,ERAS)华西论坛上,对全国108名胸外科护士长进行调查。结果 (1)评估工具与预防规范:97.22%的医院已采用不同评估工具对肺癌围术期患者进行VTE风险分级,其中67.59%的医院已形成VTE预防护理规范。(2)筛查、预防与随访:56.48%的医院对肺癌患者进行了VTE术前筛查,90.74%的医院对住院患者进行了VTE预防,52.78%的医院对出院患者继续进行了VTE预防,仅有17.59%医院对出院患者VTE的发生情况进行了随访。(3)不同类型医院肺癌围术期患者VTE预防现状相比,差异无统计学意义(P0.05),但在VTE风险评估、住院患者VTE预防方面专科医院所有患者已全面实现(100.00%)。结论肺癌围术期VTE预防工作已受到广泛重视,但尚缺乏有效的VTE风险评估工具和标准化的VTE预防护理指南。
[Abstract]:Background & objective to investigate the prevention and nursing status of perioperative venous thromboembolism (venous thromboembolism,VTE) of lung cancer patients in Chinese hospitals. Methods A self-designed questionnaire was used to investigate 108 head nurses of thoracic surgery at the Huaxi Forum of the first (enhanced recovery after surgery,ERAS of Thoracic accelerated Rehabilitation surgery. Results (1) VTE risk classification of lung cancer perioperative patients was carried out by different assessment tools in 97.22% of hospitals, and 67.59% of them had established VTE preventive nursing standard. (2) screening. Prevention and follow-up: 56.48% of the hospitals carried out VTE screening for lung cancer patients. 90.74% of the hospitals carried out VTE prophylaxis against the hospitalized patients. 52.78% of the hospitals continued to carry out VTE prevention for discharged patients. Only 17.59% of the hospitals followed up the incidence of VTE in discharged patients. (3) there was no significant difference in VTE prevention status of lung cancer patients in different types of hospitals (P0.05), but in VTE risk assessment. All the inpatients in VTE prevention hospital were fully realized (100.00%). Conclusion the prevention of VTE in lung cancer perioperative period has been paid more attention, but there is still a lack of effective VTE risk assessment tools and standardized VTE preventive nursing guidelines.
【作者单位】： 四川大学华西医院胸外科;四川大学华西临床医学院;四川大学华西医院;
【基金】：四川省科技厅基金(No.2015SZ0158) 2016年四川大学华西医院学科卓越发展1.3.5工程项目资助~~
【分类号】：R473.73
本文编号：2226829
[Abstract]:Background & objective to investigate the prevention and nursing status of perioperative venous thromboembolism (venous thromboembolism,VTE) of lung cancer patients in Chinese hospitals. Methods A self-designed questionnaire was used to investigate 108 head nurses of thoracic surgery at the Huaxi Forum of the first (enhanced recovery after surgery,ERAS of Thoracic accelerated Rehabilitation surgery. Results (1) VTE risk classification of lung cancer perioperative patients was carried out by different assessment tools in 97.22% of hospitals, and 67.59% of them had established VTE preventive nursing standard. (2) screening. Prevention and follow-up: 56.48% of the hospitals carried out VTE screening for lung cancer patients. 90.74% of the hospitals carried out VTE prophylaxis against the hospitalized patients. 52.78% of the hospitals continued to carry out VTE prevention for discharged patients. Only 17.59% of the hospitals followed up the incidence of VTE in discharged patients. (3) there was no significant difference in VTE prevention status of lung cancer patients in different types of hospitals (P0.05), but in VTE risk assessment. All the inpatients in VTE prevention hospital were fully realized (100.00%). Conclusion the prevention of VTE in lung cancer perioperative period has been paid more attention, but there is still a lack of effective VTE risk assessment tools and standardized VTE preventive nursing guidelines.
【作者单位】： 四川大学华西医院胸外科;四川大学华西临床医学院;四川大学华西医院;
【基金】：四川省科技厅基金(No.2015SZ0158) 2016年四川大学华西医院学科卓越发展1.3.5工程项目资助~~
【分类号】：R473.73
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