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下肢深静脉血栓预见性护理在妇科盆腔肿瘤开腹术后的应用 被引量:12

Value of preventive nursing care in deep vein thrombosis patients with gynecologic surgery in the abdominal and pelvic tumors
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摘要 目的探讨下肢深静脉血栓(DVT)预见性护理在妇科盆腔肿瘤开腹术后中的应用价值。方法选取2012年3月至2014年3月间收治的妇科盆腔肿瘤患者120例,采用随机数字表法分为观察组和对照组,每组各60例。观察组患者在常规护理方法的基础上,采用针对可能导致DVT的原因进行预见性护理,对照组患者仅采用常规护理方法。观察并比较两组患者的护理效果。结果观察组患者的DVT发生率明显低于对照组,住院时间明显短于对照组,差异均有统计学意义(均P<0.05);观察组患者术后心理、生理、社会环境与文化方面的舒适度评分均高于对照组,差异均有统计学意义(均P<0.05);观察组患者术后对护理人员的技术、态度、信任度及对病房环境的满意度均高于对照组,差异均有统计学意义(均P<0.05)。结论 DVT预见性护理在妇科盆腔肿瘤开腹术后中的效果较好,可有效预防DVT的发生,缩短住院时间,提高患者的护理满意度和舒适度,促进患者的康复。 Objective s To investigate the value of preventive nursing care of patients with deep vein thrombosis( DVT) in gynecologic surgery in the abdominal and pelvic tumors. Methods From March 2012 to March 2014,120 patients with gynecological pelvic tumors were chosen in Qian’an Maternity and Children Hospital. They were randomly divided into the observation group and the control group,60 cases in each group. The patients in the observation group acepted nursing care for the possible causes of DVT on the basis of the conventional care and the patients in the control group accepted conventional care. The clinical efficacy of the two groups were observed and compared. Results The incidence of DVT in the observation group was significantly lower than that in the control group,the hospital stay in the observation group was significantly shorter than that in the control group,with significant differences( P 〈 0. 05). The postoperative comfort of psychological,physical,social and cultural aspects of the environment in the observation group were higher than those in the control group,with significant differences( P 〈 0. 05). The satisfaction with nurses skills,attitudes,confidence and satisfaction of the ward environment in the observation group were higher than those in control group,with significant differences( P 〈 0. 05). Conclusions The clinical efficacy of preventive nursing care of patients with DVT in gynecologic surgery in the abdominal and pelvic tumors is excellent,which can effectively prevent the occurrence of DVT,shorten hospital stays,improve nursing satisfaction and patients’ comfort,and promote the rehabilitation of patients.
作者 沙桂凤
出处 《中国肿瘤临床与康复》 2016年第4期498-501,共4页 Chinese Journal of Clinical Oncology and Rehabilitation
关键词 下肢深静脉血栓 妇科盆腔肿瘤 预见性护理 Deep vein thrombosis Gynecological pelvic neoplasms Nursing care
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