摘要
目的探讨老年脑血管疾病并发下肢深静脉血栓形成(deep venous thrombosis,DVT)的综合护理对策。方法根据资料筛选标准,收集2015-06至2017-06吉林省人民医院采用综合护理干预老年脑血管疾病并DVT患者临床资料为观察组(n=31),另收集2013-11至2015-05我院采用常规护理干预的老年脑血管疾病并DVT患者临床资料为对照组(n=31)。对照组仅行正确治疗及常规护理,观察组在对照组基础上根据患者实际情况行综合护理干预,如基础知识教育、卧床护理、预防静脉内膜损伤护理、预防高凝状态的护理、出血观察、预防并发症的护理等。比较两组的护理满意度及护理效果。结果 (1)观察组护理效果优于对照组,且差异具有统计学意义(Z=-2.234,P=0.025);进一步比较显示,观察组总有效率87.1%(27/31)显著高于对照组的64.5%(20/31),差异具有统计学意义(χ~2=4.309,P=0.038)。(2)观察组护理满意度优于对照组,差异具有统计学意义(Z=-3.459,P=0.001);进一步比较显示,观察组护理总满意度90.3%(28/31)显著高于对照组的71.0%(22/31),差异具有统计学意义(χ~2=12.771,P=0.005)。结论在正确治疗的基础上对脑血管疾病并发DVT疾病的老年患者行综合的护理干预,能够有效促进患者疾病治愈,并提高其护理满意度。
Objective The objective of this study was to explore the comprehensive nursing strategies of deep venous thrombosis(DVT)in the elderly suffering cerebrovascular disease complicated with DVT.Methods According to the screening criteria,a total of 31 cases of patients with senile cerebral vascular disease complicated with DVT who were given comprehensive intervention and treated in Jilin People's Hospital from June 2015 to June 2017 were selected as the observation group(n=31).And patients who were provided with routine nursing from November 2013 to May 2015 were selected as a control group(n=31).The control group was simply given the correct treatment and routine nursing,and the observation group was treated,on the basis of the therapy in control group,with comprehensive nursing intervention,such as basic knowledge education,bedridden nursing,nursing preventing venous intimal injury,complications and the hypercoagulable state,nursing,bleeding observation.The nursing satisfaction and effect were compared between the two groups.Results(1)Nursing effect in the observation group was better than that in the control group,and the difference was statistically significant(Z=-2.234,P=0.025);further comparison showed that the total effective rate in the observation group was 87.1%(27/31),which was significantly higher than in the control group(64.5%),the difference was statistically significant(χ2=4.309,P=0.038).(2)The degree of nursing satisfaction in the observation group was better than that in the control group,and the difference was statistically significant(Z=-3.459,P=0.001);further comparison showed that the nursing satisfaction degree[90.3%(28/31)]in the observation group was significantly higher than in the control group[71%(22/31)],and the difference was statistically significant(χ2=12.771,P=0.005).Conclusions Comprehensive nursing intervention on the basis of correct treatment for elderly patients with cerebrovascular disease complicated with DVT can effectively cure patients and improve their nursing satisfacti
作者
杨佳音
YANG Jiayin(Department of Nurning,Jilin Province People's Hospital,Changchun 130021,China)
出处
《中华灾害救援医学》
2018年第4期218-221,共4页
Chinese Journal of Disaster Medicine
关键词
老年脑血管疾病
下肢深静脉血栓形成
综合护理干预
护理满意度
senile cerebrovascular disease
deep vein thrombosis of lower extremity
comprehensive nursing intervention
nursing satisfaction
