摘要
目的评价护理风险评估干预对下腔静脉滤器置入加溶栓术治疗下肢深静脉血栓(DVT)患者的影响。方法方便选取2017年6月—2020年2月该院介入科行下腔静脉滤器置入加溶栓术治疗的下肢DVT患者54例,随机均分为对照组(n=26)和观察组(n=28)。对照组围术期予常规护理,观察组予护理风险综合评估下针对性干预。对比两组干预后下肢疼痛、肿胀、静脉通畅等治疗效果及生活质量改善情况。结果干预后,观察组大腿周径差(3.23±0.52)cm,明显小于对照组的(5.35±0.59)cm,差异有统计学意义(t=-14.031,P<0.001);观察组小腿周径差(2.97±0.32)cm,明显少于对照组的(3.36±0.24)cm,差异有统计学意义(t=-5.036,P<0.001);观察组NRS得分(1.65±0.32)分,明显低于对照组的(3.39±1.04)分,疼痛缓解程度差异有统计学意义(t=-8.438,P<0.001);观察组静脉通畅评分明显优于对照组,差异有统计学意义(P<0.001);观察组,生活质量各维度评分及总分均明显高于对照组,差异有统计学意义(P<0.001)。两组均无并发症发生。结论对接受下腔静脉滤器置入加溶栓术治疗的急性下肢DVT患者实施围术期综合护理风险评估干预,患者肢体肿胀和疼痛明显缓解,治疗周期缩短,治疗效果更为显著,生活质量也明显提高。
Objective To evaluate the effect of nursing risk assessment intervention on the treatment of patients with deep vein thrombosis(DVT)of lower extremities by inferior vena cava filter placement and thrombolysis.Methods 54 patients with lower extremity DVT who underwent inferior vena cava filter placement and thrombolysis were conveniently selected from the Intervention Department of the hospital from June 2017 to February 2020.They were randomly divided into control group(n=26)and observation group(n=28).The control group was given routine nursing care during the perioperative period,and the observation group was given targeted intervention under the comprehensive assessment of nursing risk.The treatment effects of lower extremity pain,swelling,venous patency and the improvement of quality of life after the intervention were compared between the two groups.Results After intervention,the circumference difference of the thigh in the observation group was(3.23±0.52)cm,which was significantly smaller than that of the control group(5.35±0.59)cm,and the difference was statistically significant(t=-14.031,P<0.001);the circumference difference of the leg in the observation group was(2.97±0.32)cm,which was significantly less than(3.36±0.24)cm of the control group,the difference was statistically significant(t=-5.036,P<0.001);the NRS score of the observation group(1.65±0.32)points was significantly lower than that of the control group(3.39±1.04)points,the difference was statistically significant(t=-8.438,P<0.001);the venous patency score of the observation group was significantly better than that of the control group,the difference was statistically significant(P<0.001);the observation group scores and total scores of all dimensions of quality were significantly higher than those of the control group,the difference was statistically significant(P<0.001).No complications occurred in both groups.Conclusion The perioperative comprehensive nursing risk assessment intervention was implemented for patients with acute lower ex
作者
张雪英
ZHANG Xueying(Department of Intervention,Jiawang District People's Hospital,Xuzhou,Jiangsu Province,221011 China)
出处
《中外医疗》
2021年第16期173-176,共4页
China & Foreign Medical Treatment
关键词
下肢
深静脉血栓
下腔静脉滤器置入
溶栓术
生活质量
Lower extremities
Deep vein thrombosis
Inferior vena cava filter placement
Thrombolysis
Quality of life
