摘要
目的 探讨早期主动性护理干预对心脏手术后患者肌力影响及VTE预防效果。方法 选取医院2019年6月-2021年6月收治的心脏手术患者107例,按基本资料匹配原则分为对照组53例和观察组54例。观察组实施早期主动性护理干预,对照组采取常规护理。比较两组患者护理后Wells评分、纤维蛋白原(Fib)、D二聚体(D-D)、肿瘤坏死因子-α(TNF-α)、白介素-6(IL-6)水平、并发症发生例数、MRC评分、改良后患者急性生理与慢性健康评分(APACHE Ⅱ)评分及静脉血栓栓塞症(VTE)发生率。结果 实施早期主动性护理干预后,观察组Wells评分低于对照组;观察组Fib、D-D、TNF-α、IL-6水平低于对照组,差异具有统计学意义(P<0.05)。早期主动性护理干预后,观察组MRC高于对照组,APACHE Ⅱ评分低于对照组,VTE发生率低于对照组,差异有统计学意义(P<0.05)。结论 早期主动性护理干预能有效降低患者术后Fib、D-D、TNF-α、IL-6水平并预防患者VTE的发生,改善患者预后,防止术后肌力减退。
Objective To investigate the effect of early active nursing intervention on muscle strength and VTE prevention in patients after cardiac surgery. Methods A total of 107 cardiac surgery patients admitted in the hospital from June 2019 to June 2021 were selected and divided into a control group(n=53) and an observation group(n=54) according to the basic data matching between groups. The observation group carried out early active nursing intervention, the control group took routine nursing. Wells score, Fibrinogen(Fib), D-dimer(D-D), Tumor Necrosis Factor-α(TNF-α), interleukin-6(IL-6), the number of complications, MRC score, acute physiology and Acute Physiology and Chronic Health Evaluation(APACHE) and incidence of venous thromboembolism(VTE)were compared between 2 groups after nursing. Results After early active nursing intervention, the Wells score of observation group was lower than the control group. The levels of Fib, D-D, TNF-α and IL-6 in the observation group were lower than the control group, the differences were statistically significant(P <0.05). After early proactive nursing intervention, the MRC of the observation group was higher than the control group, APACHE Ⅱ score was lower than the control group, the incidence of VTE was lower than the control group, the differences were statistically significant(P <0.05). Conclusion Early active nursing intervention could effectively reduce postoperative Fib, D-D, TNF-α, IL-6 levels, prevent the occurrence of VTE, improve the prognosis of patients and prevent postoperative muscle strength decline.
作者
李颖
LI Ying(The Second Affi liated Hospital of Nanchang University,Nanchang,360006,China)
出处
《护理实践与研究》
2022年第9期1352-1355,共4页
Nursing Practice and Research
关键词
护理
心脏手术
肌力
VTE
预防
Nursing
Heart surgery
Muscle strength
VTE
Prevention
