摘要
目的探讨结局回溯性特别关注护理在预防重症监护室(ICU)卧床患者下肢深静脉血栓(DVT)发生中的应用价值。方法选取2020年1月至12月赣南医学院第二附属医院ICU收治的70例患者作为研究对象,采用随机数字表法将其分为对照组与观察组,每组各35例。对照组患者采用常规护理,观察组患者采用结局回溯性特别关注护理。比较两组患者的DVT发生情况、护理前后DVT风险评估以及护理满意度。结果观察组患者护理期间DVT发生率低于对照组,差异有统计学意义(P<0.05)。护理后,两组患者的DVT风险等级低于护理前,差异有统计学意义(P<0.05);护理后,观察组患者的DVT风险等级低于对照组,差异有统计学意义(P<0.05)。观察组患者的护理总满意率高于对照组,差异有统计学意义(P<0.05)。结论在对ICU卧床患者的护理中,结局回溯性特别关注护理能较好预防DVT,降低DVT发生风险,提升护理满意度。
Objective To explore the application value of retrospective outcome special attention nursing in preventing lower extremity deep venous thrombosis(DVT)in bedridden patients in intensive care unit(ICU).Methods A total of 70 patients admitted to ICU of the Second Affiliated Hospital of Gannan Medical College from January to December 2020 were selected as the research subjects.They were divided into control group and observation group by random number table method,with 35 patients in each group.The control group received routine nursing,and the observation group received retrospective special attention nursing.The incidence of DVT,risk assessment of DVT and nursing satisfaction were compared between the two groups.Results The incidence of DVT in the observation group was lower than that in the control group during the nursing period,the difference was statistically significant(P<0.05).After nursing,the risk level of DVT in the two groups were lower than those before nursing,the differences were statistically significant(P<0.05).After nursing,the risk grade of DVT in observation group was lower than that in control group,the difference was statistically significant(P<0.05).The total nursing satisfaction rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion In the nursing of bedridden patients in ICU,retrospective outcome special attention nursing can better prevent DVT,reduce the risk of DVT,and improve nursing satisfaction.
作者
曹慧连
CAO Huilian(Department of Critical Care Medicine,the Second Affiliated Hospital of Gannan Medical College,Jiangxi Province,Ganzhou341600,China)
出处
《中国当代医药》
CAS
2022年第13期190-192,196,共4页
China Modern Medicine
基金
江西省赣州市指导性科技计划项目(GZ2020ZSF 096)。
关键词
重症监护
结局回溯
护理
下肢深静脉血栓
Intensive care unit
Retrospective outcome
Nursing
Lower extremity deep venous thrombosis
