摘要
目的探讨基于Autar血栓风险评估量表的针对性护理模式对老年宫颈癌患者术后下肢深静脉血栓(DVT)风险的影响。方法选取2018年8月至2020年8月内黄县人民医院收治的62例宫颈癌患者,根据建档顺序分为对照组和观察组,各31例。两组均接受宫颈癌根治术,对照组接受常规护理,观察组在对照组基础上接受Autar血栓风险评估量表下的针对性护理模式。统计两组下肢DVT发生率、康复情况(下床活动时间、住院时间、腿围增长度)、护理满意度,对比护理前后下肢静脉血流速率及差值。结果两组下肢DVT发生率比较,差异无统计学意义(P>0.05);护理后,观察组股静脉、腘静脉血流速率及其差值大于对照组(P<0.05);观察组下床活动时间、住院时间短于对照组,腿围增长度小于对照组(P<0.05);观察组护理满意度(96.77%)高于对照组(70.97%)(P<0.05)。结论Autar血栓风险评估量表下的针对性护理模式应用于老年的宫颈癌患者,可加快患者下肢静脉血流速率,缩短康复进程,在降低下肢术后DVT风险方面有一定优势。
Objective To investigate the effect of the targeted nursing model under the Autar thrombosis risk assessment scale on the risk of lower extremity deep vein thrombosis(DVT)in elderly patients with cervical cancer.Methods A total of 62 cervical cancer patients in Neihuang County People’s Hospital from August 2018 to August 2020 were selected and divided into control group and observation group according to the order of file establishment,with 31 cases in each group.Both groups underwent radical resection of cervical cancer,the control group received routine nursing care,and the observation group received targeted nursing mode based on the Autar thrombosis risk assessment scale on the basis of the control group.The incidence of DVT in the lower extremities,rehabilitation conditions(time of getting out of bed,hospital stay,leg circumference growth)and nursing satisfaction were compared between the two groups.Results There was no statistical difference in the incidence of lower extremity DVT between the two groups(P>0.05).After nursing,the femoral vein and popliteal vein blood flow rate and their difference in the observation group were greater than those in the control group(P<0.05).The time of getting out of bed and hospital stay in the observation group were shorter than those in the control group,and the increase in leg circumference was smaller than that in the control group(P<0.05).The nursing satisfaction in the observation group(96.77%)was higher than that(70.97%)in the control group(P<0.05).Conclusion The targeted nursing model under the Autar thrombosis risk assessment scale is applied to elderly patients with cervical cancer,which can accelerate the venous blood flow rate of the lower extremities,shorten the rehabilitation process,and has certain advantages in reducing the risk of postoperative DVT in the lower extremities.
作者
袁娜
李慧玲
郑晓雪
YUAN Na;LI Huiling;ZHENG Xiaoxue(Department of Obstetrics and Gynecology,Neihuang County People’s Hospital,Anyang 456300,China)
出处
《河南医学研究》
CAS
2022年第14期2645-2648,共4页
Henan Medical Research
