摘要
目的探讨肝胆外科患者术后给予优质护理干预对下肢深静脉血栓的预防效果。方法选取郑州市第二人民医院肝胆外科2020年7月至2021年7月进行手术的60例患者,按照随机摸球法分成观察组(30例)与对照组(30例),观察组给予优质护理干预,对照组给予常规护理干预,比较两组下肢深静脉血栓发生率、术后恢复情况、凝血功能、舒适度及护理满意度。结果观察组下肢深静脉血栓发生率(3.33%)与对照组(20.00%)相比明显更低,差异有统计学意义(P<0.05)。观察组肛门排气时间、首次排便时间、下床时间、住院时间与对照组相比明显更短,差异有统计学意义(P<0.05)。两组干预后凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)明显延长,差异有统计学意义(P<0.05),纤维蛋白原(FBG)、血小板(PLT)水平明显降低,差异有统计学意义(P<0.05),观察组与对照组相比PT、APTT明显更长,差异有统计学意义(P<0.05),FBG、PLT水平明显更低,差异有统计学意义(P<0.05)。两组干预后舒适状况量表(GCQ)评分明显提高,差异有统计学意义(P<0.05),观察组与对照组相比明显更高,差异有统计学意义(P<0.05)。观察组与对照组相比护理满意度评分明显更高,差异有统计学意义(P<0.05)。结论肝胆外科术后给予优质护理干预,能够减少下肢深静脉血栓发生率,促进患者恢复,改善凝血功能状态,提高舒适度及护理满意度。
Objective To investigate the preventive effect of high-quality nursing intervention on deep venous thrombosis of lower limbs in patients with hepatobiliary surgery.Methods A total of 60 patients who underwent surgery in the Department of Hepatobiliary Surgery of Zhengzhou Second People's Hospital from July 2020 to July 2021 were selected and divided into an observation group(30 cases)and a control group(30 cases)according to the random ball-touch method.The observation group received high-quality nursing intervention,while the control group received the routine nursing intervention.The incidence of lower extremity deep vein thrombosis,postoperative recovery,coagulation function,comfort,and nursing satisfaction were compared between the two groups.Results The incidence of lower extremity deep vein thrombosis in the observation group(3.33%)was significantly lower than that in the control group(20.00%),and the difference was statistically significant(P<0.05).Anal exhaust time,first defecation time,getting out of bedtime and hospital stay time in the observation group were significantly shorter than those in the control group,and the difference was statistically significant(P<0.05).After the intervention,the prothrombin time(PT)and activated partial thrombin time(APTT)of the two groups were significantly prolonged,with statistical significance(P<0.05),while the levels of fibrinogen(FBG)and platelet(PLT)were significantly decreased,with statistical significance(P<0.05).PT and APTT of the observation group were significantly longer than those of the control group,the levels of FBG and PLT were significantly lower,and the difference was statistically significant(P<0.05).After the intervention,the score of the general comfort questionnaire(GCQ)was significantly increased in the two groups,and the difference was statistically significant(P<0.05).The observation group was significantly higher than the control group,and the difference was statistically significant(P<0.05).The nursing satisfaction score of the observation gr
作者
陈丹丹
张光辉
CHEN Dandan;ZHANG Guanghui(Department of Hepatobiliary Gastrointestinal Hernia Surgery,The Second People's Hospital of Zhengzhou,Zhengzhou Henan 450000,China;Department of Gastrointestinal surgery,The Second People's Hospital of Zhengzhou,Zhengzhou Henan 450000,China)
出处
《临床研究》
2023年第5期162-165,共4页
Clinical Research
关键词
优质护理
肝胆外科
下肢深静脉血栓
凝血功能
high-quality nursing
hepatobiliary surgery
lower extremity deep vein thrombosis
coagulation function
