针对性护理对下肢骨折手术后低分子肝素钙预防深静脉血栓形成的影响

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英文篇名：Effect of targeted nursing on prevention of deep venous thrombosis by low molecular weight heparin calcium after lower limb fracture surgery 作者：揭海英 ; 刘世峰 ; 何柳琼 ; 花宇 ; 单淑媛 ; 钟丽芳 ; 郑燕珠 ; 廖志峰 英文作者：JIE Hai-ying;LIU Shi-feng;HE Liu-qiong;Dongguan Eighth People's Hospital; 关键词：针对性护理 ; 下肢骨折 ; 低分子肝素钙 ; 深静脉血栓 英文关键词：Targeted nursing;;Lower limb fracture;;Low molecular weight heparin calcium;;Deep venous thrombosis 中文刊名：ZSSA 英文刊名：China Practical Medicine 机构：东莞市第八人民医院; 出版日期：2019-04-28 出版单位：中国实用医药 年：2019 期：v.14 基金：广东省东莞市医疗卫生科技计划一般项目(项目编号:201650715001329) 语种：中文; 页：ZSSA201912087 页数：3 CN：12 ISSN：11-5547/R 分类号：154-156

摘要

目的探讨针对性护理对下肢骨折手术后低分子肝素钙预防深静脉血栓形成的影响。方法 80例接受手术治疗的下肢骨折患者,采用随机抛掷硬币法分为对照组和观察组,各40例。所有患者均采用低分子肝素钙预防深静脉血栓形成,对照组采用常规护理,观察组采用针对性护理,比较两组下肢深静脉血栓发生率及护理满意度。结果观察组患者术后恢复期间未发生下肢深静脉血栓现象;对照组患者术后恢复期间出现4例下肢深静脉血栓患者,下肢深静脉血栓发生率为10.0%;观察组下肢深静脉血栓发生率低于对照组,差异具有统计学意义(P<0.05)。观察组患者护理满意度为95.0%,对照组患者护理满意度为80.0%;观察组护理满意度高于对照组,差异具有统计学意义(P<0.05)。结论下肢骨折手术后低分子肝素钙预防深静脉血栓形成的过程中同步实施针对性护理,能够降低下肢深静脉血栓发生率,并提升护理满意度,值得应用。
        Objective To discuss the effect of targeted nursing on prevention of deep venous thrombosis by low molecular weight heparin calcium after lower limb fracture surgery. Methods A total of 80 deep venous thrombosis patients undergoing surgery were divided into control group and observation group according to random coin throwing method, with 40 cases in each group. All patients were treated with low molecular weight heparin calcium to prevent deep vein thrombosis. The control group received conventional nursing, and the observation group received targeted nursing. The incidence of low limb deep venous thrombosis and nursing satisfaction in two groups was compared. Results The observation group had no cases of lower limb deep venous thrombosis during the recovery period after operation, and the control group had 4 cases of lower limb deep venous thrombosis patients during the recovery period after operation, with incidence of lower limb deep venous thrombosis as 10.0%.The observation group had lower incidence of lower limb deep venous thrombosis than the control group, and the difference was statistically significant(P<0.05). The observation group had nursing satisfaction as 95.0%, which was 80.0% in the control group. The observation group had higher nursing satisfaction than the control group,and the difference was statistically significant(P<0.05). Conclusion The concurrent implementation of targeted nursing during the prevention of deep venous thrombosis by low molecular weight heparin calcium after lower limb fracture surgery can reduce the incidence of deep venous thrombosis and improve nursing satisfaction, and it is worthy of application.

引文

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