老年髋部骨折病人预防下肢血栓形成的护理措施探讨
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摘要
目的探讨老年髋部骨折病人预防下肢血栓形成的护理措施。方法选取2015年5月至2017年6月入住河北工程大学附属医院,且髋部骨折的老年病人,共80例作为观察对象。采用随机数字表法分为对照组和试验组,各40例。对照组行常规护理,试验组在此基础上实施综合护理措施。观察两组病人术后下肢肿胀与疼痛情况,比较两组病人下肢深静脉血栓发生率。并评估护理满意度。结果对照组下肢肿胀与疼痛率10例(25.0%),下肢深静脉血栓8例(20.0%),护理满意28例(70.0%);试验组下肢肿胀与疼痛率3例(7.5%),下肢深静脉血栓2例(5.0%),护理满意37例(92.5%),差异有统计学意义(P<0.05)。结论术前通过进行健康、心理教育,并给予舒适的生活护理,药物与物理方法相结合进行有效预防,并强调进行适当的运动,对于预防老年髋部骨折术后下肢深静脉血栓十分有效,病人满意度高。
Objective To investigate the nursing measures of elderly patients of hip fracture with lower limb thrombosis.Methods The80 patients with hip fracture were selected as the object in Affiliated Hospital of Hebei University of Engineering from May 2015 to June2017.They were randomly assigned to the control group who given routine care,40 cases in each group.and the experimental group implemented a comprehensive prevention of venous thrombosis care interventions on the basis of routine care according to random number table method.To observed the postoperative lower limb swelling and pain rate,and the incidence of lower extremity deep venous thrombosis,then evaluate the nursing satisfaction.Results The control group was 10 cases(25.0%) of lower limb swelling and pain,8 cases(20.0%) of deep venous thrombosis of lower extremity,nursing satisfaction in 28 cases(70.0%);the experimental group lower limb swelling and pain rate of 3 cases(7.5%),2 cases(5.0%),of deep venous thrombosis of lower extremity nursing satisfaction in37 cases(92.5%)(P<0.05).Conclusion Through the preoperative health and psychological education,effective life care,through drug and physical prevention,and effective exercise care,to prevent the elderly hip fracture after the formation of lower extremity deep vein thrombosis effect,and can improve patient satisfaction with nursing work.
Objective To investigate the nursing measures of elderly patients of hip fracture with lower limb thrombosis.Methods The80 patients with hip fracture were selected as the object in Affiliated Hospital of Hebei University of Engineering from May 2015 to June2017.They were randomly assigned to the control group who given routine care,40 cases in each group.and the experimental group implemented a comprehensive prevention of venous thrombosis care interventions on the basis of routine care according to random number table method.To observed the postoperative lower limb swelling and pain rate,and the incidence of lower extremity deep venous thrombosis,then evaluate the nursing satisfaction.Results The control group was 10 cases(25.0%) of lower limb swelling and pain,8 cases(20.0%) of deep venous thrombosis of lower extremity,nursing satisfaction in 28 cases(70.0%);the experimental group lower limb swelling and pain rate of 3 cases(7.5%),2 cases(5.0%),of deep venous thrombosis of lower extremity nursing satisfaction in37 cases(92.5%)(P<0.05).Conclusion Through the preoperative health and psychological education,effective life care,through drug and physical prevention,and effective exercise care,to prevent the elderly hip fracture after the formation of lower extremity deep vein thrombosis effect,and can improve patient satisfaction with nursing work.
引文
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[10]董方,刘德强,朱安礼,等.髋部骨折患者深静脉血栓形成的危险因素分析[J].中国基层医药,2014,21(18):2733-2735.
[11]徐蕴芳,周宜芳.全髋关节置换术患者的延续性护理[J].解放军护理杂志,2016,33(17):50-52.
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[13]唐洋.人工髋关节置换术后预防深静脉血栓形成的护理经验总结[J].中国中医骨伤科杂志,2015,23(12):69-70.
[14]BUCEK RA,REITER M,QUEHENBERGER P,et al.C-reactive protein in the diagnosis of deep vein thrombosis[J].Br J Haematol,2002,119(2):385-389.
[15]马信龙,张建敏,马剑雄,等.骨科大手术静脉血栓栓塞症的研究进展[J].中华骨科杂志,2013,36(15):995-1001.
[16]BASHIR R,ZACK CJ,ZHAO H,et al.Comparative outcomes of catheter-directed thrombolysis plus anticoagulation vs anticoagulation alone to treat lower-extremity proximal deep vein thrombosis[J].JAMA Internal Medicine,2014,174(9):1494-1501.
[2]周明昊,吕建军,谢威,等.锁定钢板和PFNA治疗股骨粗隆间骨折的比较[J].安徽医药,2013,17(1):78-79.
[3]RUBIO CA.Increased production oflysozyme associated with bacterial proliferation in Barrett's esophagitis,chronic gastritis,gluten-induced atrophic duodenitis(celiac disease),lymphocytic colitis,collagenous colitis,ulcerative colitis and Crohn's colitis[J].Anticancer Res,2015,35(12):6365.
[4]李琳,何丽英,田艳茶,等.护理干预对髋关节置换术后深静脉血栓形成的影响[J].河北医科大学学报,2016,37(1):75-77.
[5]程艳秋.预防下肢深静脉血栓护理流程联合利伐沙班在髋关节置换手术患者中的应用效果[J].河北医学,2016,22(4):618-620.
[6]李晓冰,陈春女.个体化运动处方预防老年髋部骨折手术患者发生深静脉栓塞的探讨[J].国际医药卫生导报,2016,22(3):439-440.
[7]HEYES GJ,TUCKER A,MARLEY D,et al.Predictors for 1-year mortality following hip fracture:a retrospective review of 465 consecutive patients[J].Eur J Trauma Emerg Surg,2017,43(1):113-119.
[8]沈翠华,叶春萍,陈盈盈,等.追踪方法学用于预防人工髋关节置换术后深静脉血栓[J].护理学杂志,2015,30(4):17-21.
[9]赵艳丽,张丹妹,张卫平.髋关节置换术后预防深静脉血栓形成的护理进展[J].现代中西医结合杂志,2014,22(16):1822-1824.
[10]董方,刘德强,朱安礼,等.髋部骨折患者深静脉血栓形成的危险因素分析[J].中国基层医药,2014,21(18):2733-2735.
[11]徐蕴芳,周宜芳.全髋关节置换术患者的延续性护理[J].解放军护理杂志,2016,33(17):50-52.
[12]BURNESS CB,PERRY CM.Rivaroxaban:a review of its use in the treatment of deep vein thrombosis or pulmonary embolism and the prevention of recurrent venous thromboembolism[J].Drugs,2014,74(2):243-262.
[13]唐洋.人工髋关节置换术后预防深静脉血栓形成的护理经验总结[J].中国中医骨伤科杂志,2015,23(12):69-70.
[14]BUCEK RA,REITER M,QUEHENBERGER P,et al.C-reactive protein in the diagnosis of deep vein thrombosis[J].Br J Haematol,2002,119(2):385-389.
[15]马信龙,张建敏,马剑雄,等.骨科大手术静脉血栓栓塞症的研究进展[J].中华骨科杂志,2013,36(15):995-1001.
[16]BASHIR R,ZACK CJ,ZHAO H,et al.Comparative outcomes of catheter-directed thrombolysis plus anticoagulation vs anticoagulation alone to treat lower-extremity proximal deep vein thrombosis[J].JAMA Internal Medicine,2014,174(9):1494-1501.