Autar量表风险评估预防脑卒中后深静脉血栓形成的效果观察
|
摘要
目的探讨Autar量表风险评估对脑卒中后深静脉血栓形成的预防效果。方法选择2016年3月至2018年3月本院收治的脑卒中患者234例,随机分为对照组和观察组,每组117例。对照组患者给予常规护理,观察组患者采取Autar量表给予风险评估,并以评估结果为依据采取预见性护理方案。比较干预后两组深静脉血栓发生情况,干预前后采用抑郁自评量表(self-rating depressive scale, SDS)和焦虑自评量表(self-rating anxiety scale, SAS)评价患者的精神状况。结果观察组的静脉血栓发生率、住院时间显著低于对照组,差异有统计学意义(P<0.001)。干预后两组患者SDS、SAS得分显著下降,精神状态基本处于正常水平,且观察组的SDS、SAS得分显著低于对照组,差异均有统计学意义(P<0.001)。结论 Autar量表风险评估可有效预防脑卒中后深静脉血栓形成,有助于改善患者的精神状态,促进患者身体康复,有较高的临床应用价值。
Objective To explore the effect of Autar scale in risk assessment on deep venous thrombosis after stroke. Methods From March 2016 to March 2018, 234 stroke patients admitted to our hospital were selected in our study. According to the random digit table, they were divided into the control group and the observation group, 117 cases in each group. The patients in the control group were given routine nursing, while those in the observation group were given risk assessment by Autar scale, and the predictive nursing scheme was adopted based on the evaluation results. The two groups were compared in view of incidence of deep venous thrombosis. Self-rating depressive scale(SDS) and self-rating anxiety scale(SAS) were used to evaluate the mental status before and after intervention. Results The incidences of venous thrombosis and hospitalization time in the observation group were significantly lower than those in the control group(P<0.001). After the intervention, the scores of SDS and SAS in the two groups decreased significantly, and the mental state was basically at the normal level. The scores of SDS and SAS in the observation group were significantly lower than those in the control group(P<0.001). Conclusions Autar scale used for the risk assessment can effectively prevent deep venous thrombosis after stroke, help to improve the mental state of patients, and promote physical recovery of stroke patients. It has of high value for clinical application.
Objective To explore the effect of Autar scale in risk assessment on deep venous thrombosis after stroke. Methods From March 2016 to March 2018, 234 stroke patients admitted to our hospital were selected in our study. According to the random digit table, they were divided into the control group and the observation group, 117 cases in each group. The patients in the control group were given routine nursing, while those in the observation group were given risk assessment by Autar scale, and the predictive nursing scheme was adopted based on the evaluation results. The two groups were compared in view of incidence of deep venous thrombosis. Self-rating depressive scale(SDS) and self-rating anxiety scale(SAS) were used to evaluate the mental status before and after intervention. Results The incidences of venous thrombosis and hospitalization time in the observation group were significantly lower than those in the control group(P<0.001). After the intervention, the scores of SDS and SAS in the two groups decreased significantly, and the mental state was basically at the normal level. The scores of SDS and SAS in the observation group were significantly lower than those in the control group(P<0.001). Conclusions Autar scale used for the risk assessment can effectively prevent deep venous thrombosis after stroke, help to improve the mental state of patients, and promote physical recovery of stroke patients. It has of high value for clinical application.
引文
[1]KISHORE A,VAIL A,MAJID A,et al.Detection of atrial fibrillation after ischemic stroke or transient ischemic attack:a systematic review and meta-analysis[J].Stroke,2014,45(2):520-526.
[2]MELGAARD L,GORST-RASMUSSEN A,LANE D A,et al.Assessment of the CHA2DS2-VASc score in predicting ischemic stroke,thromboembolism,and death in patients with heart failure with and without atrial fibrillation[J].JAMA,2015,314(10):1030-1038.
[3]LIESZ A,HU X,KLEINSCHNITZ C,et al.Functional role of regulatory lymphocytes in stroke:facts and controversies[J].Stroke,2015,46(5):1422-1430.
[4]周红艳,谭玲玲,王志敏.情感护理法在改善痴呆患者生活质量与精神状况中的运用[J].中南医学科学杂志,2017,45(4):430-432.
[5]RASKOB G,WENDELBOE A M.Global public awareness of venous thromboembolism:reply[J].J Thromb Haemost,2016,14(5):1111-1112.
[6]王敬斋,张树荣.Zung焦虑抑郁自评量表对消化内科门诊患者焦虑抑郁的测评[J].临床消化病杂志,2016,28(3):150-153.
[7]张娇,闫城,黄芳.Zung氏焦虑抑郁量表测评心血管内科住院患者的适用性分析[J].实用预防医学,2017,24(8):909-912.
[8]BERENCSI A,D魷SA E,NEMES B,et al.Endovascular treatment of acute iliofemoral deep venous thrombosisouresults with catheter-directed thrombolysis and AngioJet[J].Magy Seb,2017,70(1):24-31.
[9]曾丽,张芳,罗春美.急诊科脑卒中患者预见性护理的临床观察[J].当代医学,2017,23(22):143-144.
[10]蔡华安,王婷,邓景贵,等.脑卒中患者合并下肢急性深静脉血栓早期康复策略[J].中国康复医学,2017,32(7):808-811.
[11]YAKOVLEV S B,BOCHAROV A V,MIKELADZE K,et al.Endovascular treatment of cute thrombosis of cerebral veins and sinuses[J].Neuroradiol J,2014,27(4):471-478.
[12]梁妮,李春荣.Autar量表在骨科大手术患者深静脉血栓形成风险评估中的应用[J].护理实践与研究,2013,10(2):49-50.
[13]CHENG X,ZHANG L,XIE N C,et al.High plasma levels of D-Dimer are independently associated with a heightened risk of deep vein thrombosis in patients with intracerebral hemorrhage[J].Mol Neurobiol,2016,53(8):5671-5678.
[14]HAIG Y,ENDEN T,SLAGSVOLD C E,et al.Determinants of early and long-term efficacy of catheter-directed thrombolysis in proximal deep vein thrombosis[J].J Vasc Interv Radiol,2013,24(1):17-24;quiz 26.
[15]庄伟清,张杰.改良Autar量表在脑卒中患者深静脉血栓预防中的应用[J].解放军护理杂志,2014,31(12):68-70.
[2]MELGAARD L,GORST-RASMUSSEN A,LANE D A,et al.Assessment of the CHA2DS2-VASc score in predicting ischemic stroke,thromboembolism,and death in patients with heart failure with and without atrial fibrillation[J].JAMA,2015,314(10):1030-1038.
[3]LIESZ A,HU X,KLEINSCHNITZ C,et al.Functional role of regulatory lymphocytes in stroke:facts and controversies[J].Stroke,2015,46(5):1422-1430.
[4]周红艳,谭玲玲,王志敏.情感护理法在改善痴呆患者生活质量与精神状况中的运用[J].中南医学科学杂志,2017,45(4):430-432.
[5]RASKOB G,WENDELBOE A M.Global public awareness of venous thromboembolism:reply[J].J Thromb Haemost,2016,14(5):1111-1112.
[6]王敬斋,张树荣.Zung焦虑抑郁自评量表对消化内科门诊患者焦虑抑郁的测评[J].临床消化病杂志,2016,28(3):150-153.
[7]张娇,闫城,黄芳.Zung氏焦虑抑郁量表测评心血管内科住院患者的适用性分析[J].实用预防医学,2017,24(8):909-912.
[8]BERENCSI A,D魷SA E,NEMES B,et al.Endovascular treatment of acute iliofemoral deep venous thrombosisouresults with catheter-directed thrombolysis and AngioJet[J].Magy Seb,2017,70(1):24-31.
[9]曾丽,张芳,罗春美.急诊科脑卒中患者预见性护理的临床观察[J].当代医学,2017,23(22):143-144.
[10]蔡华安,王婷,邓景贵,等.脑卒中患者合并下肢急性深静脉血栓早期康复策略[J].中国康复医学,2017,32(7):808-811.
[11]YAKOVLEV S B,BOCHAROV A V,MIKELADZE K,et al.Endovascular treatment of cute thrombosis of cerebral veins and sinuses[J].Neuroradiol J,2014,27(4):471-478.
[12]梁妮,李春荣.Autar量表在骨科大手术患者深静脉血栓形成风险评估中的应用[J].护理实践与研究,2013,10(2):49-50.
[13]CHENG X,ZHANG L,XIE N C,et al.High plasma levels of D-Dimer are independently associated with a heightened risk of deep vein thrombosis in patients with intracerebral hemorrhage[J].Mol Neurobiol,2016,53(8):5671-5678.
[14]HAIG Y,ENDEN T,SLAGSVOLD C E,et al.Determinants of early and long-term efficacy of catheter-directed thrombolysis in proximal deep vein thrombosis[J].J Vasc Interv Radiol,2013,24(1):17-24;quiz 26.
[15]庄伟清,张杰.改良Autar量表在脑卒中患者深静脉血栓预防中的应用[J].解放军护理杂志,2014,31(12):68-70.