摘要
目的 分析全面护理预防颅脑外伤术后下肢深静脉血栓形成的效果。方法 以我院2020.4~2021.4内收治的40例颅脑外伤术后患者为本次研究对象,所选患者以临床护理差异分为常规组(20例,常规护理)和全面组(20例,全面护理),统计对比两组患者下肢静脉血栓发生率及患者对护理服务的满意度评分。结果 全面组无下肢静脉血栓发生,常规组患者下肢静脉血栓发生率为20.00%,显著高于全面组,患者对护理服务的满意度评分也显著低于全面组,差异有统计学意义(P<0.05)。护理后全面组患者的症状缓解、心理健康、并发症指标均优于常规组患者,两组对比差异具有统计学意义(P<0.05)。结论 在颅脑外伤术后患者的临床护理中采取全面护理,可有效降低下肢静脉血栓及提高患者的护理满意度,值得临床应用。
关键词: 颅脑外伤术后;全面护理;下肢深静脉血栓
Abstract
Objective To analyze the effect of comprehensive nursing on prevention of deep venous thrombosis of lower limbs in patients with severe craniocerebral trauma. Methods 40 patients with severe craniocerebral trauma in our hospital from March 2022 to April 2022 were selected as the research objects. The selected patients were divided into routine group (20 cases, routine nursing) and comprehensive group (20 cases, comprehensive nursing) according to the difference of clinical nursing. The incidence rate of lower extremity venous thrombosis and the satisfaction score of nursing service were compared between the two groups. Results there was no lower extremity venous thrombosis in the comprehensive group, and the incidence of lower extremity venous thrombosis in the conventional group was 20.00%, which was significantly higher than that in the comprehensive group, but the satisfaction score of patients with nursing service was significantly lower than that in the comprehensive group, and the difference was statistically significant (P < 0.05). Symptom relief, mental health and complications of patients in the comprehensive group were better than those in the conventional group after nursing, and the difference between the two groups was statistically significant (P<0.05).Conclusion comprehensive nursing in the clinical nursing of patients with severe craniocerebral trauma can effectively reduce lower extremity venous thrombosis and improve the nursing satisfaction of patients, which is worthy of clinical application.
Key words: Severe craniocerebral trauma; Comprehensive nursing; Deep venous thrombosis of lower extremity
参考文献 References
[1] 吴杨. 早期护理干预对脑卒中重症病人预防深静脉血栓形成的效果[J]. 血栓与止血学, 2020, 026(001):125-126.
[2] 李豆敏, 王鹏. 重症监护室中预防性护理干预减少下肢深静脉血栓形成的效果[J]. 血栓与止血学, 2020, 26(03):143-144.
[3] 菅敏钰, 俞美荣, 刘海洋,等. 颅脑外伤术后下肢深静脉血栓影响因素分析[J]. 国际麻醉学与复苏杂志, 2019, 040(011):1041-1044.
[4] 耿振楠. 护理干预在预防神经外科重症监护患者下肢深静脉血栓形成中的临床观察[J]. 血栓与止血学, 2018, 24(04):138-139.
[5] 董慧, 马佳牧, 和红静. 综合护理干预措施对重症监护室危重患者下肢深静脉血栓形成的预防效果[J]. 血栓与止血学, 2019, 025(002):304-306.
[6] 邵富莲.颅脑外伤术后下肢深静脉血栓形成的预防及护理应用满意度评价[J].现代诊断与治疗, 2021, 32(15):246-279.
[7] 杨岩岩.颅脑外伤术后昏迷患者下肢深静脉血栓的防治及护理体会[J].临床医药文献电子杂志,2020,7(15):185-197.
[8] 董秀玉,刘红艳,王砚书.全面护理预防骨科术后患者发生下肢深静脉血栓形成的作用效果[J].中国保健营养,2021,31(19):55-62.
[9] 辛俊颖,高建华.全方位护理干预预防人工髋关节置换术后下肢深静脉血栓形成的效果分析[J].世界最新医学信息文摘(连续型电子期刊),2020,20(62):280-281.