Effect of cluster nursing intervention on reducing deep venous thrombosis in stroke patients in ICU
集束化护理干预降低ICU脑卒中患者深静脉血栓的作用分析

摘要

目的 探究集束化护理干预降低ICU脑卒中患者深静脉血栓的作用。方法 选取简阳市人民医院重症医学科2020年6月～2021年6月期间收治120例脑卒中患者，依据就诊时间分为两组：对照组（60例，常规护理），实验组（60例，集束化护理），比较两组护理效果。结果 护理后，实验组疼痛程度评分明显低于对照组，且肢体周径明显小于对照组（P＜0.05）；护理后，实验组PT、APTT、TT、INR水平明显高于对照组（P＜0.05），实验组D-二聚体、Fbg水平明显低于对照组（P＜0.05）；实验组深静脉血栓发生发生率低于对照组，无明显差异（P＞0.05）。结论 集束化护理干预可降低ICU脑卒中患者深静脉血栓发生风险，减轻患者深静脉血栓形成相关症状，改善患者凝血指标，加快康复进程。

Abstract

Objective To explore the effect of cluster nursing intervention on reducing deep venous thrombosis in stroke patients in ICU.
Methods 120 patients with stroke treated in the Department of critical medicine of Jianyang people's Hospital from June 2020 to June 2021 were divided into two groups according to the treatment time: control group(60 cases, routine nursing)and experimental group(60 cases, cluster Nursing).The nursing effects of the two groups were compared.
Results After nursing, the pain score of the experimental group was significantly lower than that of the control group, and the limb circumference was significantly smaller than that of the control group(P<0.05);After nursing, the levels of Pt, APTT,TT and INR in the experimental group were significantly higher than those in the control group(P<0.05),and the levels of D-dimer and FBG in the experimental group were significantly lower than those in the control group(P<0.05);The incidence of deep venous thrombosis in the experimental group was lower than that in the control group(P>0.05).。
Conclusion   cluster nursing intervention can reduce the risk of deep venous thrombosis in ICU stroke patients, reduce the symptoms related to deep venous thrombosis, improve the coagulation indexes and speed up the rehabilitation process.