摘要
目的 探讨分析护理质量敏感性指标监测管理在骨科患者静脉血栓栓塞症预防效果。方法 将我院80例骨科患者按照护理模式不同分为40人一组，观察组应用护理质量敏感性指标监测管理、对照组常规护理干预，对比两组VTE发生率和相关护理质量评分差异。结果 观察组无VTE发生，护理满意度92.50%（37/40），均好于对照组5.00%（2/40）、75.00%（30/40），统计差异明显（P＜0.05）。同时观察组VTE预防护理质量各项评分均高于对照组（P＜0.05）。结论 骨科应用护理质量敏感性指标监测管理制度，能明显降低患者形成下肢深静脉血栓，提高护理质量的同时患者满意度也得到了提升。
关键词： 护理质量敏感性指标监测管理；骨科；静脉血栓栓塞症
Abstract
Objective To explore and analyze the effect of monitoring and management of nursing quality sensitivity index in the prevention of venous thromboembolism in orthopedic patients. Methods A total of 80 orthopedic patients in our hospital were divided into a group of 40 patients according to different nursing modes. The observation group was monitored by nursing quality sensitivity index, while the control group received routine nursing intervention. The incidence of VTE and related nursing quality scores were compared between the two groups. Results No VTE occurred in the observed group, and the nursing satisfaction was 92.50% (37 / 40), which was better than the 5.00% (2/ 40) and 75.00% (30 / 40) of the control group, and the statistical difference was significant (P <0.05). All the quality of VTE preventive care was higher than that of the control group (P <0.05). Conclusion The application of nursing quality sensitivity index monitoring and management system in orthopedics can significantly reduce the formation of lower limb deep vein thrombosis in patients, and improve the nursing quality of patients at the same age.
Key words： Nursing quality sensitivity index monitoring management; Bone; Venous thromboembolism
参考文献 References
[1] 祝凯，谷如婷，王芳等.护理质量敏感指标在骨科患者静脉血栓栓塞症预防中的建立与应用[J].中华现代护理杂志,2019，25(14):1773-1777.
[2] 杨旸，焦晓兰，李丹等.护理质量敏感性指标监测管理在骨科患者静脉血栓栓塞症预防效果[J].血栓与止血学. 2022,28(03):693-964.
[3] 余丽娟,袁丽,刘春花,等. 基于Caprini风险评估模型的护理干预对骨科大手术静脉血栓栓塞症的预防效果[J]. 中国实用护理杂志. 2021,37(15):1152-1157.
[4] 武慧英.护理质量敏感指标在骨科静脉血栓预防护理管理中的应用[J].循证护理.2021,(17).2405-2408.
[5] 晏蓉，李素云，赵诗雨等.基于循证构建静脉血栓栓塞症预防护理敏感质量指标体系[J].护理学杂志. 2021,36(10):57-61.
[6] 李海燕，王金萍，植艳茹等.静脉血栓栓塞症预防循证护理方案在骨科住院患者中的应用[J].解放军护理杂志,2021,38(1):57-60.
[7] 修璐.综合护理干预对创伤骨科术后发生下肢静脉血栓栓塞症的预防作用观察 [J].中国伤残医学,2021,29(21):15-17.
[8] 吴桂荣，黎凌云，覃冬梅等.预防性护理干预在骨科患者术后下肢静脉血栓栓塞症中的应用效果[J].中国当代医药. 2019,26(18):208-210,214.
[9] 何晓红，董雪云，王琦等. 全程血栓防控体系在预防骨科患者静脉血栓栓塞症中的效果分析[J].护士进修杂志. 2019,34(1):52-54.
[10] 朱雅，金莉雅，陈玉梅等.三位一体共管模式在骨科大手术患者围术期静脉血栓栓塞症预防中的应用 [J].中华创伤杂志.2021，37(8)：739-743.