Analysis of the application effect of cluster nursing in the prevention of lower limb venous thrombosisin patients undergoing thoracic surgery with femoral vein catheterization
集束化护理在预防胸外科手术患者股静脉置管下肢静脉血栓中的应用效果分析

摘要

目的 讨论研究在胸部外科手术患者股静脉置管中预防下肢静脉血栓开展集束化护理工作的价值作用。方法 将2021年1月1日到2022年12月31日期间科室内的100例股静脉置管患者纳入研究范围，排除食道手术患者剩余90例，现将2021年胸部手术置管患者分配分为对照组（50例接受常规基础护理）、2022年手术置管患者观察组（40例接受集束化护理），对比两组患者血栓率，对比两组患者对护理工作满意情况。结果 观察组整体无血栓，明显低于对照组血栓率8%，P<0.05，有统计学差异。观察组整体患者对护理工作满意度明显高于对照组，P<0.05，有统计学差异。结论 在股静脉置管病人预防下肢静脉血栓中开展集束化护理工作可以起到较好预防作用，将血栓率控制在合理范围，为患者提供更为满意的护理服务。

Abstract

Objective To discuss and study the value of bundle nursing in femoral vein catheterization for prevention of lower extremity venous thrombosis in thoracic surgery patients.
Methods A total of 100 patients with femoral vein catheterization in the department from January 1, 2021 to December 31, 2022 were included in the study, and the remaining 90 patients with esophageal surgery were excluded. Now, the patients with thoracic catheterization in 2021 were divided into the control group (50 cases received routine basic nursing) and the observation group (40 cases received intensive care). The thrombosis rate of patients in the two groups and the satisfaction with nursing work of patients in the two groups were compared.
Results There was no thrombus in the observation group as a whole, which was 8% lower than that in the control group (P<0.05), with statistical difference. The overall patient satisfaction with nursing work in the observation group was significantly higher than that in the control group (P<0.05), with statistical difference.
Conclusion   Cluster nursing can play a better preventive role in the prevention of lower extremity venous thrombosis in patients with femoral vein catheterization, control the thrombosis rate in a reasonable range, and provide patients with more satisfactory nursing services.