Application of nursing risk management in oncology patients at high risk for VTE
护理风险管理在肿瘤科VTE高风险患者中的应用

摘要

目的 分析护理风险管理用于肿瘤科VTE（恶性肿瘤相关静脉血栓）高风险病人的价值。方法 对2021年9月-2022年9月本院肿瘤科接诊恶性肿瘤病人（n=400）进行随机分组，试验和对照组各200人，前者采取护理风险管理，后者行常规护理管理。对比VTE发生率等指标。结果 关于VTE发生率，试验组数据2.5%，和对照组数据8.0%相比更低（P＜0.05）。关于血栓认知度：试验组数据（94.23±2.56）分，和对照组数据（79.41±4.28）分相比更高（P＜0.05）。关于D-二聚体水平，干预结束时：试验组数据（2.71±0.48）mg/L，和对照组数据（4.12±0.59）mg/L相比更低（P＜0.05）。关于满意度，试验组数据98.0%，和对照组数据88.5%相比更高（P＜0.05）。结论 肿瘤科VTE高风险病人用护理风险管理，VTE发生率更低，D-二聚体水平改善更加明显，血栓认知度提升更为迅速，满意度也更高。

Abstract

Objective To analyze the value of nursing risk management for patients at high risk of VTE (malignancy related venous thrombosis) in oncology department.
Methods Patients with malignant tumors (n=400) admitted to the oncology department of our hospital from September 2021 to September 2022 were randomly divided into two groups, 200 in each of the trial and control groups. The former received nursing risk management, while the latter received routine nursing management. The incidence of VTE and other indicators were compared.
Results The incidence of VTE was 2.5% in the experimental group, which was lower than 8.0% in the control group (P < 0.05). Thrombosis awareness: the test group (94.23±2.56) points, compared with the control group (79.41±4.28) points (P < 0.05). The level of D-dimer at the end of the intervention was lower in the experimental group (2.71±0.48) mg/L than in the control group (4.12±0.59) mg/L (P < 0.05). As for satisfaction, the data of the experimental group was 98.0%, which was higher than that of the control group 88.5% (P < 0.05).
Conclusion   With nursing risk management for high-risk patients with VTE in oncology department, the incidence of VTE is lower, the level of D-dimer is improved more obviously, the awareness of thrombosis is improved more rapidly, and the satisfaction is also higher.