Effect of comprehensive rehabilitation nursing on deep venous thrombosis of lower extremityin elderly patients with long-term bed rest
基于综合康复护理对长期卧床老年患者下肢深静脉血栓的影响

摘要

目的 基于综合康复护理对长期卧床老年患者下肢深静脉血栓的影响。方法 在2021年1月-2021年12月期间选择（96）例因长期卧床的老年病人，参与本次调研病人均接受对症治疗与护理，按照护理干预方案将病人归纳为2个小组，每组所纳入例数为（48）例，按照护理方案分别命名为常规组、研究组，常规组所采用的护理方案为常规护理，研究组则采用综合康复护理。总结与探究2种护理方案实施效果。结果 常规组护理满意评分结果与研究组护理满意评分结果相比较低，经过对照存在差异，（P<0.05）。护理后常规组大腿周径、小腿周径仍大于研究组，经对照存在差异，（P<0.05）。且护理后常规组SDS评分结果、SAS评分结果有所降低，与护理前对照存在差异，（P<0.05）。护理后研究组SDS评分结果、SAS评分结果有所降低，与护理前对照存在差异，（P<0.05）。结论 基于综合康复护理对长期卧床老年患者下肢深静脉血栓可起到预防的作用，此方案值得临床应用与普及。

Abstract

Objective Based on the effect of comprehensive rehabilitation nursing on lower limb deep vein thrombosis in long-term bedridden elderly patients.
Methods During the period of January 2021 to December 2021, 96 cases of long-term bedridden elderly patients were selected to participate in this study, and all the patients received symptomatic treatment and nursing care, and according to the nursing intervention programme, the patients were grouped into two groups, and the number of cases included in each group was 48, and according to the nursing programme, the patients were named as the routine group and the research group respectively, and the nursing programme adopted in the routine group was routine nursing care, and that in the research group was comprehensive rehabilitation nursing care. The nursing programme used in the conventional group was conventional nursing care and in the research group, comprehensive rehabilitation nursing care was used. The results of the two nursing programmes were summarized and investigated.
Results The nursing care satisfaction score of the conventional group was lower than that of the research group, and there was a difference in the control (P<0.05). Thigh circumference and calf circumference of the conventional group were still larger than that of the research group after nursing, and there was a difference after control, (P<0.05). And the SDS score results and SAS score results of the conventional group decreased after care, and the difference existed with the control before care, (P<0.05). The SDS score results and SAS score results of the research group were reduced after nursing, and there was a difference with the pre-nursing control, (P<0.05).
Conclusion   Based on the comprehensive rehabilitation nursing for long-term bedridden elderly patients lower extremity deep vein thrombosis can play a preventive role, this programme is worthy of clinical application and popularization.