Effect of prospective nursing on lower extremity deep vein thrombosis in stroke patients with hemiplegia
前瞻性护理对脑卒中偏瘫患者下肢深静脉血栓发生的影响分析

摘要

目的 分析前瞻性护理用于脑卒中偏瘫的价值。方法 对2021年1月-2022年6月本科接诊脑卒中偏瘫病人（n=150）进行随机分组，试验和对照组各75人，前者采取前瞻性护理，后者行常规护理。对比下肢深静脉血栓等指标。结果 关于下肢深静脉血栓，试验组的发生率1.33%，和对照组10.67%相比更低（P＜0.05）。关于下肢腘静脉血液流速，在干预结束时：试验组数据（14.68±3.25）CM/s，和对照组（10.07±2.79）CM/s相比更高（P＜0.05）。关于住院时间，试验组数据（19.24±1.97）d，和对照组（24.85±2.74）d相比更高（P＜0.05）。关于满意度，试验组的数据97.33%，和对照组85.33%相比更高（P＜0.05）。关于护理质量：试验组数据（98.64±1.03）分，对照组数据（91.79±2.51）分相比更高（P＜0.05）。结论 脑卒中偏瘫用前瞻性护理，下肢深静脉血栓发生率更低，住院时间更短，满意度提升更为迅速，护理质量改善更加明显。

Abstract

Objective To analyze the value of prospective nursing for stroke hemiplegia.
Methods From January 2021 to June 2022, 150 stroke patients (n=150) were randomly divided into experimental group and control group, with 75 patients in each group. The former received prospective nursing, while the latter received routine nursing. Lower extremity deep vein thrombosis and other indicators were compared.
Results The incidence of lower extremity deep vein thrombosis in the experimental group was 1.33%, which was lower than that in the control group (10.67%) (P < 0.05). At the end of intervention, the blood velocity of popliteal vein in the lower extremity was (14.68±3.25) CM/s in the experimental group, which was higher than that in the control group (10.07±2.79) CM/s (P < 0.05). The length of hospital stay in the experimental group was (19.24±1.97) d, which was higher than that in the control group (24.85±2.74) d (P < 0.05). As for satisfaction, the data of the experimental group was 97.33%, which was higher than that of the control group (85.33%) (P < 0.05). About the quality of care: the score of the experimental group (98.64±1.03) was higher than that of the control group (91.79±2.51) (P < 0.05).
Conclusion   Prospective nursing for stroke hemiplegia can reduce the incidence of lower extremity deep vein thrombosis, shorten the length of hospital stay, improve the satisfaction more rapidly, and improve the quality of nursing more obviously.