Integrated medical care to establish a high-risk early warning model for venous thromboembolism (VTE) and its application research
医护一体化建立静脉血栓栓塞症（VTE）高危预警模式及应用研究

摘要

目的 研究医护一体化建立静脉血栓栓塞症（VTE）高危预警模式的方法及临床应用价值。方法：将我院收治的120例手术治疗患者随机分为C组（对照组）60例和Y组（研究组）60例，分别实施常规VTE预防干预、医护一体化建立VTE高危预警模式干预。统计两组患者住院期间VTE发生率；并于干预前后，检测下肢血流速度和纤溶酶原激活物抗原（tPA-Ag）；分别调查两组患者的护理满意度。结果 Y组VTE发生率为1.67%，低于C组的10%（P＜0.05）。干预后，Y组下肢血流速度、tPA-Ag均高于C组（P＜0.05）。Y组共95%的患者对护理表示满意，高于C组的95%（P＜0.05）。结论 通过医护一体化建立VTE高危预警模式能有效降低住院手术治疗患者VTE的发生率，提高患者护理满意度。

Abstract

Objective: To study the method and clinical application value of establishing a high-risk early warning model for venous thromboembolism (VTE) in the integration of medical and nursing care.
Methods: 120 surgical patients admitted to our hospital were randomly divided into 60 cases in group C (control group) and 60 cases in group Y (study group). Routine VTE prevention interventions and medical-care integration were implemented to establish VTE high-risk early warning mode interventions. The incidence of VTE during hospitalization of the two groups of patients was counted; the blood flow velocity of the lower limbs and the plasminogen activator antigen (tPA-Ag) were detected before and after the intervention; the nursing satisfaction of the two groups of patients was investigated respectively.
Results: The incidence of VTE in group Y was 1.67%, which was lower than 10% in group C (P<0.05). After the intervention, the blood flow velocity and tPA-Ag of the lower limbs of the Y group were higher than those of the C group (P<0.05). A total of 95% of patients in group Y were satisfied with their care, which was higher than 95% in group C (P<0.05).
Conclusion  : The establishment of a VTE high-risk early warning model through the integration of medical and nursing care can effectively reduce the incidence of VTE in patients undergoing surgical treatment in hospitals and improve patient care satisfaction.