Application of bundle of care in the prevention of lower extremity deep venous thrombosis among patients with severe ischemic stroke
10.3760/cma.j.issn.1674-2907.2013.33.023
- VernacularTitle:集束干预策略在预防重症缺血性脑卒中患者下肢深静脉血栓中的应用
- Author:
Qiu-Xia DENG
1
;
Lan GAO
;
Dan-Dan WANG
;
Ying ZHANG
;
Zhi-Fang JIA
;
Jie CAO
Author Information
1. 吉林大学第一医院神经内科
- Keywords:
Stroke;
Venous thrombosis;
Lower limbs;
Prevention;
Bundle of care
- From:
Chinese Journal of Modern Nursing
2013;48(33):4119-4123
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of bundle of care in the prevention of lower extremities deep venous thrombosis ( DVT) among patients with severe ischemic stroke .Methods Two hundred and twenty-eight patients with severe ischemic stroke in the Neurological Intensive Care Unit (NICU) in 2012 were selected as experimental group , and 206 patients with severe acute ischemic stroke in NICU in 2011 as control group.In the experimental group, the patients were treated with bundle of care , which included preventive screening, body position nursing care, nutrition support and liquid management , vascular protection, physical prevention, medicine prevention, passive movement and other measures .And in control group, conventional nursing was applied.The incidence of DVT was observed and compared in two groups .Results There were only 8 patients (3.51%) with lower extremities DVT in the experimental group , and 49 patients (23.79%) with lower extremities DVT in the control group , the difference was statistically significant between the two groups (χ2 =39.004 1,P <0.01).However, there was no statistically significant difference in the incidence of unilateral and bilateral limbs paralysis (χ2 =0.152 9,P=0.696).Conclusions The application of bundle of care can effectively reduce the incidence of deep venous thrombus of lower extremity in patients with severe ischemia stroke.It is worth for clinical use.
