Effects of bundle care on preventing deep vein thrombosis in elderly patients with gastrointestinal carcinoma in perioperative period
10.3760/cma.j.issn.1674-2907.2017.30.004
- VernacularTitle:集束化护理在预防老年胃肠道肿瘤患者围术期深静脉血栓中的应用
- Author:
Wenqing HU
1
;
Tingting CAI
;
Huihong WANG
;
Rong ZHANG
;
Ying LIU
;
Meijuan CAO
Author Information
1. 江南大学附属医院(无锡市第四人民医院)胃肠外科
- Keywords:
Neoplasms;
Gastrointestinal tract;
Perioperative nursing;
Care bundles;
Deep vein thrombosis
- From:
Chinese Journal of Modern Nursing
2017;23(30):3827-3830
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effects of bundle care on preventing deep vein thrombosis (DVT) in elderly patients with gastrointestinal carcinoma in the perioperative period. Methods The elderly patients who received surgery for gastrointestinal carcinoma in the Department of Oncological Surgery of the Affiliated Hospital of Jiangnan University were selected as subjects in this study according to quasi-experimentation. Totally 220 patients admitted between January and December 2016 were divided into an observation group, who received bundle care as planned, while another 216 patients admitted from January to December 2015 were divided into a control group, who received conventional nursing for patients with gastrointestinal carcinoma in the perioperative period. The incidence of DVT, duration of hospital stays and satisfaction were then compared between the patients in the two groups. Results Totally 13 patients in the control group, while only 4 in the observation group, showed DVT (χ2=5.132,P<0.05). The average duration of hospital stays of the patients in the observation group was (17.27±6.17) days, shorter than that of the patients in the control group (t=34.924, P<0.01). The patients in the observation group scored (9.75±0.24) in satisfaction with nursing, higher than that of the patients in the control group (t=11.155,P<0.01). Conclusions Bundle care can help to reduce the incidence of DVT in elderly patients with gastrointestinal carcinoma in the perioperative period, shorten their average duration of hospital stays, and improve their satisfaction.
