Establishment and effects of preventive nursing sensitivity indicators for venous thromboembolism in orthopedic patients
10.3760/cma.j.issn.1674-2907.2019.14.013
- VernacularTitle:护理质量敏感指标在骨科患者静脉血栓栓塞症预防中的建立与应用
- Author:
Kai ZHU
1
;
Ruting GU
;
Fang WANG
;
Yanqin CHENG
;
Lili LYU
;
Aiping ZHAO
;
Xia HUANG
Author Information
1. 青岛大学附属医院脊柱外科
- Keywords:
Orthopedics;
Venous thromboembolism;
Nursing quality;
Sensitivity indicator;
Prevention
- From:
Chinese Journal of Modern Nursing
2019;25(14):1773-1777
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To explore the establishment and effects of preventive nursing sensitivity indicators for venous thromboembolism (VTE) in orthopedic patients. Methods? Preventive nursing sensitivity indicators for VTE in orthopedic patients were established using Delphi expert consultation method. Totally 160 patients before the preventive nursing sensitivity indicators for VTE were carried out (May 2017) were selected as the control group, while another 201 patients after the indicators were carried out (November 2017) were selected as the study group. Patients in the control group received conventional preventive nursing care for VTE, whereas patients in the study group received monitoring and management using the self-developed preventive nursing sensitivity indicators for VTE. Patients' incidence rate of VTE, satisfaction with VTE prevention, accuracy of VTE risk assessment, awareness rate of health education knowledge, implementation rate of physical prevention measures, achievement rate of nurses' VTE-associated knowledge and skills before and after the indicators were carried out. Results? Patients' incidence rate of VTE was 25‰ before the indicators were carried out, while that after the indicators were carried out was 5‰ (P=0.175); patients' satisfaction before the indicators were carried out was 78.12%, while that after the indicators were carried out was 93.53% (χ2=18.344, P＜0.001); and there were statistically significant differences in accuracy of VTE risk assessment, awareness rate of health education knowledge, implementation rate of physical prevention measures and achievement rate of nurses' VTE-associated knowledge and skills before and after the indicators were carried out (P＜ 0.01). Conclusions? The establishment and application of preventive nursing sensitivity indicators for VTE can effectively improve the nursing quality of VTE prevention as well as patient's satisfaction.
