Application effect of personalized nursing in heparin catheter-locking anticoagulant therapy of patients with fractures
10.3760/cma.j.issn.1674-2907.2019.29.025
- VernacularTitle:个性化护理在骨折患者肝素置管抗凝治疗中的应用效果
- Author:
Ning MA
1
;
Chunzhi GAO
;
Rui QIN
;
Liqin ZHOU
Author Information
1. 唐山市工人医院心外科 063000
- Keywords:
Fracture;
Heparin;
Anti-coagulants;
Personalized nursing
- From:
Chinese Journal of Modern Nursing
2019;25(29):3822-3825
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To explore application effect of personalized nursing in heparin catheter-locking anticoagulant therapy of patients with fractures. Methods? Based on the convenience random number table method, a total of 90 fracture patients in Tangshan Gongren Hospital receiving heparin catheter-locking anticoagulant therapy from June of 2016 to October of 2018 were selected and divided into the observation group and control group with 45 cases in each group. The observation group was given routine nursing during the period of heparin catheter-locking anticoagulant therapy, on the basis of that, the observation group received personalized nursing intervention. The two groups were compared in the disappearance time of symptoms, blood loss after operation, coagulation function [platelet count (PLT), fibrinogen (FIB), D-dimer (D-D)]and complications before and after intervention. Results? The disappearance time of pain, swelling and ecchymosis in the observation group was shorter than that in the control group, but the blood loss was less than that in the control group (P＜ 0.05); the levels of PLT, FIB and D-D in the observation group were lower than those in the control group (P＜0.05); the incidence of complications in the observation group was 8.88%, lower than 26.66% in the control group one month after the intervention (P＜0.05). Conclusions? Personalized nursing intervention can improve the nursing quality for fracture patients under heparin catheter-locking anticoagulant therapy and improve their coagulation function and reduce the complications after catheterization.
