Application of co-management mode in prevention of perioperative venous thromboembolism in elderly patients with hip fractures
10.3760/cma.j.cn115682-20200810-04825
- VernacularTitle:共管模式在老年髋部骨折患者围手术期静脉血栓栓塞症预防中的应用
- Author:
Yanyan WANG
1
;
Jing LI
;
Yuru GUO
;
Libai CAI
;
Yi ZHANG
;
Like ZHANG
;
Hao FAN
;
Yanjin LIU
Author Information
1. 郑州大学第一附属医院骨科，郑州 450052
- Keywords:
Aged;
Hip fracture;
Perioperative care;
Venous thromboembolism;
Venous thrombosis;
Co-management mode;
Multidisciplinary collaboration
- From:
Chinese Journal of Modern Nursing
2021;27(4):431-436
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application effect of co management mode in the prevention of perioperative venous thromboembolism (VTE) in elderly patients with hip fractures.Methods:Using the convenient sampling method, a total of 146 elderly patients with hip fractures who were admitted to the First Affiliated Hospital of Zhengzhou University from January to December 2019 were selected as the research objects. A total of 73 patients admitted from January to June 2019 were set as the control group and they were given routine venous thrombosis risk assessment, treatment, education and so on, while 73 patients admitted from July to December 2019 were set as the experimental group and they were given management according to co-management mode. The incidence of VTE, first out-of-bed activity time, hospital stays and expenses, awareness rate of VTE-related knowledge and level of DVT health belief were compared between the two groups.Results:After implementing the co management mode, the incidence of postoperative VTE in the experimental group was lower than that in the control group ( P<0.05) . The first out-of-bed activity time and hospital days in the experimental group were shorter than those in the control group, the hospital expense was lower than that in the control group, and DVT health belief score and VTE-related knowledge score were higher than those in the control group, and the differences were statistically significant ( P<0.05) . The scores of disease susceptibility, disease severity, health behavior benefits and self-efficacy in DVT health beliefs in the experimental group were higher than those in the control group ( P<0.05) . There was no statistically significant difference in the scores of obstacle and health motivation dimensions of healthy behaviors between the two groups ( P>0.05) . Conclusions:The application of co-management mode in elderly patients with hip fractures during the perioperative period can improve DVT health beliefs of patients and improve their VTE-related knowledge mastery, shorten the hospital stay, effectively prevent the occurrence of VTE and promote rapid recovery of patients.
