Effect of enhanced recovery after surgery nursing on lower extremity deep vein thrombosis in elderly patients undergoing hip arthroplasty
10.3760/cma.j.cn115682-20210421-01753
- VernacularTitle:加速康复外科护理对老年髋关节置换术患者下肢深静脉血栓的影响
- Author:
Qian LIU
1
;
Ning LIU
;
Dandan SHAN
;
Aobo LIU
;
Hui ZHI
Author Information
1. 河南省人民医院（郑州大学人民医院）麻醉与围术期医学科病房手术室，郑州 450003
- Keywords:
Aged;
Perioperative nursing;
Venous thrombosis;
Hip replacement;
Enhanced recovery after surgery;
Coagulation function
- From:
Chinese Journal of Modern Nursing
2022;28(5):672-675
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application value of enhanced recovery after surgery (ERAS) nursing in the prevention of lower extremity deep vein thrombosis (LDVT) of elderly patients with hip arthroplasty (HA) .Methods:A total of 105 elderly HA patients in Henan Provincial People's Hospital (Zhengzhou University People's Hospital) from February 2019 to August 2020 were selected by the convenient sampling method. Patients were divided into the control group (52 cases) and the observation group (53 cases) by the random number table method. The control group received routine nursing intervention, while the observation group received ERAS nursing intervention on this basis. The coagulation function [thrombin time (TT) , D-dimer, activated partial thromboplastin time (APTT) ] before operation and 3 days after operation, and incidences of LDVT, lower extremity swelling and lower extremity skin color change within 6 months were compared between two groups.Results:Three days after operation, TT and APTT levels in the observation group were higher than those in the control group, while D-dimer levels were lower than those in the control group, and the differences were statistically significant ( P<0.05) . Within 6 months, the incidences of LDVT, lower limb skin color change and lower limb swelling in the observation group were respectively 1.89%, 5.66% and 3.77%, which were lower than 15.38%, 19.23% and 17.31% in the control group, and the differences were statistically significant ( P<0.05) . Conclusions:Applying ERAS nursing to elderly HA patients can regulate the coagulation function of patients and reduce the risk of LDVT and related symptoms.
