Effect of integrated nursing care mode on lower extremity deep venous thrombosis in bedridden patients
10.3760/cma.j.issn.1672-7088.2019.12.009
- VernacularTitle: 医护一体化护理模式对卧床患者下肢深静脉血栓发生的影响
- Author:
Qin HUANG
1
;
Huimin LI
2
;
Xiaodian ZHANG
3
Author Information
1. Department of internal medicine, Donghu branch of the Second Affiliated Hospital of Hainan Medical University, Haikou 570203, China
2. Dalian Institute of Theoretical Medicine, 116013
3. Hainan Medical College, Drug Safety Evaluation Research Center, Haikou 571199, China
- Publication Type:Clinical Trail
- Keywords:
Health care integrated nursing mode;
Bedridden patients;
Lower extremity deep venous thrombosis
- From:
Chinese Journal of Practical Nursing
2019;35(12):920-923
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the influence of integrated nursing care mode on the incidence of deep vein thrombosis in lower extremities in bedridden patients.
Methods:82 cases of chronic bed rest patients in our hospital were selected as clinical subjects. The time of admission was from December 2016 to December 2017. The patients were divided into control group (routine nursing, 41 cases) and observation group (medical nursing integrated nursing, 41 cases). To compare the influence of nursing intervention on the incidence of deep venous thrombosis of the lower extremities.
Results:After treatment, the incidence of deep vein thrombosis in the control group was 24.39% (10/41), and that in the observation group was 4.88% (2/41). The difference was statistically significant (χ2=6.248, P<0.05). The prevention disease score and nursing satisfaction score of the observation group were (35.01±4.21) points and (87.02±5.22) points, and the control group were (28.65±5.87) points and (68.75±4.64) points. The difference was statistically significant (t=5.638, 16.750, P<0.01). The DD dimer, aPTT and PT of the observation group were (448.82±56.27) ug/L, (29.75±2.01) s, (12.88±0.65) s, and the control group were (610.32±72.88) ug/L, (26.81±1.98) s, (10.54±0.59) s. The differences were statistically significant (t=11.231, 6.672, 17.068, P<0.05).
Conclusion:For the patients in bed, the effect of nursing intervention is obvious, which can effectively reduce the incidence of deep venous thrombosis and improve the blood coagulation function of the patients.
