摘要
目的 探讨血栓评分指引护理模式对人工髋关节置换术患者血栓风险的影响。方法选取2019年1月-2021年10月我院收治的77例人工髋关节置换术患者,随机将其分为观察组(n=40)和对照组(n=37)。对照组给予常规护理,观察组在上述方案上还需实施血栓评分指引护理,比较两组髋关节Harris、Caprini评分、生活质量综合评估问卷(GQOL-74)、深静脉血栓形成(DVT)发生率。结果 与护理前及对照组护理后对比,观察组护理后Harris评分显著增高,Caprini评分显著降低(P<0.05)。与护理前及对照组护理后对比,观察组护理后躯体功能、心理状态、社会功能、物质生活评分显著增高(P<0.05)。两组护理7 d、1个月后DVT发生率比较无显著差异(P>0.05);与对照组比较,观察组护理3个月后DVT发生率显著降低(P<0.05)。结论 血栓评分指引护理模式用于人工髋关节置换术患者,有利于髋关节功能恢复,可以提高患者生活质量,降低DVT发生率,临床应当关注。
Objective: To explore the effect of nursing model guided by thrombus score on thrombosis risk of patients with artificial hip replacement. Methods: 77 patients with artificial hip replacement in our hospital from January 2019 to October 2021 were selected, and were randomly divided into observation group(n=40) and control group(n=37). The control group was given routine care, and the observation group was also given the nursing guided by thrombus score. The incidence of Harris score, Caprini score, generic quality of life inventory(GQOL-74) and deep vein thrombosis(DVT) were compared between the two groups. Results: Compared with before and after nursing in the control group, Harris score in the observation group increased significantly and Caprini score decreased significantly after nursing(P<0.05). Compared with before and after nursing in the control group, the scores of physical function,psychological state, social function and material life in the observation group were significantly higher after nursing(P<0.05). There was no significant difference in DVT incidence between the two groups after 7 d and 1 month of nursing(P>0.05). Compared with the control group, the incidence of DVT in the observation group decreased significantly after 3 months of nursing(P<0.05). Conclusion: Thrombosis score guidelines for nursing model on patients with artificial hip replacement is beneficial to the recovery of hip joint function, the improvement of quality of life and the reduction of DVT incidence, which should be paid attention to in clinic.
作者
冯小英
叶庚秀
FENG Xiao-ying;YE Geng-xiu(People's Hospital of Ganxian District,Ganzhou Jiangxi 341100,China)
出处
《透析与人工器官》
2022年第4期103-105,112,共4页
Chinese Journal of Dialysis and Artificial Organs
关键词
血栓
人工髋关节置换术
生活质量
thrombosis
artificial hip replacement
quality of life
作者简介
通讯作者:冯小英,E-mail:1164116332@qq.com
