摘要
目的探讨床上减压运动在预防老年卧床患者深静脉血栓形成中的效果。方法便利抽样法选取2013年7月至2014年6月在宝鸡市中心医院治疗的128例老年住院患者为研究对象,按入院先后将其分为对照组(2013年7-12月)和观察组(2014年1-6月),每组64例。对照组患者给予翻身拍背等常规护理,观察组患者在常规护理基础上实施床上减压活动。入院两周后,比较两组患者的血液凝血因子(R值)、最大块的强度(MA值)情况以及深静脉血栓的发生率和患者的舒适度。结果观察组患者中发生深静脉血栓2例(4.69%),对照组患者发生深静脉血栓14例(21.86%),差异有统计学意义(χ2=8.208,P<0.05)。入院2周,观察组患者R值、MA值均明显低于对照组,差异均有统计学意义(均P<0.05)。观察组53例(82.81%)患者表示舒适,明显高于对照组的26例(26.56%),差异有统计学意义(P<0.05)。结论床上减压运动可有效减少深静脉血栓的发生率。
Objective To discuss the effect of on-bed decompression exercise in the prevention of deep venous thrombosis of elderly patients.Methods By convenience sampling,128 cases of elderly hospitalized patients were selected and equally divided into control group（July to December 2013）and observation group（January to June 2014）.The control group was given routine nursing,while the observation group received decompression exercise on bed on the basis of routine nursing.After two weeks of admission,the blood coagulation factor（R value）,maximum intensity（MA value）,and incidence rate of deep venous thrombosis and comfort level of patients were compare between two groups.Results The intervention group had deep vein thrombosis in 2cases（4.69%）,and the control group had 14 cases of deep venous thrombosis（21.86%）,which was significant difference between two groups（χ2=8.208,P〈0.05）.The patients in the intervention group of R and MA values were significantly lower than those in the control group（all P〈0.05）.The 53 patients in the observation group（82.81%）felt comfortable,which were more than that of patients 26 cases in the control group（26.56%）（P〈0.05）.Conclusion The decompression exercise on bed can effectively reduce the incidence of deep venous thrombosis.
出处
《解放军护理杂志》
CSCD
2015年第18期12-14,共3页
Nursing Journal of Chinese People's Liberation Army
关键词
深静脉血栓
老年
减压
舒适度
deep venous thrombosis
elderly
decompression
comfort level
作者简介
屈伟侠，本科，主管护师，研究方向为内科护理管理
