摘要
目的探讨循证护理对预防妇科腹腔镜手术患者静脉血栓的作用。方法方便选择收治妇科腹腔镜手术患者200例,所有患者均于2018年7月-2019年6月在该院接受治疗,随机分为实验组(n=100)和常规组(n=100)。常规组接受常规护理,实验组接受循证护理,观察两组静脉血栓发生情况。结果实验组出现DVT症状比例8.0%,显著低于常规组的29.0%(χ~2=11.760,P=0.000)。实验组预防静脉血栓健康知识得分(89.1±10.4)分,显著高于常规组的(74.5±12.0)分(t=9.670,P=0.000)。实验组DVT检出率2.0%,显著低于常规组的9.0%(χ~2=4.260,P=0.010)。实验组下肢深静脉流速(25.3±3.2)cm/s,显著高于常规组的(20.1±2.3)cm/s(t=4.020,P=0.000)。实验组DVT平均直径(0.22±0.16)cm,显著小于常规组的(0.41±0.16)cm(t=4.670,P=0.000)。结论针对妇科腹腔镜手术患者实施循证护理,可明显强化患者对疾病知识的掌握,降低下肢深静脉血栓发生风险。
Objective To investigate the effect of evidence-based nursing on prevention of venous thrombosis in patients undergoing gynecological laparoscopic surgery. Methods Convenient select 200 patients with gynecological laparoscopic surgery were selected. All patients were treated in the hospital from July 2018 to June 2019. They were randomly divided into the experimental group(n =100) and the conventional group(n =100). The routine group received routine care, the experimental group received evidence-based care, and the occurrence of venous thrombosis in the two groups was observed.Results The proportion of DVT symptoms in the experimental group was 8.0%, which was significantly lower than 29.0% in the conventional group(χ~2=11.760, P =0.000). The score of health knowledge on prevention of venous thrombosis in the experimental group was(89.1±10.4) points, which was significantly higher than that in the conventional group(74.5±12.0)points(t=9.670, P=0.000). The detection rate of DVT in the experimental group was 2.0%, which was significantly lower than the 9.0% in the conventional group(χ~2=4.260, P=0.010). The lower extremity deep vein velocity(25.3±3.2)cm/s in the experimental group was significantly higher than that in the conventional group(20.1 ±2.3)cm/s(t=4.020, P=0.000). The average diameter of DVT in the experimental group was(0.22±0.16) cm, which was significantly smaller than that in the conventional group(0.41±0.16) cm(t=4.670, P=0.000). Conclusion Evidence-based nursing for gynecological laparoscopic surgery patients can significantly strengthen patients’ knowledge of the disease and reduce the risk of lower extremity deep vein thrombosis.
作者
肖风平
XIAO Feng-ping(Department of Gynecology,Guanxian People's Hospital,Guanxian,Shandong Province,252500 China)
出处
《中外医疗》
2020年第8期130-132,共3页
China & Foreign Medical Treatment
关键词
腹腔镜手术
静脉血栓
循证护理
Laparoscopic surgery
Venous thrombosis
Evidence-based nursing
作者简介
肖风平(1984-),女,山东冠县人,本科,主管护师,研究方向:妇科护理。
