Evaluation of the effectiveness of a comprehensive management model based on quality sensitive indicators on preventing intraoperative deep vein thrombosis in lower limbs in elderly patients undergoing craniocerebral surgery
Objective To study the effectiveness of a comprehensive management model based on quality sensitive indicators on preventing intraoperative deep vein thrombosis(DVT)in lower limbs in elderly patients undergoing craniocerebral surgery.Methods A total of 88 elderly patients undergoing craniocerebral surgery in the First Affiliated Hospital with Nanjing Medical University from January 2021 to June 2023 were selected as the research subjects.According to different intervention methods,patients were randomly divided into the control group and observation group,with 44 cases per group.Patients in the control group received routine nursing care,while those in the observation group received a comprehensive management model based on quality sensitive indicators plus routine nursing care.The incidence of intraoperative DVT in the lower limbs,neurological function,lower limb function,daily living ability,and nursing satisfaction were compared before and after interventions between groups.Results There were no significant differences in the National Institutes of Health Stroke Scale(NIHSS)score,Fugl-Meyer Assessment of Lower Extremity(FMA-LE)score,and the Barthel Index(BI)before the intervention between groups(P＞0.05).The incidence of intraoperative DVT in the lower limbs after the intervention was significantly lower in the observation group than the control group(P＜0.05).After intervention,patients in the observation group had significantly lower NIHSS score,higher FMA-LE score,BI and nursing satisfaction than those of the control group(P＜0.05).Conclusion The comprehensive management model based on quality sensitive indicators can effectively prevent intraoperative DVT in lower limbs,and improve neurological function,lower limb function,daily living ability,and nursing satisfaction in elderly patients undergoing craniocerebral surgery.
quality sensitive indicatorselderly craniocerebral surgerylower limb deep vein thrombosisneurological functionlower limb function
维普
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