Construction and implementation of nursing strategies for DVT prevention in patients undergoing MAKO robot-assisted total hip arthroplasty
Objective:To explore the construction and implementation effect of nursing strategies for deep venous thrombosis(DVT)prevention in patients undergoing MAKO robot-assisted total hip arthroplasty.Methods:120 patients who underwent MAKO robot-assisted total hip arthroplasty in Beijing Jishuitan Hospital Affiliated to Capital Medical University from January 2022 to August 2023 were selected and randomly divided into the control group(n=60,routine nursing care)and the observation group(n=60,Nursing intervention strategies for DVT prevention).The incidence of DVT and the recovery of limb function in the two groups of patients were compared.Results:The incidence of DVT in the observation group was lower than that in the control group at 1 and 2 weeks after surgery,which was statistically significant(P<0.05).The peridiameter difference of the affected limb and the numerical rating scale(NRS)on the 1st,2nd,3rd,5th,and 7th day after surgery in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).The level of D-dimer(D-D)and fibrinogen(Fbg),plasma viscosity,and red blood cell aggregation index in the observation group were lower than those in the control group at the 1st and 3rd day after surgery,and the differences were statistically significant(P<0.05).The Harris score of the observation group was higher than that of the control group at discharge and 1 month after discharge,and the step length and pace of the observation group were higher than those of the control group at discharge and three months after discharge,with statistical significance(P<0.05).Conclusion:The construction of perioperative nursing strategy for MAKO robot-assisted total hip arthroplasty could reduce the occurrence of postoperative DVT,alleviate limb swelling,and promote the recovery of joint function of patients,which is worthy of clinical application.
Robot-assisted SurgeryTotal Hip ArthroplastyLower Extremity Deep Venous ThrombosisNursing Strategy
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