Application effect of procedural VTE prevention quality control management in perioperative thrombosis prevention of patients with gynecological malignant tumor
Objective To explore the application effect of procedural venous thromboembolism(VTE)prevention quality control management in perioperative thrombosis prevention in patients with gynecological malignant tumors.Methods A total of 70 patients with gynecological malignant tumors admitted in our hospital from May 2019 to May 2022 were selected and divided into control group and study group according to different intervention schemes,with 35 cases in each group.The control group was given routine management,and the study group carried out procedural VTE prevention quality control management.The lower extremity venous blood flow velocity,pain score,occurence of lower extremity venous thrombosis,coagulation function indexes and Knowledge-Attitude-Practice(KAP)score were compared between the two groups.Results Before intervention,there were no significant differences in lower extremity venous blood flow velocity and Visual Analogue Scale(VAS)score between the two groups(P>0.05);after intervention,the lower extremity venous blood flow velocity of the study group was higher than that of the control group,the VAS score was lower than that of the control group,and the differences were statistically significant(P<0.05).The incidence of lower extremity venous thrombosis in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).Before intervention,there were no significant differences in prothrombin time,fibrinogen,D-dimer levels and platelet count between the two groups(P>0.05);after intervention,the prothrombin time of the study group was longer than that of the control group,the levels of fibrinogen,D-dimer and platelet count were lower than those of the control group,and the differences were statistically significant(P<0.05).The scores of each dimension of KAP in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The procedural VTE prevention quality control management in perioperative thrombosis prevention of patients with gynecological malignant tumors has significant application effect,it can improve coagulation function,accelerate venous blood flow velocity of lower extremity,relieve pain,and improve patients'KAP level,which is worthy of clinical promotion and application.
NETL
NSTL
万方数据
维普
