Risk assessment of VTE after liver transplantation and effect observation of individualized nursing intervention
Objective To investigate the effect of risk assessment and individualized nursing interven-tions for venous thromboembolism(VTE)after liver transplantation.Methods A total of 74 patients who un-derwent liver transplantation in this hospital from February 2022 to April 2023 were selected and divided into the observation group and the control group using the randomized numerical table method,with 37 patients in each group.The control group received traditional care,and risk of VTE of the observation group was graded the according to the Caprini model on the basis of traditional care,and the care level was graded according to the risk level.The screening results,occurrence of VTE,postoperative recovery and nursing care satisfaction of patients in the two groups were compared.Results The incidence[2.70%(1/37)vs.10.81%(4/37)]of VTE and the maximum width of thrombus[(5.71±1.12)mm vs.(7.13±1.35)mm]of patients in the obser-vation group were significantly lower than that of the control group,chest tube placement[(3.56±0.74)d vs.(4.01±1.04)d]and hospitalization time[(8.66±1.23)d vs.(9.46±1.86)d]were significantly shorter than that of the control group,and the scores of ability to perform activities of daily living[(86.23±5.23)scores vs.(83.78±4.73)scores]and satisfaction with nursing care were significantly higher than that of the control group,and the differences were all statistically significant(P<0.05).Conclusion The Caprini thrombosis risk assessment model and graded interventions are effective in preventing VTE after liver transplantation and re-ducing the maximum width of postoperative thrombus and the incidence of VTE,which is beneficial in promo-ting the postoperative recovery situation.At the same time,this approach also enhances patient satisfaction with nursing services.
After liver transplantationRisk assessment of VTEIndividualized nursing