首页|肝移植术后VTE风险评估与个体化护理干预效果观察

肝移植术后VTE风险评估与个体化护理干预效果观察

扫码查看
目的 探讨肝移植术后静脉血栓栓塞症(VTE)风险评估与个体化护理干预效果。方法 选取2022年2月至2023年4月在该院接受肝移植手术患者74例,采用随机数字表法分为观察组和对照组,每组37例。对照组接受传统护理,观察组在传统护理基础上根据Caprini模型对VTE风险进行分级,根据风险等级进行分级护理。比较2组患者筛查结果、VTE发生情况、术后恢复情况和护理满意度。结果 观察组患者VTE发生率[2。70%(1/37)vs。10。81%(4/37)]、血栓最大宽度[(5。71±1。12)mm vs。(7。13±1。35)mm]均明显低于对照组,胸管放置[(3。56±0。74)d vs。(4。01±1。04)d]及住院时间[(8。66±1。23)d vs。(9。46±1。86)d]均明显短于对照组,日常生活活动能力评分[(86。23±5。23)分vs。(83。78±4。73)分]、护理满意度均明显高于对照组,差异均有统计学意义(P<0。05)。结论 Caprini血栓风险评估模型和分级护理的干预措施能有效预防肝移植手术后发生VTE,并减少术后血栓的最大宽度和VTE发生率,对促进术后的恢复情况是有利的。同时,这种方法也能提升患者对护理服务的满意程度。
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

孟灵娜、王维伟

展开 >

河南省人民医院肝胆胰腺外科,河南 郑州 450000

肝移植术后 VTE风险评估 个体化护理

河南省医学科技攻关计划

2018020402

2024

现代医药卫生
重庆市卫生信息中心

现代医药卫生

影响因子:0.758
ISSN:1009-5519
年,卷(期):2024.40(9)
  • 15