老年患者预防静脉血栓栓塞的护理实践与分析
Nursing practice and analysis of prevention of venous thromboembolism in elderly patients
谭静文 1黄广源 1何祖环 2梁殷1
作者信息
- 1. 广西医科大学第一附属医院老年病学综合内科,广西南宁 530021
- 2. 广西医科大学第一附属医院心导管室,广西南宁530021
- 折叠
摘要
目的 探讨综合护理措施预防老年患者静脉血栓栓塞(venous thromboembolism,VTE)发生的效果.方法 选取2021 年 1 月至 2022 年 12 月广西医科大学第一附属医院住院患者 182 例,根据随机数字表法将其分为观察组(92 例)和对照组(90 例).对照组患者采用常规方法实施VTE预防,观察组患者应用VTE综合预防措施.在实施预防措施后,比较两组患者的VTE预防依从性和健康自我管理"知-信-行"情况.结果 两组患者的VTE风险等级评估比较差异无统计学意义(P>0.05);观察组患者的依从性显著优于对照组(P<0.05).两组患者在知晓并掌握VTE预防知识、认为VTE预防措施难以坚持、遵医嘱实施VTE预防方面差异均有统计学意义(P<0.05),观察组患者的健康自我管理水平更好.结论 通过患者参与VTE风险评估、护患共同落实血栓防范措施的综合护理干预,可提高老年患者VTE预防依从性和健康自我管理能力,对减少VTE发生具有重要意义.
Abstract
Objective To investigate the effect of comprehensive nursing measures on preventing venous thromboembolism(VTE)in elderly patients.Methods A total of 182 inpatients from the First Affiliated Hospital of Guangxi Medical University from January 2021 to December 2022 were selected and divided into observation group(92 cases)and control group(90 cases)according to random number table method.Patients in control group were given VTE prevention by conventional methods,and patients in observation group were given VTE comprehensive preventive measures.After the implementation of preventive measures,VTE prevention compliance and health self-management"knowledge-attitude-practice"were compared between two groups.Results There was no significant difference in the assessment of VTE risk level between two groups(P>0.05).The compliance of observation group was significantly better than that of control group(P<0.05).There were statistically significant differences between two groups in understanding and mastering VTE prevention knowledge,believing that VTE prevention measures were difficult to adhere to,and implementing VTE prevention according to medical advice(P<0.05).Patients in observation group had better health self-management.Conclusion The comprehensive nursing intervention of patients participating in VTE risk assessment and jointly implementing thrombosis prevention measures between nurses and patients can improve the compliance of VTE prevention and health self-management ability of elderly patients,which is of great significance for reducing the occurrence of VTE.
关键词
静脉血栓栓塞/自我管理/依从性/老年/预防Key words
Venous thromboembolism/Self-management/Compliance/Elderly/Prevention引用本文复制引用
基金项目
广西卫生健康委自筹经费科研课题(Z20190909)
出版年
2024
国家科技期刊平台
NSTL
万方数据