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| The Application of Modified Padua Score in the Implementation of VTE Individualized Protection Scheme for COPD Patients |
| ZHANG Yamin, WEN Shujing, HUO Yinghui |
| Department of Internal Medicine,Luoyang Petrochemical Hospital, Luoyang Henan 471012 |
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Abstract 【Objective】To explore the effect of modified Padua score on the individualized protection plan for venous thromboembolism (VTE) in patients with chronic obstructive pulmonary disease (COPD).【Methods】A total of 100 COPD patients admitted to our hospital from January 2021 to May 2024 were selected and divided into the observation group (implementing the VTE individualized protection program based on the modified Padua score) and the control group (implementing the VTE individualized protection program based on the Padua score) according to the random number table method, with 50 cases in each group. The coagulation indicators, incidence of VTE and nursing satisfaction of the two groups were compared on the day of admission and at 10 days of hospitalization. 【Results】At 10 days of hospitalization, the activated partial thromboplastin time (APTT), prothrombin time (PT), and thrombin time (TT) of both groups and the two groups of low-risk and high-risk patients were significantly prolonged compared with those on the day of admission, and the fibrinogen (FIB) level was significantly decreased compared with that on the day of admission (P<0.05). Moreover, the APTT, PT and TT of the high-risk and low-risk patients in the observation group were all longer than those in the control group, and the FIB level was lower than that in the control group (P<0.05). However, there was no statistically significant difference in the levels of APTT, PT, TT and FIB between the two groups (P>0.05). There was no statistically significant difference in the incidence of VTE between the two groups (P>0.05). At 10 days of hospitalization, there was no statistically significant difference in the scores of each field and the total score of the Nursing Satisfaction Scale (NSQI) between the two groups (P>0.05). 【Conclusion】 The two VTE individualized protection plans which are based on the Padua score and the modified Padua score can effectively prevent the occurrence of VTE in patients with CODP. The nursing satisfaction is acceptable. However, the individualized protection plan for VTE based on the modified Padua score is more effective in improving the coagulation indicators of high-risk VTE patients.
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Received: 14 August 2024
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2025, Vol. 42 
