|
|
|
| Value of Action Research Method in Prevention and Control of Deep Venous Thrombosis in Patients after Hepatobiliary Surgery |
| LIU Chun, HUANG Ping-ping |
| Hepatobiliary Surgery Dept, Deyang People's Hospital of Sichuan Province,618000,China |
|
|
|
Abstract 【Objective】To explore the value of action research method of nursing intervention on prevention of deep venous thrombosis (DVT) in patients after operation.【Methods】Two hundred and eighty-eight patients who underwent surgical treatment in our hospital from December 2012 to April 2016 were selected. Among them, 144 patients who underwent surgical treatment in the Department of hepatobiliary surgery from December 2012 to November 2014 were selected as the observation group, and the patients underwent surgical treatment in our department from December 2014 to April 2016 were selected as the control group (n=144). Patients in the control group were treated with routine nursing care, and the patients in the observation group were treated through nursing intervention by the action research method to analyze the prevention and control of DVT in the Department of hepatobiliary surgery.The incidence of DVT, edema rate of lower extremity, length of stay, hospitalization cost, D-dimer levels and nursing satisfaction of patients in different time periods were observed in the two groups.【Results】The incidence of DVT and edema of lower limbs in the observation group were significantly lower than those in the control group, and the difference was statistically significant (P<0.05); hospitalization time and hospitalization costs of the observation group were significantly lower than those in the control group; At 6 h after operation, the level of D-dimer in the observation group was significantly lower than that in the control group , the difference was statistically significant (P<0.05); The satisfaction rate of the observation group was 95.8%, which was significantly higher than that of the control group (81.3%), and the difference was statistically significant (P<0.05).【Conclusion】 The nursing intervention of action research method for postoperative patients of hepatobiliary surgery can intervene the high plasma coagulation state to some extent. It has some clinical significance in prevention and treatment of DVT.
|
|
Received: 27 June 2016
|
|
|
|
|
|
[1] 刘俊辉. 肝胆外科患者手术后深静脉血栓形成的原因分析及护理措施[J].世界最新医学信息文摘,2016,25(10):244-247.
[2] 李洪俊.肝胆外科术后患者深静脉血栓形成因素分析及其防治对策[J].医药前沿,2013, 3(12):230-231.
[3] 张慧娟. 气压治疗仪对预防深静脉血栓形成的效果观察与分析[J].内蒙古医科大学学报,2015,20(17):260-262.
[4] 潘晓英,黄建业. 肝胆外科术后并发深静脉血栓的相关因素及护理干预探讨[J].西南国防医药,2014,24(1):91-92.
[5] 杨月梅. 肝胆外科患者术后深静脉血栓形成的预防及护理[J].中国医药指南,2013,11(3):649-650.
[6] 韩素新,周剑利,朱洁茹. 老年妇女妇科肿瘤术后下肢深静脉血栓形成 9 例临床分析[J].陕西医学杂志,2012,38(6):739.
[7] 张金,李清华 .下肢骨折术后下肢深静脉血栓形成原因及预防 [J].中国医药指南,2011,9 (2):73-74.
[8] 吕华新.分析肝胆外科手术患者并发下肢深静脉血栓形成的危险因素[J].中国实用医药,2013,8(8):130-131.
[9] Aquila AM. Deep venous thrombosis[J].J Cardiovase Nurs,2001,15(4):25-44.
[10] Aujesky D, Smith KJ, Roberts MS.Oral anticoagulation strategies after a first idiopathic venous thromboembolic event[J].Am J Med,2005,118(6):625-635. |
|
|
|
2016, Vol. 33 
