护理风险预警监控在结核病患者发生下肢深静脉血栓形成中的应用

目的分析护理风险预警监控在结核病患者发生下肢深静脉血栓(DVT)中的应用价值。方法选取2011年12月至2016年12月我院收治的结核病患者60例为研究对象,采用随机数表法分为观察组和对照组各30例,对照组给予常规护理干预,观察组在此基础上应用护理风险预警监控,分析干预前后两组活化部分凝血活酶时间(a PTT)、纤维蛋白原(Fbg)、D二聚体(D-D)、血浆黏度变化,采用临床症征评分(VDS)、护理满意度评分表评价两组静脉功能、护理满意度,同时记录卧床10 d内DVT发生率。结果干预后观察组a PTT较对照组明显延长,Fbg、D-D及血黏度低于对照组(P0.05);干预后观察组VAD评分分低于对照组(P0.05),而其护理满意度评分较对照组高(P0.05);观察组DVT总发生率6.67%明显低于对照组26.67%(P0.05)。结论护理风险预警监控可有效改善结核病患者凝血功能、静脉功能,降低DVT发生率,提高护理满意度。

Application of Nursing risk Early Warning Monitoring in Lower Extremity deep Venous Thrombosis in Patients with Tuberculosis

Objective To analyze the value of nursing risk early warning monitoring in lower extremity deep venous thrombosis ( DVT) in patients with tuberculosis .Methods A total of 60 patients with tuberculosis who were admitted to our hospital between December 2011 and December 2016 were selected as study subjects and were divided into the observation group and the control group by the random number table method ,30 cases in each group .The control group were given routine nursing intervention ,and the observation group were additionally given nursing risk early warning monitoring .The changes of activated partial thromboplastin time (aPTT),fibrinogen(Fbg),D-dimer(D-D)and plasma viscosity in the two groups before and after intervention were analyzed .The venous function and nursing satisfaction were evaluated with venous function scoring scale ( VDS) and nursing satisfaction score ,and the incidence of DVT in 10 d in bed was recorded .Results After intervention ,the aPTT of observation group was significantly longer than that of the control group , while the levels of Fbg , D-D and blood viscosity were lower than those in the control group ( P <0.05 ) .After intervention,the VAD score of the observation group was lower than that of the control group (P<0.05),and the score of nursing satisfaction was higher than that of the control group ( P<0.05 ) .The total incidence of LDVT in the observation group(6.67%)was significantly lower than that in the control group (26.67%)(P<0.05),Conclusion The nursing risk early warning monitoring can effectively improve the blood coagulation function reduce the incidence of DVT ,and improve nursing satisfaction .