小组式护理管理干预对下肢骨折患者深静脉血栓形成风险及护理满意度的影响

目的 小组式护理管理对下肢骨折患者深静脉血栓形成风险及护理满意度的影响。 方法 选择2015年1月-2015年12月温州医学院附属第二医院收治的下肢骨折患者118例,按随机数字表法分为常规组和干预组各59例。常规组患者给予常规护理,干预组患者实施小组式护理管理。对2组患者干预后血栓风险形成及护理满意度进行比较;使用SPSS 21.0统计软件进行t检验和χ2检验。 结果 干预组患者血栓风险评估率为74.58%(44/59),超声早期检出率为76.27%(45/59),D-二聚体筛查异常率为93.22%(55/59),均明显高于常规组44.07%(26/59)、45.76%(27/59)、30.51%(18/59);干预组患者血栓发生率为1.69%(1/59),明显低于常规组13.56%(8/59);干预组患者护理满意度为98.31%,明显高于常规组患者88.14%,差异具有统计学意义(P<0.05)。 结论 对下肢骨折患者进行小组式护理干预,可提高早期检出深静脉血栓形成的各项指标的阳性率、降低深静脉血栓的发生率、缩短住院时间、提高护理满意度。 

Influence of team nursing on risk of deep vein thrombosis in patients with lower limb fractur

Objective To observe the effect of team nursing on the risk of deep venous thrombosis (DVT) and patient satisfaction in patients with fracture of lower limb. Methods Total 118 cases of fracture of lower limb in the Second Affiliated Hospital of Wenzhou Medical University between January, 2015 and December, 2015 were enrolled and randomly divided into routine group and treatment group with 59 cases in each group. The patients in the routine group received routine nursing, while the patients in the treatment group were managed with team nursing. After the nursing intervention, the risk of DVT and patient satisfaction compared between the two groups. The t-test and Chi-square test were performed by using SPSS 21.0 statistical software. Results The risk assessment rate of thrombosis, early detection rate of ultrasound and abnormal rate of D-dimer screening in treatment group was 74.58% (44/59), 76.27% (45/59) and 93.22% (55/59), respectively, which was significantly higher than those in the routine group(44.07% (26/59), 45.76% (27/59) and 30.51% (18/59)]. The rate of thrombosis in the treatment group was 1.69& (1/59), which was significantly lower than that in the routine group (13.56%, 8/59). The patient satisfaction in the treatment group was 98.31%, which was significantly higher than that of the routine group (88.14%), the difference was statistically significant (P<0.05). Conclusion The team nursing management in patients with fracture of lower limb can improve the positive rate of various indicators for DVT early detecting, reduce the incidence of DVT, shorten the length of hospital stay and improve patient satisfaction.