脑卒中患者集束化下肢深静脉血栓预防的护理效果

目的探究脑卒中患者集束化下肢深静脉血栓预防的护理效果。方法选择2014年7月至2015年5月收治的需卧床或者有肢体功能障碍的脑卒中患者100例采取集束化的管理,为集束化组。2013年7月至2014年5月收治的需卧床或者有肢体功能障碍的脑卒中患者100例采取常规护理管理,为常规组。均护理两周,比较两组患者7 d、14 d血栓发生率,MCMQ评分及满意度。结果常规组血栓总发生率为8%,集束化组血栓总发生率为2%,(P0.05);护理前,常规组与集束化组患者面对、回避、屈服评分无差异,护理后,集束化组面对评分升高较常规组明显(P0.05),两组回避评分均升高,但没有统计学差异,集束化组屈服评分降低较常规组明显(P0.05);集束化组患者满意度96.00%高于常规组84.00%(P0.05)。结论集束化管理脑卒中患者,可以预防下肢深静脉血栓的发生,提高护理满意度。

Nursing Effect of deep vein Thrombosis Prevention of Stroke Patients with Stroke

Objective To study the nursing effect of deep vein thrombosis ( DVT ) prevention in patients with stroke .Methods One hundred patients with stroke requiring limb dysfunction were enrolled in this study from July 2014 to May 2015,and the group was treated as a stroke group .July 2013 to May 2014 admitted to the need for bed or limb dysfunction in patients with stroke 100 cases of routine care management , for the conventional group .All patients were treated for two weeks ,the incidence of thrombosis at 7 d and 14 d,MCMQ score and satisfaction were compared between the two groups .Results The total incidence of DVT in the conventional group was 8%,in the stroke group was 2%(P<0.05).The scores of the two groups were significantly higher than those of the conventional group ( P<0.05 ) .The yield score of the cluster group was significantly lower than that of the conventional group ( P<0.05) ,but there was no significant difference .The satisfaction rate of the cluster group was 96.00% higher than that of the conventional group ( P <0.05 ) . Conclusion Cluster management of stroke patients can prevent the occurrence of DVT , improve improve satisfaction .