老年良性前列腺增生患者对术后DVT并发症认知程度调查及护理

目的老年良性前列腺增生患者对术后下肢深静脉血栓(DVT)并发症认知程度调查及护理。方法选取我院2013年6月至2014年6月70例行电切术的老年良性前列腺增生患者为研究对象,采用本研究组自行设计的"下肢深静脉血栓知识"问卷对70例患者术后DVT并发症认知程度调查进行调查,包括DVT的危险因素、临床表现及后遗症、并对其进行护理预防。结果术后DVT并发症认知程度调查结果显示,在危险因素中,对手术认知水平最低,仅5.71%的患者了解手术会导致DVT;其中对静脉曲张的认知水平最高,21.43%的患者了解静脉曲张是术后DVT的危险因素。在DVT临床表现中,没有人知道体温升高是DVT临床表现,对患肢麻木的认知水平最高,占21.43%。在DVT后遗症中,对患肢溃疡认知水平最高,占18.57%,对患肢色素沉着认知水平最低,仅占2.86%。护理预防主要从术前基础护理、饮食护理、禁烟并进行宣传教育、运动、早期发现并预防、心理护理、改善患者下肢血液循环等7个方面进行护理。结论患者对术后DVT并发症的认知水平较低,在护理预防中应加强宣传教育,采用中西医结合的护理方式,可有效预防术后DVT的发生。

Investigation of Cognitive Level of Elderly Patients with Benign Prostatic Hyperplasia to Postoperative deep vein Thrombosis Complications and Nursing

Objective Investigation of cognitive level of elderly patients with benign prostatic hyperplasia to postoperative deep vein thrombosis ( DVT ) complications and nursing .Methods 70 elderly patients with benign prostatic hyperplasia who received electrocision in our hospital from June 2013 to June 2014 were selected as the research objects ,questionnaire of DVT knowledge designed by our research group was used to investigate the cognitive level of postoperative DVT complications ,mainly including risk factors of DVT,clinical manifestation and sequelas ,then nursed and prevented according to above three aspects .Results Postoperative DVT complications cognitive level finding showed that in risk factors ,cognitive level to surgery was the lowest ,only 5.71%patients understood surgery could cause DVT;cognitive level to varicosity was the highest , 21.43% patients understood varicosity was risk factors of postoperative DVT .In the clinical manifestations of DVT , no one knew temperature rise was a clinical manifestation of DVT , cognitive level to limb numbness was the highest ( 21.43%) .In DVT sequelas , cognitive level to limb ulcerations was the highest(18.57%),cognitive level to limb pigmentation was the lowest (2.86%).Nursing shold be carried on in 7 aspects , namely preoperative basic nursing , diet nursing , smoking ban and publicity and education , exercise,early diagnosis and prevention ,mental nursing and improvement of blood circulation of lower limbs . Conclusion Cognitive level to postoperative DVT complication of patients is low , publicity and education should be strengthened in nursing prevention , application of nursing method of combination of Chinese traditional and western medicine can prevent postoperative DVT effectively .