集束化护理对颅脑外伤患者下肢深静脉血栓发生率的影响

目的观察集束化护理对颅脑外伤患者下肢深静脉血栓(DVT)发生率的影响。方法收集我院2013年3月到2015年7月收治的颅脑外伤患者93例作为研究对象,随机数字表法分为观察组(n=48)与对照组(n=45)。对照组采取常规护理措施,观察组应用集束化护理。比较两组抢救时间、抢救费用住院时间、住院花费及术后并发症发生率。结果观察组抢救时间与抢救费用均小于对照组,差异有统计学意义(P0.05)。观察组住院时间、住院花费均低于对照组,GCS评分高于对照组,差异有统计学意义(P0.05)。两组尿路感染、低氧血症、低血压发生率的差异无统计学意义(P0.05);观察组肺部感染与下肢DVT发生率分别为2.1%(1/48)、4.2%(2/48),均低于对照组13.3%(6/45)、17.8%(8/45),差异有统计学意义(P0.05)。结论集束化护理在颅脑外伤患者中的应用可为患者急救提供参照,缩短抢救时间与费用,并将医疗质量管理融入术后护理,将相关政策及指南转化为具体护理措施,利于患者快速康复及术后并发症的减少,下肢DVT发生率大幅降低。

Effeet on Cluster Nursing in the Incidence of deep Venous Thrombosis of Patients with Craniocerebral Trauma

Objective To observe effects of cluster nursing on the incidence of deep venous thrombosis (DVT) of patients with craniocerebral trauma.Methods 93 patients with craniocerebral trauma treated in our hospital from March 2013 to July 2015 were selected as the research objects,they were divided by random number table into the observation group (n =48) and the control group (n =45).The control group received routine nursing,the observation group received cluster nursing.Rescue time,rescue expenses,length of stay,hospital expenses and postoperative complication rates in the two groups were compared.Results Rescue time and rescue expenses of the observation group were significantly less than the control group (P ＜ 0.05).Length of stay and hospital expenses of the observation group were significantly lower than the control group,GCSscore was significantly higher than the control group (P ＜ 0.05).There was no significant difference in incidence of urinary tract infection,hyoxemia and hypopiesia in the two groups (P ＞ 0.05);incidence of pulmonary infection and DVT of the observation group were 2.1％ (1/48),4.2％ (2/48)respectively,which were significantly lower than the control group[13.3％ (6/45),17.8％ (8/45)] (P ＜ 0.05).Conclusion Application of cluster nursing in patients with craniocerebral trauma can provide reference for patients' first aid,can shorten rescue time and expenses,and medical quality management integrates into postoperative care,translates relevant policies and guidelines into specific nursing measures,is beneficial to patients' quick recovery,reduces postoperative complications,incidence of DVT is drastically reduced.