骨科下肢大手术围手术期深静脉血栓分级预防护理的应用研究
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[摘要] 目的 探讨骨科下肢大手术围手术期深静脉血栓分级预防护理的应用效果。方法 将关节三科住院行骨科下肢大手术围手术期患者60例，随机分为对照组和试验组，即常规护理组和分级护理组。应用Autar量表，在术前1 d、术后1 d、术后1周分别进行血栓风险评分，并根据风险等级划分术后护理级别，护士按照层级进行分级预防护理。比较两组患者深静脉血栓发生情况、术后Autar评分、患者满意度及静脉血栓健康知识评分之间的差异。结果 常规护理组术后1例发生肌间静脉血栓，分级护理组未发生深静脉血栓。术后24 h、术后1周Autar评分分级护理组均低于常规护理组；腿围测量结果分级护理组患者术后4～7 d患侧下肢比健侧肿胀；分级护理组患者的满意度和健康知识掌握情况优于常规护理组。结论 根据血栓风险等级划分术后护理级别，对深静脉血栓的预防护理具有很好的指导作用。充分体现了护理级别与护士层级管理相对应，提高了护理资源的利用率，为患者提供优质、安全、高效的护理服务。
[关键词] 分级护理；骨科下肢大手术；预防；静脉血栓
[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2015）05（c）-0121-03
[Abstract] Objective To investigate the effect of grading nursing care applied to major lower limb orthopedic surgery during the perioperative period for the prevention of deep venous thrombosis（DVT）. Methods 60 cases hospitalized in The Third Department of Joint underwent major lower limb orthopedic surgery were randomly divided into the control group（conventional nursing group） and the experimental group（grading nursing care group）. Autar DVT Risk Assessment Scale was used to evaluate the risk of thrombosis in both groups on the day before surgery， 1d and 1 week after surgery. Based on the postoperative level of nursing divided in accordance with the grading of risk of thrombosis， the nurses gave the patients th...
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