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[目的]探讨行动研究法护理干预对肝胆外科术后患者深静脉血栓(DVT)的预防价值.[方法]选取2012年12月至2016年4月本院肝胆外科收治的行手术治疗的288例患者,选取其中2012年12月至2014年11月本院肝胆外科收治的行手术治疗的144例患者作为观察组,2014年12月值2016年4月本科室手术治疗的144例患者作为对照组,对照组患者采用常规护理方法进行护理,研究组患者在此基础上采用行动研究法对患者进行护理干预,分析行动研究法对肝胆外科患者DVT的防控价值.观察两组患者DVT发生率、下肢浮肿率,住院时间、住院费用,不同时间段D-二聚体(D-dimer)水平以及护理满意度.[结果]观察组DVT发生率以及下肢浮肿率明显低于对照组,差异具有统计学意义(P<0.05);观察组住院时间以及住院费用明显低于对照组患者;在术后6h,术后4d观察组D-二聚体(D-dimer)水平明显低于对照组患者,差异具有统计学意义(P<0.05);观察组患者满意率达到95.8%,明显高于对照组患者的81.3%,差异具有统计学意义(P<0.05).[结论]肝胆外科术后给予患者行动研究法护理干预可在一定程度上干预患者血浆高凝状态,对预防预防DVT有一定的临床意义.“,”[Objective]To explore the value of action research method of nursing intervention on prevention of deep venous thrombosis (DVT) in patients after operation.[Methods]Two hundred and eighty eight patients who underwent surgical treatment in our hospital from December 2012 to April 2016 were selected.Among them,144 patients who underwent surgical treatment in the Department of hepatobiliary surgery from December 2012 to November 2014 were selected as the observation group,and the patients underwent surgical treatment in our department from December 2014 to April 2016 were selected as the control group (n =144).Patients in the control group were treated with routine nursing care,and the patients in the observation group were treated through nursing intervention by the action research method to analyze the prevention and control of DVT in the Department of hepatobiliary surgery.The incidence of DVT,edema rate of lower extremity,length of stay,hospitalization cost,D-dimer levels and nursing satisfaction of patients in different time periods were observed in the two groups.[Results]The incidence of DVT and edema of lower limbs in the observation group were significantly lower than those in the control group,and the difference was statistically significant (P <0.05);hospitalization time and hospitalization costs of the observation group were significantly lower than those in the control group;At 6 h after operation,the level of D-dimer in the observation group was significantly lower than that in the control group,the difference was statistically significant (P <0.05);The satisfaction rate of the observation group was 95.8%,which was significantly higher than that of the control group (81.3 %),and the difference was statistically significant (P <0.05).[Conclusion] The nursing intervention of action research method for postoperative patients of hepatobiliary surgery can intervene the high plasma coagulation state to some extent.It has some clinical significance in prevention and treatment of DVT.