摘要目的 探讨医护一体化护理模式对卧床患者下肢深静脉血栓发生率的影响情况.方法 选取2016年12月至2017年12月在海南医雪院第二附属医院东湖内科接受治疗的长期卧床患者82例为研究对象.采用随机数字表法将患者分为对照组和观察组各41例,对照组采用常规护理,观察组采用医护一体化护理.比较护理干预后对下肢深静脉血栓发生率的影响情况.结果经治疗后,对照组患者的深静脉血栓发生率为24.39%(10/41),观察组为4.88%(2/41),差异有统计雪意义(χ2=6.248,P＜0.05);观察组患者预防疾病评分以及护理满意度评分分别为(35.01 ± 4.21)、(87.02 ± 5.22)分,对照组分别为(28.65 ± 5.87)、(68.75 ± 4.64)分,差异有统计雪意义(t=5.638、16.750,P＜0.01);观察组患者的D-D二聚体、aPTT、PT分别为(448.82 ± 56.27)μg/L、(29.75 ± 2.01)s、(12.88 ± 0.65)s,对照组分别为(610.32 ± 72.88)μg/L、(26.81 ± 1.98)s、(10.54 ± 0.59)s,差异均有统计雪意义(t=11.231、6.672、17.068,P＜0.01).结论 对于卧床患者,采用医护一体化护理模式进行护理干预效果明显,可有效降低下肢深静脉血栓发生率,改善患者凝血功能.

abstractsObjective To explore the influence of integrated nursing care mode on the incidence of deep vein thrombosis in lower extremities in bedridden patients. Methods 82 cases of chronic bed rest patients in our hospital were selected as clinical subjects. The time of admission was from December 2016 to December 2017. The patients were divided into control group (routine nursing, 41 cases) and observation group (medical nursing integrated nursing, 41 cases). To compare the influence of nursing intervention on the incidence of deep venous thrombosis of the lower extremities. Results After treatment, the incidence of deep vein thrombosis in the control group was 24.39% (10/41), and that in the observation group was 4.88% (2/41). The difference was statistically significant (χ2=6.248, P<0.05). The prevention disease score and nursing satisfaction score of the observation group were (35.01±4.21) points and (87.02 ± 5.22) points, and the control group were (28.65 ± 5.87) points and (68.75 ± 4.64) points. The difference was statistically significant (t=5.638, 16.750, P<0.01). The DD dimer, aPTT and PT of the observation group were (448.82±56.27) ug/L, (29.75±2.01) s, (12.88±0.65) s, and the control group were (610.32 ± 72.88) ug/L, (26.81 ± 1.98) s, (10.54 ± 0.59) s. The differences were statistically significant (t=11.231, 6.672, 17.068, P<0.05). Conclusion For the patients in bed, the effect of nursing intervention is obvious, which can effectively reduce the incidence of deep venous thrombosis and improve the blood coagulation function of the patients.