人性化护理对重症患者静脉血栓栓塞症的效果研究
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摘要
目的研究人性化护理对重症静脉血栓栓塞症患者的干预效果。方法选取2016年3月—2018年3月收治在华中科技大学同济医学院附属协和医院患有静脉血栓栓塞症的重症疾病患者200例,采用随机数字表法分为常规护理组和人性化护理组。对常规护理组患者采用常规护理进行干预,人性化护理组患者采用人性化护理进行干预,根据2组患者D-二聚体表达水平来选择性使用肝素进行注射治疗。评价患者护理后的生活质量和心理状况,并统计护理满意度。结果人性化护理组患者护理干预后的总有效率为87.00%,显著高于常规护理组患者护理干预后的总有效率76.00%,差异具有统计学意义(P<0.05);人性化护理组患者在护理干预后的生活质量各项目评分均显著高于常规护理组(均P<0.05);人性化护理组患者护理干预后的SDS和SAS评分均显著低于常规护理组(P<0.05);人性化护理组患者护理干预后的满意度显著高于常规护理组患者(P<0.05)。结论人性化护理能够改善重症静脉血栓栓塞症患者的临床症状,配合D-二聚体检测后选择性使用肝素进行抗凝治疗能够起到更好的防栓效果,显著提高患者的生活质量并改善患者的不良情绪。
Objective To study the intervention effect of humanized nursing on patients with severe venous thromboembolism. Methods Two hundred patients with venous thromboembolism treated in our hospital from March 2016 to March 2018 were selected and divided into routine nursing group and humanized nursing group by random number table method. The routine nursing group was intervened by routine nursing, while the humanized nursing group was intervened by humanized nursing. Heparin was selectively injected according to the expression level of D-dimer in the two groups. The quality of life and psychological status after nursing were evaluated, and nursing satisfaction was counted. Results The total effective rate of humanized nursing group after nursing intervention(87.00%) was significantly higher than that of routine nursing group(76.00%, P<0.05); the scores of quality of life items in humanized nursing group after nursing intervention were significantly higher than those in routine nursing group(P<0.05); the scores of SDS and SAS in humanized nursing group after nursing intervention were significantly lower than those in routine nursing group(P<0.05); The satisfaction of patients after nursing intervention was significantly higher than that of patients in routine nursing group(P<0.05). Conclusion Humanistic nursing can improve the clinical symptoms of patients with severe venous thromboembolism, and selective use of heparin for anticoagulant treatment after d-dimer detection can play a better antithrombotic effect, significantly improve the quality of life of patients and improve their adverse emotions.
Objective To study the intervention effect of humanized nursing on patients with severe venous thromboembolism. Methods Two hundred patients with venous thromboembolism treated in our hospital from March 2016 to March 2018 were selected and divided into routine nursing group and humanized nursing group by random number table method. The routine nursing group was intervened by routine nursing, while the humanized nursing group was intervened by humanized nursing. Heparin was selectively injected according to the expression level of D-dimer in the two groups. The quality of life and psychological status after nursing were evaluated, and nursing satisfaction was counted. Results The total effective rate of humanized nursing group after nursing intervention(87.00%) was significantly higher than that of routine nursing group(76.00%, P<0.05); the scores of quality of life items in humanized nursing group after nursing intervention were significantly higher than those in routine nursing group(P<0.05); the scores of SDS and SAS in humanized nursing group after nursing intervention were significantly lower than those in routine nursing group(P<0.05); The satisfaction of patients after nursing intervention was significantly higher than that of patients in routine nursing group(P<0.05). Conclusion Humanistic nursing can improve the clinical symptoms of patients with severe venous thromboembolism, and selective use of heparin for anticoagulant treatment after d-dimer detection can play a better antithrombotic effect, significantly improve the quality of life of patients and improve their adverse emotions.
引文
[1] 张惠,马渝,文玉明,等.重症患者静脉血栓栓塞风险和预防的回顾性分析[J].中华急诊医学杂志,2013,22(5):517-520.
[2] 张建平.ICU重症患者并发静脉血栓栓塞风险和预防措施探讨[J].中国医学前沿杂志(电子版),2015,7(12):73-76.
[3] BARTHOLOMEW J R.Update on the management of venous thromboembolism[J].Cleve Clin J Med,2017,84(12 Suppl 3):39-46.
[4] 杜培花,赵文凤,胡祥梅,等.人性化护理在急诊患者中的应用研究[J].检验医学与临床,2016,13(12):1720-1721.
[5] 刘晓涵,卢根娣.国外静脉血栓栓塞症风险评估工具的研究进展[J].护理学杂志,2014,29(12):94-96.
[6] 张倩,马月珍,张海英,等.护理在预防ICU患者静脉血栓栓塞症的效果[J].血栓与止血学,2017,23(6):1062-1063.
[7] 张倩,喻英,杨涛,等.认知行为干预对静脉血栓栓塞症患者疾病认知水平及生命质量的影响[J].中国实用护理杂志,2017,33(26):2001-2006.
[8] 李佩云,李春芳,孙力,等.高压氧疗法对颅脑损伤患者BI指数、GCS、SAS、SDS的影响[J].海南医学院学报,2017,23(16):2289-2291,2295.
[9] 许颖.综合护理对宫颈癌术后患者下肢深静脉血栓形成及不良心理状态的影响[J].中国医药导刊,2015,17(5):512-513.
[10] 张晶晶,江智霞,吴华炼,等.ICU静脉血栓栓塞症风险因素的Meta分析[J].重庆医学,2017,46(9):1230-1234.
[11] TAN C,WANG X,SU H,et al.Recent progress in research on the pathogenesis of pulmonary thromboembolism:an old story with new perspectives[J].Biomed Res Int,2017,2017:6516791.
[12] 张晶晶,江智霞,曾慧,等.贵州省ICU护士静脉血栓栓塞症认知与预防现状调查[J].重庆医学,2018,47(13):1767-1772.
[13] 曾昭业.神经重症监护患者静脉血栓栓塞症防治的研究进展[J].广西中医药大学学报,2013,16(3):85-87.
[14] 秦霞,赵春华,田利,等.ICU患者发生静脉血栓栓塞的影响因素分析[J].中国实用护理杂志,2018,34(14):1079-1082.
[15] 陈宇,杨涛.静脉血栓栓塞症抗凝治疗微循环血栓防治专家共识[J].中华老年多器官疾病杂志,2017,16(4):241-244.
[16] 许晓文.间歇充气加压治疗对重症患者静脉血栓栓塞症发生的干预作用研究[J].中国处方药,2016,14(10):111-112.
[17] 殷桂春.ICU患者静脉血栓栓塞症的预防与护理[J].内蒙古中医药,2014,33(18):123-124.
[18] 孙晋洁,翁卫群.静脉血栓栓塞的危险因素及预防护理进展[J].实用临床医药杂志,2014,18(4):110-112.
[19] 徐园,邓海波,陈亚萍,等.静脉血栓栓塞护理小组的建立及管理[J].中华护理杂志,2017,52(11):1353-1355.
[20] 顾双双,张均,韩玲,等.早期那屈肝素预防脑出血患者深静脉血栓形成的安全性[J].国际脑血管病杂志,2014,22(12):902-906.
[2] 张建平.ICU重症患者并发静脉血栓栓塞风险和预防措施探讨[J].中国医学前沿杂志(电子版),2015,7(12):73-76.
[3] BARTHOLOMEW J R.Update on the management of venous thromboembolism[J].Cleve Clin J Med,2017,84(12 Suppl 3):39-46.
[4] 杜培花,赵文凤,胡祥梅,等.人性化护理在急诊患者中的应用研究[J].检验医学与临床,2016,13(12):1720-1721.
[5] 刘晓涵,卢根娣.国外静脉血栓栓塞症风险评估工具的研究进展[J].护理学杂志,2014,29(12):94-96.
[6] 张倩,马月珍,张海英,等.护理在预防ICU患者静脉血栓栓塞症的效果[J].血栓与止血学,2017,23(6):1062-1063.
[7] 张倩,喻英,杨涛,等.认知行为干预对静脉血栓栓塞症患者疾病认知水平及生命质量的影响[J].中国实用护理杂志,2017,33(26):2001-2006.
[8] 李佩云,李春芳,孙力,等.高压氧疗法对颅脑损伤患者BI指数、GCS、SAS、SDS的影响[J].海南医学院学报,2017,23(16):2289-2291,2295.
[9] 许颖.综合护理对宫颈癌术后患者下肢深静脉血栓形成及不良心理状态的影响[J].中国医药导刊,2015,17(5):512-513.
[10] 张晶晶,江智霞,吴华炼,等.ICU静脉血栓栓塞症风险因素的Meta分析[J].重庆医学,2017,46(9):1230-1234.
[11] TAN C,WANG X,SU H,et al.Recent progress in research on the pathogenesis of pulmonary thromboembolism:an old story with new perspectives[J].Biomed Res Int,2017,2017:6516791.
[12] 张晶晶,江智霞,曾慧,等.贵州省ICU护士静脉血栓栓塞症认知与预防现状调查[J].重庆医学,2018,47(13):1767-1772.
[13] 曾昭业.神经重症监护患者静脉血栓栓塞症防治的研究进展[J].广西中医药大学学报,2013,16(3):85-87.
[14] 秦霞,赵春华,田利,等.ICU患者发生静脉血栓栓塞的影响因素分析[J].中国实用护理杂志,2018,34(14):1079-1082.
[15] 陈宇,杨涛.静脉血栓栓塞症抗凝治疗微循环血栓防治专家共识[J].中华老年多器官疾病杂志,2017,16(4):241-244.
[16] 许晓文.间歇充气加压治疗对重症患者静脉血栓栓塞症发生的干预作用研究[J].中国处方药,2016,14(10):111-112.
[17] 殷桂春.ICU患者静脉血栓栓塞症的预防与护理[J].内蒙古中医药,2014,33(18):123-124.
[18] 孙晋洁,翁卫群.静脉血栓栓塞的危险因素及预防护理进展[J].实用临床医药杂志,2014,18(4):110-112.
[19] 徐园,邓海波,陈亚萍,等.静脉血栓栓塞护理小组的建立及管理[J].中华护理杂志,2017,52(11):1353-1355.
[20] 顾双双,张均,韩玲,等.早期那屈肝素预防脑出血患者深静脉血栓形成的安全性[J].国际脑血管病杂志,2014,22(12):902-906.
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