康复护理干预对下肢骨折患者下肢静脉血栓发生率的效果分析

2020-12-15 06:50焦丽芸
中外医疗 2020年18期
关键词:康复护理干预下肢静脉血栓下肢骨折

[摘要] 目的 分析康復护理干预对下肢骨折患者下肢静脉血栓发生率的效果。方法 于2018年8月—2019年8月在该院患者中随机选取共80例下肢骨折患者作为研究对象,以电脑随机的方法平均分为对照组和实验组。对照组采用常规护理干预,而实验组则在常规护理基础上采用康复护理干预。对患者护理后的下肢静脉血栓发生率、并发症发生率和患者的生活质量进行比较分析。结果 实验组患者的下肢静脉血栓发生率5.00%低于对照组的27.50%,差异有统计学意义(χ2=7.430,P<0.05);实验组患者的并发症发生率12.50%低于对照组的40.00%,差异有统计学意义(χ2=7.810,P<0.05);实验组患者的生活质量均高于对照组,差异有统计学意义(t=11.020、8.070、6.970、8.000,P<0.05)。结论 以康复护理干预对下肢骨折患者进行护理可以有效促进患者的下肢静脉血栓发生率降低,降低患者的并发症发生率,提高患者的生活质量,康复护理干预在临床对下肢骨折患者的护理中具有一定价值。

[关键词] 康复护理干预;下肢骨折;下肢静脉血栓

[中图分类号] R473.6          [文献标识码] A          [文章编号] 1674-0742(2020)06(c)-0120-03

Effect Analysis of Rehabilitation Nursing Intervention on the Incidence of Lower Limb Venous Thrombosis in Patients with Lower Limb Fracture

JIAO Li-yun

Department of Nursing, Longkou People's Hospital, Yantai, Shandong Province, 265711 China

[Abstract] Objective To analyze the effect of rehabilitation nursing intervention on the incidence of lower limb venous thrombosis in patients with lower limb fractures. Methods A total of 80 patients with lower limb fractures from August 2018 to August 2019 in the hospital were randomly selected as the research object, and they were divided into a control group and an experimental group in half by computer random method. The control group used routine nursing intervention, while the experimental group used rehabilitation nursing intervention based on routine nursing. The incidence of venous thrombosis of lower extremities, the incidence of complications and the quality of life of patients were compared and analyzed. Results The incidence of lower limb venous thrombosis in the experimental group was 5.00% lower than that in the control group (27.50%),and the difference was statistically significant(χ2=7.430, P<0.05); the incidence of complications in the experimental group was 12.50% lower than 40.00% in the control group, with statistical significance(χ2=7.810,P<0.05); the quality of life of the patients in the experimental group was higher than that of the control group, with statistical significance(t=11.020, 8.070, 6.970, 8.000, P<0.05). Conclusion Rehabilitation nursing intervention for nursing patients with lower limb fractures can effectively promote the reduction of the incidence of lower limb venous thrombosis, reduce the incidence of patients' complications, and improve the quality of life of patients. Rehabilitation nursing interventions have the clinical care for patients with lower limb value.

综上所述,在对下肢骨折患者的护理中采用康复训练指导,可以有效降低患者的下肢静脉血栓发生率,降低患者的并发症风险,提高患者的生活质量。对下肢骨折患者采用康复训练指导具有一定临床价值。

[参考文献]

[1]  梁燕玲,欧小周,梁群飞.风险评估分级管理系统在预防髋部骨折患者术后下肢深静脉血栓中的应用效果[J].护理实践与研究,2019,16(12):88-89.

[2]  朱紅燕,刘敏,王淑琴.快速康复外科护理对下肢骨折患者术后肢体活动及下肢深静脉血栓形成的影响[J].贵州医药,2018,42(11):1401-1402.

[3]  王媛媛,吴冬梅,孙荣瑾,等.连续护理模式在胫骨平台骨折患者术后康复中的应用[J].国际护理学杂志,2019,38(13):1966-1969.

[4]  杨洋.优质护理对预防下肢骨折术后深静脉血栓形成的应用效果[J].国际护理学杂志,2019,38(15):2421-2423.

[5]  郭春丽.聚焦解决模式对下肢骨折手术患者心理状态及预防下肢深静脉血栓的影响[J].护理实践与研究,2017,14(19):71-73.

[6]  刘晓菊,张琼.老年患者下肢骨折术后DVT发生的影响因素分析与护理干预对策[J].护理实践与研究,2019,16(16):74-75.

[7]  纪之玲.加速康复护理在肺癌手术患者围手术期护理中的应用分析[J].中外医疗,2019,38(26):147-149,153.

[8]  陈春燕,杨函.康复护理预防颈椎骨折伴脊髓损伤患者术后下肢深静脉血栓形成的效果[J].血栓与止血学,2018,24(3):506-508.

[9]  张晶,沈以.功能训练康复护理措施对下肢创伤骨折患者术后膝关节僵硬的预防作用探讨[J].中国急救医学,2018, 38(z1):381-382.

[10]  苏连珠,孔祥琴,杨容, 等.快速康复护理对结直肠癌手术患者康复效率的分析及护理满意度的影响[J].中外医疗,2019,38(26):143-146.

[11]  张敏佳,林松庆,吕莉, 等.渐进性肌肉放松训练对下肢骨折术后早期康复的影响[J].临床与病理杂志,2018,38(6):1274-1279.

[12]  丁宏霞.下肢骨折患者围手术期深静脉血栓的预防及护理[J].安徽医学,2017,38(7):935-937.

(收稿日期:2020-03-22)

[作者简介] 焦丽芸(1974-),女,山东烟台人,本科,副主任护师,研究方向:外科护理。

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