中国冶金工业医学杂志

应用循证护理预防全髋关节置换术后下肢深静脉血栓形成

作者：金树敏孙彦冰赵萍吴瑞贤王美花

分类号：R 47

出版年,卷(期):页码：2011,28(1):19-21

摘要：

目的探讨循证护理在全髋关节置换术后预防下肢深静脉血栓(deep venous thrombosis， DVT)的干预方法。方法采用回顾性对照方法，将患者分为对照组和实验组，将循证护理实施前收治的33例患者列为对照组；循证护理实施后收治的27例患者列为实验组。对照组采用常规护理方法，实验组运用循证护理方法，即根据病人情况，提出临床护理问题\|下肢深静脉血栓( DVT)；查阅相关资料，寻找循证支持；循证的观察与应用。比较两组患者DVT的发生率、对疾病知识的掌握情况及满意度。结果实验组患者有2例发生 DVT，对疾病相关知识的掌握情况及满意度明显提高，两组患者比较差异有统计学意义，P＜0.05 。结论应用循证护理预防全髋关节置换术后DVT是积极有效的，在临床护理领域中实施循证护理具有良好的发展前景。

ObjectiveExplore the evidence\|based nursing interventions to prevent the complication of lower extremity deep venous thrombosis after total hip replacement.MethodsUsing retrospective methods to control，the patients were divided into control group and experimental group，the 33 patients admitted before application of evidence\|based nursing were set as the control group，while those 27patients admitted after application of evidence\|based nursing were set as the experimental group.Using conventional methods of nursing in the control group,using the evidence\|based nursing in the experimental group，that is based on the patient’s situation，raised the problem of clinical nursing\|lower extremity deep venous thrombosis；Access to relevant information，search for evidence\|based to support；Observation and application of evidence\|based.The incidence of lower extremity deep venous thrombosis,mastering degree of disease\|related knowledge and satisfaction degree were compared between two groups.ResultsTwo patients occurred with lower extremity deep venous thrombosis in the experimental group，the mastering degree of disease related knowledge and satisfaction degree were improved obviously.in the experimental group compared with the control group had a significant difference，P＜0.05.ConclusionsApplication of evidence\|based nursing to prevent the complication of lower extremity deep venous thrombosis after total hip replacement is a positive and effective，implementation of evidence\|based nursing has good prospects for development in the field of clinical care.

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参考文献：

［1］任蔚虹，王惠琴.临床骨科护理学\[M\].北京：中国医药科技出版社，2007：458.
［2］邵红，张淑红，曲昕，等.循证护理在人工髋关节置换术后护理工作中的应用\[J\].中外医疗，2009（7）：131\|132.
［3］齐艳.全髋关节置换术后下肢深静脉血栓形成的预防护理进展\[J\].中国老年学杂志，2009，29（1）：120\|123.
［4］彭惠芳，梁雪妍，区海云，等.人工髋关节置换术后预防下肢静脉血栓的护理\[J\].国际医药卫生导报，2009,15（16）：110\|112.
［5］关辉，王明娣，张瑞娟，等.全髋关节置换术后下肢静脉血栓的预防及特色护理\[J\].中国初级卫生保健，2010，24（5）：95\|96.
［6］唐泓源，张黎明.系统早期活动方案降低关节置换术后深静脉血栓形成风险的研究\[J\].中华护理杂志，2007，42（11）：965\|968.
［7］赵雅，刘亭茹.髋部骨折术后使用弹力绷带预防下肢深静脉栓塞的效果观察\[J\].护理研究，2007 ，21(7B)：1831\|1832.
［8］董咏梅，张若，陈聪，等.间歇充气装置辅助预防下肢深静脉血栓形成的疗效观察与护理\[J\].护士进修杂志，2008，23（12）：1092\|1093.

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