Effect of integrated nursing care mode on lower extremity deep venous thrombosis in bedridden patients / 中国实用护理杂志

ABSTRACT

Objective 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.