骨科深静脉血栓形成物理预防实施现状调查
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女,硕士在读,学生

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江苏省科学技术厅社会发展面上项目(BE2015686)


Investigation on physical prevention of deep vein thrombosis in orthopedic department
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    摘要:

    目的 了解骨科护士对深静脉血栓形成(DVT)物理预防措施实施情况,以期为更好地落实 DVT物理预防措施提供依据。方 法 采用电子问卷对全国20个省市60所二级及以上医院的286名骨科护士 DVT 物理预防实施情况展开调查。结果 护士实施 DVT物理预防措施行为总得分为13.5(11,15)分,得分率为65.84%。不同医院等级、病区是否有 DVT 预防规范、是否成立 DVT预防小组、护士有无接受过 DVT知识培训、接受 DVT知识培训的场所、不同职称的骨科护士实施 DVT 物理预防措施行为 得分比较,差异有统计学意义(P<0.05,P<0.01)。90%医院配备1种及以上的物理预防设备。手术前后物理预防措施仍以患 者活动为主,物理预防设备应用相对较少。物理预防设备的使用以每日2次,每次30min为主。结论 骨科 DVT 物理预防设备 配备尚可,但物理预防措施临床落实有待加强和规范。护理管理者应加强对护士 DVT 预防知识培训,以提高其预防技能,促进 护理行为的落实。

    Abstract:

    Objective To investigate the implementation of physical preventive measures for deep vein thrombosis (DVT) by orthopedic nurses, and to provide theoretical basis for better implementation of DVT physical preventive measures.Methods An electronic questionnaire was used to investigate the implementation of DVT physical preventive measures among 286 orthopedic nurses from 60 hospitals at secondary and above levels in 20 provinces and cities nationwide.Results The total score of nurses implementing DVT physical preventive measures was 13.5 (11,15)points, and the scoring rate was 65.84%.The levels of the hospitals, whether the ward had DVT prevention norms, whether to establish a DVT prevention group, whether the nurses had received DVT knowledge training, the places where DVT knowledge training was conducted, and the technical titles of orthopedic nurses , were associated with varied DVT physical preventive measures scores by the nurses(P<0.05,P<0.01).About 90% of the hospitals were equipped with one or more physical prevention devices.Physical precautions before and after surgery were still dominated by patient activities, while the use of physical prevention devices was relatively rare.The use of physical prevention devices was mainly twice a day, 30 minutes each time. Conclusion DVT physical prevention devices are commonly available in orthopedic department, but their clinical implementation needs to be strengthened and standardized.Nursing managers should strengthen the training of DVT prevention knowledge for nurses, in an effort to improve their prevention skills and promote the implementation of the preventive measures.

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马娜,张成欢,曹青刚,李莹,李娟,孙鸣明,朱俊美,刘云.骨科深静脉血栓形成物理预防实施现状调查[J].护理学杂志,2019,34(1):27-31

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  • 收稿日期:2018-08-23
  • 最后修改日期:2018-10-10
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  • 在线发布日期: 2022-07-22