目的：探讨预见性护理干预对骨科患者术后深静脉血栓形成的预防作用。方法选择本院收治的骨科手术患者共106例，按照随机数字表法将其随机分为干预组56例、对照组50例，对照组患者采取常规护理，干预组在常规护理基础上加用预见性护理，比较2组患者DVT发生率、住院时间、患者对护理满意度以及术前、术后7 d血浆D-二聚体水平。结果干预组DVT发生率显著低于对照组，差异具有统计学意义（P＜0．05）；干预组患者住院时间显著短于对照组，差异具有统计学意义（P＜0．05）；干预组患者对护理总满意率为94．64％，对照组患者对护理总满意率为82．00％，2组比较差异具有统计学意义（P＜0．05）；术前比较，2组患者血浆D-二聚体水平差异不具有统计学意义（P＞0．05）；术后7 d，2组患者血浆D-二聚体水平均较术前显著升高（P＜0．05）；术后7 d干预组血浆D-二聚体水平显著低于对照组（P＜0．05）。结论采用预见性护理，能够预防患者深静脉血栓的形成，缩短患者的住院时间，提高患者对护理的满意度，值得临床上推广运用。
Objective To explore effect of predictive nursing intervention on preventing deep vein thrombosis after orthopedic surgery. Methods 106 orthopedic surgery patients were randomly divided into intervention group（56 cases）and control group（50 cases）. Intervention group were treated by conventional nursing methods while the intervention group were treated by predic- tive nursing intervention as well as conventional nursing method. And the DVT incidence rate, time of hospitalization, patients＇ satisfaction and plasma D-dimer levels were compared before and after seven days of surgery. Results The DVT incidence rate of the intervention group was lower than that in the control group, and the differences were statistically significant （P 〈 0.05） ; Hospital stay of the intervention group was shorter than that in the control group, and the difference was statistically significant （P 〈 0.05） ~ The satisfaction rate of intervention group was 94.64 % and 8 2 . 0 0 % in the control group , and the difference was significant according to the results （ P （ 0.05） ; Before surgery, there were no significantly difference in D-dimer levels （P 〉 0.05）, but after seven days of surgery, there were significantly difference in D-dimer levels（P 〈 0.05）. Conclusion Predictive nursing intervention can prevent DVT, shorten the hospitalization time and in- crease satisfaction rate, so it is worthy of promotion in clinic.
Journal of Clinical Medicine in Practice
deep vein thrombosis