静脉血栓栓塞症病人抗凝治疗过程中的风险评估与精准化护理

    The value of the risk assessment and precise nursing in patients with venous thromboembolism during anticoagulant therapy

    • 摘要:
      目的探讨在静脉血栓栓塞症病人抗凝治疗中进行风险评估和精准化护理的效果。
      方法将180例静脉血栓栓塞症病人分为对照组和观察组各90例,对照组实施常规护理,观察组成立抗凝风险评估与精准护理小组,实施风险评估和精准化护理。观察2组病人在抗凝知识评分、治疗依从性、护理满意度、近期生存质量、出血发生率方面的差别。
      结果观察组病人在抗凝知识评分、治疗依从性、护理满意度、近期生存质量4方面均高于对照组病人(P < 0.05~P < 0.01),出血发生率与对照组差异无统计学意义(P>0.05)。
      结论静脉血栓栓塞症病人抗凝治疗过程中实施风险评估及精准护理可以提高病人对护理工作的满意度,提高病人的依从性,明显改善病人的遵医行为,改善病人的近期生存质量,提高抗凝治疗知识的掌握程度,保障护理安全。

       

      Abstract:
      ObjectiveTo investigate the effects of the risk assessment and precise nursing in patients with venous thromboembolism during anticoagulant therapy.
      MethodsOne hundred and eighty patients were randomly divided into the control group and observation group(90 cases each group).The control group were treated with routine care, and the observation group were treated with anticoagulant risk assessment combined with precise nursing.The score of anticoagulation knowledge, therapy compliance, nursing satisfaction, recent quality of life and incidence of hemorrhage between two groups were compared.
      ResultsThe score of anticoagulation knowledge, therapy compliance, recent quality of life and nursing satisfaction in observation group were significantly higher than those in control group(P < 0.05 to P < 0.01), and the difference of the incidence rate of hemorrhage between two groups was not statistically significant(P>0.05).
      ConclusionsDuring the anticoagulant therapy in patients with venous thromboembolism, the risk assessment and precise nursing can improve the satisfaction degree of nursing, medical compliance, recent quality of life and knowledge of anticoagulant therapy, and protect the safety of nursing of patients.

       

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