早期系统化护理干预在预防ICU患者下肢深静脉血栓中的应用

[摘要] Abstract：Objective To investigate the effect of early systematic nursing intervention on prevention of deep venous thrombosis (DVT) of lower limbs in ICU patients. Methods A total of 220 ICU patients were randomly divided into the control group (n=110) and the intervention group(n=110). The control group was given routine nursing care, while the intervention group received early systematic nursing intervention. The differences of hemorheology and the incidence of DVT were compared between the two groups. Results The level of blood viscosity at high  shear rates and plasma viscosity were decreased in both two groups after intervention, and was lower in the intervention group than those in the control group(P＜0.05 or P＜0.01); The incidence of DVT at 1 and 2 weeks after treatment in intervention group were 1.82%(2/110) and 1.82%(2/110) respectively, which were lower than 14.5% (16/110) and 18.2%(20/110) in the control group (P＜0.01). Conclusion Early systematic nursing intervention shows remarkable effect on prevention of DVT in ICU patients by improving the hemorheology and reducing the risk of DVT of the lower limbs and improve.

[学科分类] 护理学

[关键词] 系统化护理干预;ICU;下肢深静脉血栓;血液流变学