护理专科敏感指标的构建在预防妇科恶性肿瘤围手术期静脉血栓栓塞症中的应用效果

石卉慧; 彭正燕; 杨波; 侯森梅; 袁媛; 归冠; 袁婷婷; 宋倩捷

doi:10.16766/j.cnki.issn.1674-4152.003528

护理专科敏感指标的构建在预防妇科恶性肿瘤围手术期静脉血栓栓塞症中的应用效果

doi: 10.16766/j.cnki.issn.1674-4152.003528

蚌埠医科大学第一附属医院肿瘤妇科，安徽蚌埠 233004

基金项目:

蚌埠医学院自然科学重点项目 2021byzd094

安徽省教育厅高校科学研究重点项目 KJ2021A0727

详细信息

通讯作者:
杨波，E-mail: yangbo2016@163.com

中图分类号: R473.73 R737.3
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- 文章访问数: 31
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出版历程
- 收稿日期: 2023-08-05
- 网络出版日期: 2024-07-20

The construction of sensitive index of nursing specialty is to prevent gynecological malignant tumor in perioperative period application effect in venous thromboembolism

Tumor Gynecology, the First Affiliated Hospital of Bengbu Medical University, Bengbu, Anhui 233004, China

摘要

摘要: 目的探讨护理专科质量敏感指标在预防妇科恶性肿瘤围手术期静脉血栓栓塞症(VTE)中的应用价值，为临床预防静脉栓塞提供依据。方法选取蚌埠医科大学第一附属医院肿瘤妇科2022年1—12月收治的妇科恶性肿瘤需手术的患者219例作为研究对象，1—6月收治的111例患者为对照组，采用传统的方法对围手术期患者实行VTE预防措施落实护理质量控制；7—12月收治的108例患者为观察组，构建专科护理质量敏感指标进行VTE预防措施落实质量控制。对2组患者围手术期预防VTE效果进行评价，对比2组护理人员的VTE规范筛查落实率、VTE相关知识知晓率、功能锻炼执行正确率、物理预防实施正确率、抗凝药物执行正确率，患者VTE发生率、满意度的发生情况。结果对照组和观察组VTE规范筛查落实率(75.68% vs. 87.96%)、VTE相关知识知晓率(78.38% vs. 88.89%)、功能锻炼执行正确率(83.78% vs. 91.67%)、物理预防执行正确率(72.97% vs. 86.11%)、抗凝药物执行正确率(81.08% vs. 91.67%)、VTE发生率(9.91% vs. 1.85%)、患者满意度(76.58% vs. 91.67%)比较差异均有统计学意义(P<0.05)，观察组各项指标结果均优于对照组。结论护理专科质量敏感指标的构建在预防妇科恶性肿瘤围手术期VTE中的效果良好，能够降低VTE的发生率，提高患者满意度，优化临床护理质量，推荐临床应用。
- 护理专科敏感指标构建 /
- 妇科恶性肿瘤 /
- 围手术期 /
- 静脉血栓栓塞症预防
Abstract: Objective To explore the application value of nursing specialty quality-sensitive indexes in the prevention of perioperative venous thromboembolism (VTE) in gynecological malignant tumors, and to provide evidence for the clinical prevention of venous thromboembolism. Methods A total of 219 patients requiring surgery for gynecological malignant tumors admitted to the First Affiliated Hospital of Bengbu Medical University from January to December 2022 were selected as the study objects, and 111 patients admitted from January to June were selected as the control group. Traditional methods were used to perform VTE preventive measures in perioperative patients to implement nursing quality control. A total of 108 patients admitted from July to December were assigned to the observation group. The sensitive indexes of specialized nursing quality were established for VTE preventive measures to implement quality control. The effect of perioperative VTE prevention in the two groups of patients was evaluated, and the accuracy of VTE standard screening, VTE knowledge awareness, functional exercise implementation, physical prevention implementation, anticoagulant drug implementation, VTE incidence and satisfaction of patients were compared between the two groups. Results Control group and observation group VTE standard screening accuracy rate (75.68% vs. 87.96%), VTE-related knowledge awareness rate (78.38% vs. 88.89%), functional exercise implementation accuracy rate (83.78% vs. 91.67%), physical prevention implementation accuracy rate (72.97% vs. 86.11%). The correct rate of anticoagulant drug execution (81.08% vs. 91.67%), the incidence of VTE (9.91% vs. 1.85%), and patient satisfaction (76.58% vs. 91.67%) were statistically significant differences between the two groups (P<0.05), and the results of various indicators in the observation group were better than those in the control group. Conclusion The construction of a nursing specialty quality sensitive index has a good effect in preventing perioperative VTE of gynecological malignant tumors, which can reduce the incidence of VTE, improve patient satisfaction and optimize clinical nursing quality, and recommend clinical application.
- Construction of sensitive index of nursing specialty /
- Gynecological malignancy /
- Perioperative period /
- Prevention of venous thromboembolism

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表 1 2组妇科恶性肿瘤手术患者一般资料比较

Table 1. Comparison of general data between two groups of patients undergoing surgery for gynecological malignant tumors

组别	例数	年龄(x±s，岁)	诊断[例(%)]			内科合并症[例(%)]				手术途径[例(%)]		手术时长(x±s，min)
组别	例数	年龄(x±s，岁)	宫颈癌	子宫内膜癌	卵巢癌	无合并症	高血压	糖尿病	心脏病	开腹	腹腔镜	手术时长(x±s，min)
观察组	108	53.87±9.77	52(48.15)	33(30.56)	23(21.30)	63(58.33)	28(25.92)	12(11.11)	5(4.62)	87(80.55)	21(19.44)	178.84±21.75
对照组	111	54.41±9.60	53(47.75)	35(31.53)	23(20.72)	66(59.45)	25(22.52)	14(12.61)	6(5.41)	91(81.98)	20(18.02)	176.40±13.54
统计量		-0.416^a	0.027^b			0.443^b				0.073^b		-1.002^a
P值		0.678	0.986			0.931				0.787		0.317
注：^a为t值，^b为χ²值。

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表 2 妇科恶性肿瘤患者术后VTE预防查检记录表

Table 2. Postoperative VTE prevention check record for gynecological malignancy patients

姓名：住院号：诊断：手术名称：手术时间：
日期	运动预防			药物预防		物理预防			是否有静脉血栓发生	签名
日期	踝泵运动频次(每次3~5 min，每日6~8次)	股四头肌运动频次(每次3~5 min，每日6~8次)	运动是否规范	具体药物	是否按时正确执行	医用弹力袜	肢体气压泵	是否规范	是否有静脉血栓发生	签名

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表 3 2组妇科恶性肿瘤手术患者术后VTE预防措施落实情况比较[例(%)]

Table 3. Comparison of postoperative VTE preventive measures implementation in two groups of patients undergoing gynecologic malignancy surgery [cases (%)]

组别	例数	VTE规范筛查落实	VTE相关知识知晓	功能锻炼执行正确	物理预防执行正确	抗凝药物执行正确
对照组	111	84(75.68)	87(78.38)	93(83.78)	81(72.97)	90(81.08)
观察组	108	95(87.96)	96(88.89)	99(91.67)	93(86.11)	99(91.67)
χ²值		5.534	4.402	3.147	5.788	5.188
P值		0.019	0.036	0.036	0.016	0.023

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表 4 2组妇科恶性肿瘤手术患者术后VTE发生率及满意率比较[例(%)]

Table 4. Comparison of postoperative VTE incidence and satisfaction rates between two groups of patients undergoing gynecologic malignancy surgery [cases (%)]

组别	例数	VTE发生	满意度
对照组	111	11(9.91)	85(76.58)
观察组	108	2(1.85)	99(91.67)
χ²值		5.004	9.283
P值		0.025	0.002

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