Volume 22 Issue 5
May  2024
Turn off MathJax
Article Contents
Article Navigation >  Chinese Journal of General Practice  > 2024  >  22(5): 892-895
SHI Huihui, PENG Zhengyan, YANG Bo, HOU Senmei, YUAN Yuan, GUI Guan, YUAN Tingting, SONG Qianjie. The construction of sensitive index of nursing specialty is to prevent gynecological malignant tumor in perioperative period application effect in venous thromboembolism[J]. Chinese Journal of General Practice, 2024, 22(5): 892-895. doi: 10.16766/j.cnki.issn.1674-4152.003528
Citation: SHI Huihui, PENG Zhengyan, YANG Bo, HOU Senmei, YUAN Yuan, GUI Guan, YUAN Tingting, SONG Qianjie. The construction of sensitive index of nursing specialty is to prevent gynecological malignant tumor in perioperative period application effect in venous thromboembolism[J]. Chinese Journal of General Practice, 2024, 22(5): 892-895. doi: 10.16766/j.cnki.issn.1674-4152.003528
shu

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

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

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

Funds:

 2021byzd094

 KJ2021A0727

  • Received Date: 2023-08-05
    Available Online: 2024-07-20
    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.

     

    • FullText(HTML)
  • loading
    • References(21)
  • [1]
    相媛媛, 韩燕华. 妇科围手术期并发静脉血栓栓塞症38例分析[J]. 广州医药, 2023, 54(4): 52-56. https://www.cnki.com.cn/Article/CJFDTOTAL-GZYY202304007.htm

    XIANG Y Y, HAN Y H. Analysis of thirty-eight cases of gynecological perioperative venous thromboembolism[J]. Guangzhou Medical Journal, 2023, 54(4): 52-56. https://www.cnki.com.cn/Article/CJFDTOTAL-GZYY202304007.htm
    [2]
    张荣, 余敏敏, 王永臻, 等. 妇科术后深静脉血栓的预防及治疗[J]. 中华全科医学, 2018, 16(12): 2003-2005. doi: 10.16766/j.cnki.issn.1674-4152.000546

    ZHANG Y, YU M M, WANG Y Z, et al. Prevention and treatment of deep venous thrombosis in gynecologic surgery[J]. Chinese Journal of General Practice, 2018, 16(12): 2003-2005. doi: 10.16766/j.cnki.issn.1674-4152.000546
    [3]
    MA S G, HU J, HUANG Y. The risk factors for perioperative venous thromboembolism in patients with gynecological malignancies: a meta-analysis[J]. Thromb Res, 2020, 196: 325-334. doi: 10.1016/j.thromres.2020.09.019
    [4]
    顾芸韵, 朱佳华, 周菊花. 基于Delphi构建急诊护理路径在急性心肌梗死患者中的应用[J]. 齐鲁护理杂志, 2023, 29(3): 102-105. https://www.cnki.com.cn/Article/CJFDTOTAL-QLHL202303030.htm

    GU Y Y, ZHU J H, ZHOU J H. Application of Delphi based emergency nursing pathway in patients with acute myocardial infarction[J]. Journal of Qilu Nursing, 2023, 29(3): 102-105. https://www.cnki.com.cn/Article/CJFDTOTAL-QLHL202303030.htm
    [5]
    山东省临床肿瘤学会妇科肿瘤专家委员会, 中国医师协会微无创医学专业委员会妇科肿瘤学组. 妇科肿瘤患者围手术期静脉血栓栓塞症预防的专家共识(2022年版)[J]. 中华肿瘤防治杂志, 2022, 29(10): 687-694. https://www.cnki.com.cn/Article/CJFDTOTAL-QLZL202210001.htm

    ynecologic Oncology Expert Committee of Shandong Clinical Oncology Society, Gynecologic Oncology Group, Chinese Medical Doctor Association Committee of Noninvasive Medicine. Expert consensus on perioperative prevention of venous thromboembolism in patients with gynecological tumors (2022 edition)[J]. Chinese Journal of Cancer Prevention and Treatment, 2022, 29(10): 687-694. https://www.cnki.com.cn/Article/CJFDTOTAL-QLZL202210001.htm
    [6]
    国家卫生健康委医院管理研究所护理中心. 护理敏感质量指标实用手册[M]. 北京: 人民卫生出版社, 2023.

    ursing Center, Institute of Hospital Administration, National Health and Family Planning Commission. A practical manual for sensitive quality indicators of care[M]. Beijing: People' s Medical Publishing House, 2023.
    [7]
    叶莹, 姬艳芳, 张璐, 等. 运用Likert 5级评分法对免疫规划互联网+培训的效果评价[J]. 河南预防医学杂志, 2019, 30(9): 701-703. https://www.cnki.com.cn/Article/CJFDTOTAL-HNYF201909019.htm

    YE Y, JI Y F, ZHANG L, et al. Evaluation of efficacy of Internet + training in immunization program by Likert 5-level scoring method[J]. Henan Journal of Preventive Medicine, 2019, 30(9): 701-703. https://www.cnki.com.cn/Article/CJFDTOTAL-HNYF201909019.htm
    [8]
    WILSON A S, KOLLER K R, RAMABOLI M C, et al. Diet and the human gut microbi-ome: an international review[J]. Dig Dis Sci, 2020, 65(3): 723-740. doi: 10.1007/s10620-020-06112-w
    [9]
    陈宗喻, 杜娟, 张先明. 肺血栓栓塞症的临床诊治进展[J]. 中华全科医学, 2020, 18(7): 1181-1184. doi: 10.16766/j.cnki.issn.1674-4152.001460

    CHEN Z Y, DU J, ZHANG X M. Clinical diagnosis and treatment of pulmonary thromboembolism[J]. Chinese Journal of General Practice, 2020, 18(7): 1181-1184. doi: 10.16766/j.cnki.issn.1674-4152.001460
    [10]
    国家卫生健康委医政医管局. 2023年国家医疗质量安全改进目标[EB/OL]. (2023-02-28)[2023-08-26]. http://www.nhc.gov.cn/yzygj/s3586/202302/573156309e0c4e988115b80cac8865a5.shtml.
    [11]
    戴雅琴, 张骏, 傅丽琴, 等. 不同物理方法预防骨盆骨折术后下肢深静脉血栓的随机对照研究[J]. 中华全科医学, 2019, 17(2): 186-189.
    [12]
    金金, 谭政, 乔力松, 等. 恶性肿瘤手术后静脉血栓栓塞症患者临床特点及预后分析[J]. 国际呼吸杂志, 2019, 39(3): 201-206.

    JIN J, TAN Z, QIAO L S, et al. Clinical characteristics and outcomes of malignancy surgical patients with venous thromboembolism[J]. International Journal of Respiration, 2019, 39(3): 201-206.
    [13]
    唐琴, 王平. 妇科手术后静脉血栓栓塞症临床分析[J]. 实用妇产科杂志, 2020, 36(1): 67-71. https://www.cnki.com.cn/Article/CJFDTOTAL-SFCZ202001022.htm

    TANG Q, WANG P. Clinical analysis of venous thromboembolism after gynecological operation[J]. Journal of Practical Obstetrics and Gynecology, 2020, 36(1): 67-71. https://www.cnki.com.cn/Article/CJFDTOTAL-SFCZ202001022.htm
    [14]
    ZHOU C, YI Q, GE H, et al. Validation of risk assessment models predicting venous thromboembolism in inpatients with acute exacerbation of chronic obstructive pulmonary disease: a multicenter cohort study in China[J]. Thromb Haemost, 2021, 122(7): 1177-1185.
    [15]
    GUNTUPALLI S R, SPINOSA D, WETHINGTON S, et al. Prevention of venous thromboembolism in patients with cancer[J]. BMJ, 2023, 381: e072715. DOI: 10.1136/bmj-2022-072715.
    [16]
    LIANG S, TANG W, YE S, et al. Incidence and risk factors of preoperative venous thromboe-mbolism and pulmonary embolism in patients with ovarian cancer[J]. Thromb Res, 2020, 190: 129-134. doi: 10.1016/j.thromres.2020.02.019
    [17]
    李丹. 护理质量敏感指标体系在中医院病房护理质量持续改进中的作用[J]. 中医药管理杂志, 2022, 30(11): 193-195. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYYG202211073.htm

    LI D. The role of nursing quality sensitive index system in continuous improvement of nursing quality in hospital wards of traditional Chinese medicine[J]. Journal of Chinese Medicine Administration, 2022, 30(11): 193-195. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYYG202211073.htm
    [18]
    吕扬, 贾燕瑞, 高凤莉. 呼吸内科护理专业化质量管理体系的科学构建与思考[J]. 中华现代护理杂志, 2021, 27(3): 281-285. doi: 10.3760/cma.j.cn115682-20200508-03230

    LYU Y, JIA Y R, GAO F L. Scientific construction and thinking of the quality management system of nursing specialty in the Department of Respiratory[J]. Chinese Journal of Modern Nursing, 2021, 27(3): 281-285. doi: 10.3760/cma.j.cn115682-20200508-03230
    [19]
    郑丽芳, 钟丽娟, 钟影琴. 护理质量敏感指标评价与持续改进对提高护理质量的影响[J]. 护理实践与研究, 2020, 17(2): 8-10. https://www.cnki.com.cn/Article/CJFDTOTAL-HLSJ202002005.htm

    ZHENG L F, ZHONG L J, ZHONG Y Q. Effect of applying sensitive index evaluation of nursing quality and continuous improvement for improving nursing quality[J]. Nursing Practice and Research, 2020, 17(2): 8-10. https://www.cnki.com.cn/Article/CJFDTOTAL-HLSJ202002005.htm
    [20]
    何莉, 刘晓梅, 张碧荣. 肿瘤专科护理敏感质量指标的构建及在肿瘤科护理质量改善中的应用[J]. 中华现代护理杂志, 2021, 27(10): 1331-1335.

    HE L, LIU X M, ZHANG B R. Construction of oncology special nursing sensitive quality index and its application in improvement of nursing quality in oncology department[J]. Chinese Journal of Modern Nursing, 2021, 27(10): 1331-1335.
    [21]
    葛津津, 刘薇群, 江长缨, 等. 基于结构-过程-结果理论的上海市社区护理质量管控指标体系构建研究[J]. 中华全科医学, 2019, 17(4): 609-613. doi: 10.16766/j.cnki.issn.1674-4152.000748

    GE J J, LIU W Q, JIANG C Y, et al. Establishment of Shanghai community nursing quality indicators system: based on Donabedian' s structure-process-outcome approach theory[J]. Chinese Journal of General Practice, 2019, 17(4): 609-613. doi: 10.16766/j.cnki.issn.1674-4152.000748
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(4)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (31) PDF downloads(3) Cited by()
    Proportional views
    Related

    Address：No. 287, Changhuai Road, Bengbu, Anhui Province, 233004, P.R.ChinaphoneNo：0552-3066635； 0552-3051890Email：zhqkyx@163.com

    Copyright © Chinese Journal of General Practice皖ICP备2020018345号-2

    Supported by: Beijing Renhe Information Technology Co., Ltd.    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return