基于循证的长期卧床老年患者深静脉血栓(DVT)的预防管理实践

卫尹, 曹艳佩, 杨晓莉, 倪英

复旦学报(医学版) ›› 2019, Vol. 46 ›› Issue (05) : 700-703.

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复旦学报(医学版) ›› 2019, Vol. 46 ›› Issue (05) : 700-703. DOI: 10.3969/j.issn.1672-8467.2019.05.022
短篇报道

基于循证的长期卧床老年患者深静脉血栓(DVT)的预防管理实践

  • 卫尹1,3, 曹艳佩2,3, 杨晓莉2, 倪英1,2
作者信息 +

Evidence-based prevention and management practice of deep venous thrombosis (DVT) in elderly patients with long-term bedridden

  • WEI Yin1,3, CAO Yan-pei2,3, YANG Xiao-li2, NI Ying1,2
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文章历史 +

摘要

深静脉血栓(deep venous thrombosis,DVT)是院内非预期死亡的重要因素之一,长期卧床者是DVT的高危人群。本研究基于JBI循证保健中心现有的最佳证据,制定了14条审查指标。对长期卧床老年患者应用基于循证的DVT预防管理实践,可提高证据应用的依从性,降低DVT发生率,改善生活质量。与基线审查结果比较,证据应用后患者的DVT发生率显著减少,高敏C反应蛋白(high sensitivity C reactive protein,hsCRP)含量显著下降,预防DVT气泵使用显著增多(P<0.05),临床护士的规范护理实践显著改善。

Abstract

Deep venous thrombosis (DVT) is one of the important factors of unexpected death in hospital,and long-term bedridden is a high-risk factor.Based on the best evidence available of JBI Health Center,the study developed 14 audits.Nurses practiced evidence-based prevention and management of DVT in elderly patients with long-term bedridden.It improved the compliance of evidence application,reduced the incidence of DVT and improved the quality of life.Compared with the baseline review,the incidence of DVT and high sensitivity C reactive protein (hsCRP) level were decreased significantly after practice,the use of DVT pump was significantly increased,the standardized nursing practice of clinical nurses was significantly improved (P<0.05).

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导出引用
卫尹, 曹艳佩, 杨晓莉, 倪英. 基于循证的长期卧床老年患者深静脉血栓(DVT)的预防管理实践[J]. 复旦学报(医学版), 2019, 46(05): 700-703 https://doi.org/10.3969/j.issn.1672-8467.2019.05.022
WEI Yin, CAO Yan-pei, YANG Xiao-li, NI Ying. Evidence-based prevention and management practice of deep venous thrombosis (DVT) in elderly patients with long-term bedridden[J]. Fudan University Journal of Medical Sciences, 2019, 46(05): 700-703 https://doi.org/10.3969/j.issn.1672-8467.2019.05.022
中图分类号: R473.5   

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基金

复旦大学护理科研基金(FNF201648);复旦大学临床医学与护理学双一流建设(2018-22-40)
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