对创伤患者的新型机械静脉血栓栓塞压缩装置的评估:试点研究
Kellie Girardot1, Jan Powers, Lisa Morgan
1Author Affiliations: Department of Trauma Services, Parkview Health, Fort Wayne, Indiana (Ms Girardot and Dr Hollister); Department of Patient Care Services, Parkview Health, Fort Wayne, Indiana (Ms Morgan and Dr Powers).
概括
与间歇性气动压缩 (IPC) 设备相比,运动和压缩 (MAC) 系统显著改善了对创伤患者机械静脉血栓栓塞 (VTE) 预防的遵守. 这表明,MAC系统增强了住院患者的静脉瘤预防策略.
科学领域:
- 创伤护理的护理人员.
- 这是血管外科手术.
- 医疗器械创新 医疗器械创新
背景情况:
- 静脉血栓栓塞 (VTE) 是创伤患者在医院获得的常见并发症.
- 机械预防,包括间歇性气压压缩 (IPC) 装置,对于预防VTE至关重要.
- 机械预防装置的不良合规性限制了它们的有效性.
研究的目的:
- 为了比较运动和压缩 (MAC) 系统与机械VTE预防的IPC设备的合规率.
- 评估MAC系统对创伤患者静脉瘤预防的影响.
主要方法:
- 采用了与历史对照组的前后研究设计.
- 包括需要至少24小时护理的成人创伤患者.
- 对MAC系统收集了前性数据,对IPC设备收集了后性数据.
主要成果:
- 该研究包括51名患者:IPC组34名,MAC组17名.
- 与IPC设备 (7.5小时) 相比,MAC系统 (17.2小时) 的平均每日预防时间显著更长 (p < .001).
结论:
- 运动和压缩 (MAC) 系统证明了对机械VTE预防的更好的合规性.
- 在创伤护理中,MAC系统显示出增强VTE预防策略的潜力.
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