评估基于证据的标准化护理方案对急性中风患者下肢深静脉血栓的预防的影响:回顾性分析
Xuemei Chen1, Ling Feng, Rui Wang
1Department of Neurology, West China Hospital of Sichuan University, Chengdu, Sichuan Province, China.
Medicine
|August 5, 2025
概括
一个新的基于证据的护理方案显著减少了急性中风患者的深静脉血栓形成 (DVT). 这种方法还改善了整体康复和减少并发症,突出了其临床价值.
科学领域:
- 神经学 神经学
- 血管医学 血管医学
- 护理科学 护理科学
背景情况:
- 急性中风是全球死亡和残疾的主要原因.
- 脑卒中患者有深静脉血栓症 (DVT) 的高风险,原因是不运动和高凝血能力.
- 对于中风患者的现有护理服务可能无法最佳地预防DVT.
研究的目的:
- 评估标准化,基于证据的护理方案在预防急性中风患者的DVT方面的有效性.
- 为了比较新方案和传统护理护理之间的DVT发生率和患者结果.
- 评估该协议对患者整体康复和幸福感的影响.
主要方法:
- 从2022年1月到2023年12月对176名急性中风患者的回顾性分析.
- 干预组 (n=84) 接受了结构化的护理:风险分层,预防,早期动员,教育和监测.
- 对照组 (n=92) 接受了传统的护理护理.
- 6个月的随访期,以评估DVT发生率和其他并发症.
主要成果:
- 与对照组 (14.13%,P=.005) 相比,干预组 (2.38%) 的DVT发生率明显较低.
- 干预组的并发症显著减少,包括尿路感染,肺炎,复发性中风和压力 (P<.05).
- 接受该方案的患者表现出改善的神经恢复,认知功能,生活质量以及减少焦虑/抑郁 (P<.05).
结论:
- 基于证据的标准化护理方案在减少急性中风患者中DVT风险方面非常有效.
- 该方案显著提高了患者的整体康复,减少并发症,并改善了中风后的生活质量.
- 建议更广泛地实施该协议,以优化对急性中风幸存者的护理.
相关概念视频
Venous Thrombosis III: Interprofessional Care
22
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
22
Venous Thrombosis IV: Nursing Management
23
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
23
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
36
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
36
Pulmonary Embolism III: Nursing Management
41
A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
41
Peripheral Artery Disease V: Postoperative Nursing Management
25
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
25
Peripheral Artery Disease IV: Nursing Management
44
The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
44


