在重大骨科手术后,护士主导的干预深静脉血栓的发展:质量改进项目
Chunming Yuan1, Hao Wen2, Xianbo Wu3
1Affiliated Sport Hospital of Chengdu Sport University, Chengdu Sport University, Address: 251#, Wuhou Street, Wuhou District, Chengdu, Sichuan, 610041, China; Duke University School of Nursing, Durham, NC, 27710, USA.
International journal of orthopaedic and trauma nursing
|November 8, 2025
概括
一项由护士领导的脚运动计划显示,骨科手术患者的高度坚持和降低深静脉血栓症 (DVT) 率. 需要进一步的研究来证实其在预防DVT方面的有效性.
科学领域:
- 整形外科手术 整形外科手术
- 血栓事件 预防 预防
- 基于证据的实践实施实施.
背景情况:
- 深静脉血栓 (DVT) 是主要的骨科手术后的常见并发症,增加医疗保健成本并对患者的治疗结果产生负面影响.
- 脚运动是对在骨科手术后的患者进行DVT预防的有前途的干预措施.
研究的目的:
- 评估护士领导的,基于证据的脚运动实践的实施过程.
- 评估护士遵守和同意脚运动协议的情况.
- 为了确定脚运动实践对大骨科手术患者DVT发展的影响.
主要方法:
- 从2023年8月到2024年1月,在一家三级医院进行了一项准实验性的质量改进项目.
- 在接受重大骨科手术的成年患者中,实施了一项由护士领导的,基于证据的脚运动干预措施.
- 通过图表审查,使用标准化措施开发 (NoMAD) 调查评估护士合同,并通过医院信息系统评估DVT率.
主要成果:
- 护士对脚运动实践的坚持率为83%.
- 对于连贯性见解 (100%) 和认知参与 (85%) 观察到高度一致.
- 在干预后,DVT的发病率从6.5%降至4.8%.
结论:
- 护士领导的,基于证据的脚运动实践表明了良好的护士坚持和减少DVT率.
- 虽然结果很有希望,但建议进行更大,更严格的研究,以确定脚运动在重大骨科手术后预防DVT的有效性.
相关概念视频
01:29Venous Thrombosis III: Interprofessional Care
271
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...
271
01:30Venous Thrombosis IV: Nursing Management
190
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,...
190
01:23Peripheral Artery Disease V: Postoperative Nursing Management
360
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...
360
01:27Pulmonary Embolism III: Nursing Management
343
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...
343
01:26Varicose Veins II: Diagnostic Studies and Interprofessional Care
176
Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
176
01:20Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
280
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...
280