The effect of integrative nursing care for prevention of deep venous thrombosis of lower extremities in patients underwent radical prostatectomy

doi:10.3877/cma.j.issn.1674-3253.2021.06.009

Abstract

Abstract:

Objective

To evaluate the effect of integrative nursing care for prevention of deep venous thrombosis(DVT) of lower extremities in patients underwent radical prostatectomy.

Methods

A total of 35 patients undergoing radical prostatectomy from April 2020 to August 2020 were recruited as the intervention group, and received integrative nursing care, including screening and assessment, observation of precursor symptoms,vascular protection, early postoperative rehabilitation activitie, position management, nutritional support and body fluid management, body temperature management and patient education, and other nursing measures. A total of 35 patients from September 2019 to March 2020 undergoing radical prostatectomy were selected as the control group and received routine nursing. The occurrence of DVT in lower extremities was compared between the two groups.

Results

DVT occurred in 1 patients (2.86%) of the intervention group and 5 patients (14.28%) in the control group. The difference of the incidence of thrombosis between the two groups was statistically significant (P<0.05).

Conclusion

The integrative nursing care can effectively reduce the incidence of DVT in lower extremities in patients undergoing radical protectomy and promote patient recovery.

Key words: Nursing care, Radical prostatectomy, Venous thrombosis

Youdi Cai, Limei Zhang, Huan Jian, Kun Bao, Shiju Huang, Limin Liang. The effect of integrative nursing care for prevention of deep venous thrombosis of lower extremities in patients underwent radical prostatectomy[J]. Chinese Journal of Endourology(Electronic Edition), 2021, 15(06): 488-492.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhqjmnmwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-3253.2021.06.009

https://zhqjmnmwkzz.cma-cmc.com.cn/EN/Y2021/V15/I06/488

Figures/Tables 2

References 18

[1]	施安. 泌尿外科肿瘤术后发生静脉血栓栓塞症的危险因素分析[D]. 上海: 上海交通大学, 2018.
[2]	陈杰. 集束化护理的临床应用及研究进展[J]. 全科护理, 2014, 12(19): 1744-1745.
[3]	刘菲, 尹小兵, 李晓悦, 等. 骨科深静脉血栓预防的护理研究进展[J]. 中国实用护理杂志, 2017, 23(13): 1037-1040.
[4]	中华医学会外科学分会. 中国普通外科围术期血栓预防与管理指南[J]. 中国实用外科杂志, 2016, 36(5): 469-474.
[5]	《中国血栓性疾病防护指南》专家委员会. 中国血栓性疾病防治指南[J]. 中华医学杂志, 2018, 98(36): 2861-2888.
[6]	Grant Paul J , Greene M Todd , Chopra Vineet , et al. Assessing the caprini score for risk assessment of venous thromboembolism in hospitalized medical patients[J]. Am J Med, 2016, 129(5): 528-535.
[7]	Chopra V, Ratz D, Kuhn L,et al.Peripherally inserted centralcatheter-related deep vein thrombosis: comtemporary patterns and predictors[J].J Thromb Haemost,2014,12(16):847-854.
[8]	国家卫生计生委. 静脉治疗护理技术操作规范[J]. 中华护理管理. 2014, 14, (1): 1-4.
[9]	Jie Y, Lujing Z, Lei YJ,et al.Establishment and validation of a prediction equation to estimate risk of intraoperative hypothermia in patients receiving general anesthesia[J]. Sci Rep, 2017, 7(1): 13927.
[10]	王建荣. 输液治疗护理实践指南与实施细则[M]. 北京: 人民军医出版社, 2010: 92.
[11]	谷秉红, 杨萍. 住院恶性肿瘤患者下肢深静脉血栓发生风险预测及相关因素分析[J]. 护理管理杂志,2013, 13(5): 370-372.
[12]	涂加园. 创伤后患者低体温风险评估量表的研制[D].南京:南京大学, 2019.
[13]	郭静. 护理干预对腹部术后患者胃肠功能恢复的影响[J]. 齐鲁护理杂志, 2010, 16(15): 74-76.
[14]	Prandoni P, Milan M, Sarolo L, et al. Optimal duration of anticoagulation in patients with unprovoked venous thromboembolism: the impact of novel anticoagulants[J]. Int Angiol, 2017, 36(5): 395-401.
[15]	山慈明, 尹慧珍, 杜书明, 等. 围手术期深静脉血栓形成的物理预防研究进展[J]. 中华护理杂志, 2014, 49(3): 349-354.
[16]	张凯, 翟梦瑶. 中国泌尿外科围手术期血栓预防与管理专家共识[J]. 现代泌尿外科杂志, 2020, 25(12): 1048-1051.
[17]	方友强, 周祥福. 2020版欧洲泌尿外科学会前列腺癌诊疗指南更新要点解读[J/CD]. 中华腔镜泌尿外科杂志(电子版), 2020, 14(6): 401-404.
[18]	高新. 拯救性淋巴结清扫术治疗前列腺癌根治术后淋巴结转移[J/CD]. 中华腔镜泌尿外科杂志(电子版), 2019, 13(2): 73-75.

项目	例数	年龄(例)			临床TNM分期		手术时间[h，(±s)]	术中出血[ml，(±s)]	淋巴结清扫(例)		血栓风险评分(例)
项目	例数	41~60岁	61~74岁	61~74岁	T2期	T3~T4期	手术时间[h，(±s)]	术中出血[ml，(±s)]	有	无	高危	极高危
对照组	35	4	23	8	16	19	4.42±1.03	165±111	10	25	18	17
干预组	35	3	25	7	17	18	4.61±1.41	157±146	12	23	19	16
统计值		Z=0.293			χ²=0.057		t=0.669	t=0.249	χ²=0.265		χ²=0.057
P值		0.864			0.811		0.506	0.804	0.607		0.812

项目	例数	年龄(例)			临床TNM分期		手术时间[h，(±s)]	术中出血[ml，(±s)]	淋巴结清扫(例)		血栓风险评分(例)
项目	例数	41~60岁	61~74岁	61~74岁	T2期	T3~T4期	手术时间[h，(±s)]	术中出血[ml，(±s)]	有	无	高危	极高危
对照组	35	4	23	8	16	19	4.42±1.03	165±111	10	25	18	17
干预组	35	3	25	7	17	18	4.61±1.41	157±146	12	23	19	16
统计值		Z=0.293			χ²=0.057		t=0.669	t=0.249	χ²=0.265		χ²=0.057
P值		0.864			0.811		0.506	0.804	0.607		0.812

组别	例数	DVT	41~60岁		61~74岁		≥75岁
组别	例数	DVT	例数	DVT	例数	DVT	例数	DVT
干预组	35	1(2.86)0	3	0(0)	25	0(0)	7	1(2.86)
对照组	35	5(14.28)	4	1(2.86)	23	4(11.42)	8	0(0)
χ²值		0.039	0.350			0.029	0.268
P值		4.24	0.875			4.743	1.224

组别	例数	DVT	41~60岁		61~74岁		≥75岁
组别	例数	DVT	例数	DVT	例数	DVT	例数	DVT
干预组	35	1(2.86)0	3	0(0)	25	0(0)	7	1(2.86)
对照组	35	5(14.28)	4	1(2.86)	23	4(11.42)	8	0(0)
χ²值		0.039	0.350			0.029	0.268
P值		4.24	0.875			4.743	1.224

Please choose a citation manager

Content to export