文章摘要

老年髋部骨折患者围手术期静脉血栓栓塞症预防中引入共管模式的临床实践

作者: 1陈莹, 1赵文芳, 1倪英杰
1 无锡市锡山人民医院骨科,江苏 无锡 214000
通讯: 倪英杰 Email: wuxiniyingjie@163.com
DOI: 10.3978/j.issn.2095-6959.2022.05.017
基金: 无锡市科技发展资金项目(WX18IIAN042)。

摘要

目的:探讨在老年髋部骨折患者围手术期静脉血栓栓塞症预防中引入共管模式的效果。方法:选择2020年2月至2021年2月无锡市锡山人民医院行手术治疗的120例老年髋部骨折患者,随机分为2组,每组60例。对照组行常规围手术期干预,观察组在此基础上引入共管模式干预。对比2组静脉血栓栓塞症发生率、手术前后下肢深静脉血栓形成健康信念、静脉血栓栓塞症相关知识知晓度及初次下床活动时间、住院时间、住院花费情况。结果:观察组静脉血栓栓塞症发生率为1.67%(1/60),低于对照组的16.67%(10/60),差异有统计学意义(P<0.01);观察组术1周后除健康行为的障碍,下肢深静脉血栓形成健康信念其余各项评分均高于对照组(均P<0.001);观察组术后1周静脉血栓栓塞症相关知识知晓度高于对照组(P<0.001);观察组初次下床活动时间、住院时间短于对照组,住院花费低于对照组(均P<0.001)。结论:老年髋部骨折患者围手术期引入共管模式干预可有效预防静脉血栓栓塞症发生,提升患者下肢深静脉血栓形成健康信念及静脉血栓栓塞症相关知识知晓度,促进患者早日恢复。
关键词: 老年;髋部骨折;静脉血栓栓塞症;共管模式;健康信念;知识知晓度

Clinical practice of introducing co-management model in the prevention of perioperative venous thromboembolism in elderly patients with hip fracture

Authors: 1CHEN Ying, 1ZHAO Wenfang, 1NI Yingjie
1 Department of Orthopedics, Wuxi Xishan People’s Hospital, Wuxi Jiangsu 214000, China

CorrespondingAuthor: NI Yingjie Email: wuxiniyingjie@163.com

DOI: 10.3978/j.issn.2095-6959.2022.05.017

Foundation: This work was supported by Wuxi Science and Technology Development Fund Project, China (WX18IIAN042).

Abstract

Objective: To explore the effect of the introduction of the common tube mode in the prevention of perioperative venous thromboembolism (VTE) in elderly patients with hip fracture. Methods: A total of 120 elderly hip fracture patients undergoing surgical treatment from February 2020 to February 2021 were selected and randomly divided into 2 groups, with 60 cases in each group. The control group underwent routine perioperative intervention, and the observation group adopted the co-management mode intervention on the basis of the control group. The incidence of venous thromboembolism, health beliefs about deep venous thrombosis of the lower extremities before and after surgery, the awareness of VTE related knowledge, the time of first getting out of bed, the length of hospitalization, and the expenditure of hospitalization were compared between the two groups. Results: The incidence of VTE in the observation group was 1.67% (1/60), which was lower than 16.67% (10/60) in the control group. The difference was statistically significant (P<0.001); except for the obstacles of healthy behavior, the health beliefs of deep vein thrombosis of the observation group were higher than the control group (all P<0.001); the observation group had higher awareness of VTE related knowledge at 1 week postoperatively than the control group (P<0.001); the observation group’s time to get out of bed for the first time The hospitalization time was shorter than that of the control group, and the hospitalization cost was lower than that of the control group (all P<0.001). Conclusion: The perioperative introduction of co-pipe mode intervention in elderly patients with hip fracture can effectively prevent the occurrence of venous thromboembolism, enhance the patient’s health belief in deep vein thrombosis of the lower extremities and knowledge of venous thromboembolism, and promote early recovery of patients.
Keywords: elderly; hip fracture; venous thromboembolism; co-management pattern; health belief; knowledge awareness

文章选项