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目的探讨优质护理在下肢深静脉曲张治疗中的应用效果及其对患者术后首次下床时间的影响。方法选取武汉科技大学附属孝感医院2015年2月—2016年4月收治的下肢深静脉曲张患者70例,随机将所有患者分为观察组与对照组,各35例。对照组予以常规护理,观察组予以优质护理。比较两组患者临床疗效、术后首次下床时间、住院时间、护理服务满意度评分、生活质量评分、焦虑和抑郁评分及并发症发生情况。结果观察组患者临床疗效优于对照组(P<0.05)。观察组患者术后首次下床时间、住院时间短于对照组,护理满意度评分高于对照组(P<0.05)。护理前两组患者生活质量、焦虑与抑郁评分比较,差异无统计学意义(P>0.05);护理后观察组生活质量评分高于对照组,焦虑与抑郁评分低于对照组(P<0.05)。观察组并发症发生率低于对照组(P<0.05)。结论优质护理干预可有效缩短下肢深静脉曲张患者术后首次下床时间,减轻患者焦虑、抑郁情绪,减少并发症发生,提高患者护理满意度和生活质量。
Objective To explore the effect of high-quality nursing in the treatment of deep varicose veins of lower extremities and its effect on the time to first bed after operation. Methods 70 patients with varicose lower extremities admitted to Xiaogan Hospital Affiliated to Wuhan University of Science and Technology from February 2015 to April 2016 were randomly divided into observation group and control group with 35 cases in each group. The control group was given routine care and the observation group was given quality care. The clinical efficacy, time to first bed, length of hospital stay, satisfaction score of nursing service, quality of life score, anxiety and depression scores and complications were compared between the two groups. Results The clinical efficacy of the observation group was better than that of the control group (P <0.05). The observation group had the first time to get out of bed, the length of stay in hospital was shorter than that of the control group, and the nursing satisfaction score was higher than that of the control group (P <0.05). There was no significant difference in quality of life, anxiety and depression scores between the two groups before nursing (P> 0.05). After the nursing, the quality of life score of the observation group was higher than that of the control group, and anxiety and depression scores were lower than those of the control group (P <0.05) . The complication rate in observation group was lower than that in control group (P <0.05). Conclusion The high-quality nursing intervention can effectively shorten the time to first bed after deep venous varices in patients with lower extremities, reduce anxiety and depression, reduce the incidence of complications and improve patient satisfaction and quality of life.