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目的探讨临床护理路径对围术期髋部骨折患者下肢深静脉血栓形成的影响。方法选取吉安市第一人民医院于2012年5月—2014年12月收治的髋部骨折患者87例,根据患者围术期采用的护理方式不同将患者分为常规组43例与研究组44例,常规组实施常规护理,研究组在围术期采用临床护理路径,比较两组患者下肢深静脉血栓形成情况、住院时间、髋关节功能恢复情况及护理满意度。结果研究组患者下肢深静脉血栓形成发生率、下肢肿胀发生率低于常规组,住院时间短于常规组,髋关节功能优良率、护理满意度高于常规组(P<0.05)。结论临床护理路径可有效降低围术期髋部骨折患者下肢深静脉血栓形成发生率,促进髋关节功能恢复,提高护理满意度。
Objective To investigate the influence of clinical nursing pathway on the deep venous thrombosis in patients with hip fracture during perioperative period. Methods 87 cases of hip fracture were selected from the First People’s Hospital of Ji’an City from May 2012 to December 2014. The patients were divided into conventional group (n = 43) and study group (n = 44) according to different nursing methods during perioperative period The routine group was given routine nursing care. The study group used the clinical nursing route in perioperative period. The deep venous thrombosis, length of hospital stay, hip joint function recovery and nursing satisfaction were compared between the two groups. Results The incidence of lower extremity deep vein thrombosis and lower extremity swelling in the study group was lower than that in the conventional group. The length of stay in the study group was shorter than that in the conventional group. The excellent rate of hip joint function and nursing satisfaction were higher than those in the conventional group (P <0.05). Conclusion The path of clinical nursing can effectively reduce the incidence of deep venous thrombosis in patients with hip fracture during perioperative period, promote the recovery of hip joint function and improve nursing satisfaction.