Application of evidence-based nursing in prevention of deep vein thrombosis in elderly patients after urology surgery
循证护理在泌尿外科老年患者术后预防深静脉血栓中的应用

摘要

目的 探讨在泌尿外科老年患者临床护理中实施循证护理在患者术后深静脉血栓并发症的预防中所发挥出的作用。方法 本次研究对象为我院收治的泌尿外科老年患者，共74例，选取时间为2019年6月-2020年2月，根据临床护理方式的不同应用，将其分组展开实验。按照以往护理工作流程，将常规护理模式用于对照组，主要包含用药指导、饮食干预等基础护理服务，组内成员共30例。在观察组患者临床护理中，常规护理内容同上，另外增加使用循证护理。结果 从患者深静脉血栓发生率、患者满意度评分各项指标的比较上来看，观察组患者的整体护理效果较好，差异具有统计学意义（P<0.05）。结论 与常规护理模式相比较，循证护理干预更具针对性特点，涵盖了患者心理、饮食、康复指导等多方面的护理内容，在一定程度上可降低患者深静脉血栓发生率，提高患者的生存质量，有利于临床治疗效果的发挥。

Abstract

Objective: To explore the role of evidence-based nursing in the clinical nursing of elderly patients in urology in the prevention of postoperative complications of deep vein thrombosis.
Methods: This study included 74 elderly patients admitted to our hospital for urology, selected from June 2019 to February 2020. According to different applications of clinical nursing methods, they were grouped to conduct experiments. According to the previous nursing workflow, the conventional nursing model was used for the control group, which mainly included basic nursing services such as medication guidance and diet intervention. There were 30 members in the group. In the clinical care of patients in the observation group, the content of routine care is the same as above, and the use of evidence-based care is added.
Results: From the comparison of patients' incidence of deep vein thrombosis and patients' satisfaction scores, the overall care effect of patients in the observation group was better, and the difference was statistically significant (P <0.05).
Conclusion  : Compared with the conventional nursing model, evidence-based nursing intervention has more targeted features, covering patients' psychological, diet, rehabilitation guidance and other aspects of nursing content. To a certain extent, it can reduce the incidence of deep vein thrombosis and improve the quality of life of patients, which is conducive to the effectiveness of clinical treatment.