【摘要】：背景與目的了解我國醫(yī)院肺癌圍術(shù)期患者靜脈血栓栓塞癥(venous thromboembolism,VTE)的預(yù)防與護(hù)理現(xiàn)狀。方法采用自行設(shè)計的調(diào)查問卷,在第一屆胸科加速康復(fù)外科(enhanced recovery after surgery,ERAS)華西論壇上,對全國108名胸外科護(hù)士長進(jìn)行調(diào)查。結(jié)果 (1)評估工具與預(yù)防規(guī)范:97.22%的醫(yī)院已采用不同評估工具對肺癌圍術(shù)期患者進(jìn)行VTE風(fēng)險分級,其中67.59%的醫(yī)院已形成VTE預(yù)防護(hù)理規(guī)范。(2)篩查、預(yù)防與隨訪:56.48%的醫(yī)院對肺癌患者進(jìn)行了VTE術(shù)前篩查,90.74%的醫(yī)院對住院患者進(jìn)行了VTE預(yù)防,52.78%的醫(yī)院對出院患者繼續(xù)進(jìn)行了VTE預(yù)防,僅有17.59%醫(yī)院對出院患者VTE的發(fā)生情況進(jìn)行了隨訪。(3)不同類型醫(yī)院肺癌圍術(shù)期患者VTE預(yù)防現(xiàn)狀相比,差異無統(tǒng)計學(xué)意義(P0.05),但在VTE風(fēng)險評估、住院患者VTE預(yù)防方面�？漆t(yī)院所有患者已全面實現(xiàn)(100.00%)。結(jié)論肺癌圍術(shù)期VTE預(yù)防工作已受到廣泛重視,但尚缺乏有效的VTE風(fēng)險評估工具和標(biāo)準(zhǔn)化的VTE預(yù)防護(hù)理指南。
[Abstract]:Background & objective to investigate the prevention and nursing status of perioperative venous thromboembolism (venous thromboembolism,VTE) of lung cancer patients in Chinese hospitals. Methods A self-designed questionnaire was used to investigate 108 head nurses of thoracic surgery at the Huaxi Forum of the first (enhanced recovery after surgery,ERAS of Thoracic accelerated Rehabilitation surgery. Results (1) VTE risk classification of lung cancer perioperative patients was carried out by different assessment tools in 97.22% of hospitals, and 67.59% of them had established VTE preventive nursing standard. (2) screening. Prevention and follow-up: 56.48% of the hospitals carried out VTE screening for lung cancer patients. 90.74% of the hospitals carried out VTE prophylaxis against the hospitalized patients. 52.78% of the hospitals continued to carry out VTE prevention for discharged patients. Only 17.59% of the hospitals followed up the incidence of VTE in discharged patients. (3) there was no significant difference in VTE prevention status of lung cancer patients in different types of hospitals (P0.05), but in VTE risk assessment. All the inpatients in VTE prevention hospital were fully realized (100.00%). Conclusion the prevention of VTE in lung cancer perioperative period has been paid more attention, but there is still a lack of effective VTE risk assessment tools and standardized VTE preventive nursing guidelines.
【作者單位】： 四川大學(xué)華西醫(yī)院胸外科;四川大學(xué)華西臨床醫(yī)學(xué)院;四川大學(xué)華西醫(yī)院;
【基金】：四川省科技廳基金(No.2015SZ0158) 2016年四川大學(xué)華西醫(yī)院學(xué)科卓越發(fā)展1.3.5工程項目資助~~
【分類號】：R473.73

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 王敏燕;手術(shù)后靜脈血栓栓塞癥的危險因素及護(hù)理防范[J];解放軍護(hù)理雜志;2005年04期

2 劉澤霖;劉敏涓;;癌癥病人并發(fā)靜脈血栓栓塞癥的處置[J];血栓與止血學(xué);2012年04期

3 鄧怡;陳曉品;;惡性腫瘤相關(guān)靜脈血栓栓塞癥的研究進(jìn)展[J];臨床腫瘤學(xué)雜志;2013年08期

4 浦國梅;鄭海燕;呂一蘭;;腫瘤患者靜脈血栓栓塞癥的預(yù)防護(hù)理[J];中國誤診學(xué)雜志;2011年25期

5 安美葉;張慶兵;陳俊芳;;惡性腫瘤患者靜脈血栓栓塞癥的護(hù)理研究[J];中國藥物與臨床;2013年03期

6 劉曉涵;盧根娣;;國外靜脈血栓栓塞癥風(fēng)險評估工具的研究進(jìn)展[J];護(hù)理學(xué)雜志;2014年12期

7 李圣青;;腫瘤相關(guān)性靜脈血栓栓塞癥的預(yù)防[J];中華肺部疾病雜志(電子版);2013年05期

8 趙建美;倪松石;仇永貴;曹德林;;我院靜脈血栓栓塞癥防治管理體系的構(gòu)建與實施[J];江蘇衛(wèi)生事業(yè)管理;2014年01期

9 胡艷霞;韓文周;劉彥中;;開胸術(shù)后合并靜脈血栓栓塞癥的臨床分析及護(hù)理對策[J];中國民康醫(yī)學(xué);2011年19期

10 冉孟良;;骨科術(shù)后預(yù)防靜脈血栓栓塞癥管理體會[J];吉林醫(yī)學(xué);2010年21期

相關(guān)碩士學(xué)位論文 前1條

1 劉曉涵;住院患者靜脈血栓栓塞癥風(fēng)險評估工具的應(yīng)用研究[D];第二軍醫(yī)大學(xué);2015年

，

本文編號：2226829