Nursing intervention of deep vein thrombosis after major bone trauma

Abstract

Objective To investigate the effect of nursing intervention on deep vein thrombosis after major bone trauma. Methods 59 cases of bone trauma surgery were selected as the research subjects, according to random number table method, they were randomly divided into the observation group and the control group.The patients of the control group received routine nursing care, and the patients of the observation group were given nursing intervention for postoperative deep vein thrombosis on the basis of the conventional nursing care.The pulmonary embolism, deep vein thrombosis and lower extremity swelling occurred rate before and after intervention of venous blood flow velocity, patients hospitalization time and quality of care scores were compared. Results The incidence rates of pulmonary embolism (0.0%), deep vein thrombosis (11.1%) and lower extremity swelling with postoperation (14.8%) of the observation group were significantly less than those in the control group(15.6%, 53.1%, 46.9%), there was significant differences (χ2=4.61, 11.54, 6.89, all P<0.05). After intervention, the lower extremity venous blood flow velocity of two groups [(20.9±5.3)cm/s, (27.5±7.4)cm/s] was significantly higher than before intervention [(19.2±4.6)cm/s, (19.8±5.3)cm/s], there was statistically significant difference (t=1.37, 4.40, all P<0.05). The stem prognosis of lower extremity venous blood flow velocity of the observation group [(27.5±7.4)cm/s] was significantly higher than (20.9±5.3)cm/s of the control group, there was significant difference (t=3.98, P<0.05). The hospitalization time in the observation group (45.2±5.4)d was less than (62.3±7.5)d in the control group, and the nursing quality score (98.7±1.1) was higher than (91.8±1.7) in the control group, and the differences were statistically significant (t=9.88, 18.12, all P<0.05). Conclusion Comprehensive nursing intervention can help improve venous blood flow velocity, reduce the incidence of deep vein thrombosis, shorten the hospital stay, and improve the quality of nursing. Key words: Hospital, osteopathic; Traumatology; Venous thromboembolism; Nursing care