Nursing strategy based on FTS concept in prevention of lower limb VTE formation after artificial hip joint replacement in elderly patients

Abstract

Objective To explore the effect of nursing strategy based on FTS concept in the prevention of lower limb VTE formation after artificial hip joint replacement in elderly patients. Methods 112 elderly patients undergoing artificial hip joint replacement in our hospital from January, 2017 to December, 2018 were selected. By randomized digital table method, the patients were randomly divided into an observation group (57 cases) and a control group (55 cases). The control group received general routine nursing. The observation group received nursing intervention strategy based on the FTS concept. The changes of coagulation function, the formation of lower limb VTE, and the satisfaction of nursing service of the two groups were compared and analyzed. Results The prothrombin time, the activation of partial thromboplastin time, and the thrombin time were (13.60±2.47) s (28.97±4.01) s, and (14.71±2.58) s in the observation group, which were longer than those in the control group (all P<0.05). The fibrinogen level was (3.18±0.42) g/L and the total incidence of lower extremity VTE was 3.51% (2/57) in the observation group, which were lower than those in the control group (both P<0.05). The nursing service satisfaction rate was 70.18% (40/57) and the total satisfaction rate was 98.25% (56/57) in the observation group, which were higher than those in the control group (both P<0.05). Conclusions The nursing strategy based on the FTS concept has positive effect in improving the coagulation function and satisfaction of elderly patients taking artificial hip joint replacement and in preventing the formation of lower limb VTE. Key words: Artificial hip joint replacement; FTS; VTE; Nursing strategy