Role of cluster nursing combined with air pressure therapy in lower extremity deep vein thrombosis afterinterventional hepatic arterial chemoembolization in patients with hepatic malignancy
集束化护理联合气压治疗在肝恶性肿瘤患者介入肝动脉化疗栓塞术后下肢深静脉血栓中的作用

摘要

目的 分析集束化护理和气压治疗联合用于肝恶性肿瘤病人介入肝动脉化疗栓塞术后对预防下肢深 静脉血栓的价值。方法 2020 年 10 月-2022 年 9 月本科接诊肝恶性肿瘤病人 86 名，都予以介入肝动脉化疗栓塞 术治疗。随机均分 2 组：试验组采取集束化护理和气压治疗法，对照组行常规护理和气压治疗。对比下肢深静脉 血栓发生率等指标。结果 关于下肢深静脉血栓，试验组发生率 2.33%，和对照组数据 16.28%相比更低（P＜0.05）。 关于下肢深静脉血栓认知度：试验组数据（90.15±3.48）分，和对照组数据（71.49±6.31）分相比更高（P＜0.05）。 关于满意度，试验组数据 97.67%，和对照组数据 81.4%相比更高（P＜0.05）。关于护理质量：试验组数据（98.05±0.93） 分，和对照组数据（91.34±1.57）分相比更高（P＜0.05）。结论 肝恶性肿瘤介入肝动脉化疗栓塞术联用集束化 护理和气压疗法，下肢深静脉血栓发生率更低，护理质量更高，满意度改善更加明显，疾病认知度提升更为迅速。

Abstract

Objective To analyze the value of combination of cluster nursing and barotherapy for the prevention of deep venous thrombosis of lower extremity after interventional hepatic arterial chemoembolization in patients with hepatic malignant tumor.
Methods From October 2020 to September 2022, 86 patients with hepatic malignant tumor were treated by interventional hepatic arterial chemoembolization. Two groups were randomly divided: the experimental group received cluster nursing and barotherapy, and the control group received routine nursing and barotherapy. The incidence of lower extremity deep vein thrombosis and other indicators were compared.
Results The incidence of lower extremity deep vein thrombosis was 2.33% in the experimental group, which was lower than 16.28% in the control group (P<0.05). Awareness of deep venous thrombosis of lower extremity: the test group (90.15±3.48) points, compared with the control group (71.49±6.31) points (P<0.05). As for satisfaction, the data of the experimental group was 97.67%, which was higher than that of the control group (81.4%) (P<0.05). About the quality of care: experimental group data (98.05±0.93) points, and control group data (91.34±1.57) points higher (P<0.05).
Conclusion   Interventional hepatic arterial chemoembolization combined with cluster nursing and barotherapy for hepatic malignant tumors can lower the incidence of lower extremity deep vein thrombosis, higher nursing quality, more obvious improvement in satisfaction, and more rapid improvement in disease awareness.