Clinical effect of comprehensive nursing on prevention of deep vein thrombosis in lower extremities in patients with acute myocardial infarction in cardiovascular department
综合护理预防心血管内科急性心肌梗死患者下肢深静脉血栓形成的临床效果

摘要

目的 分析心血管内科急性心肌梗死患者采用综合护理对预防下肢深静脉血栓形成的影响。方法 针对2023年1月-2024年1月在我院心血管内科接受治疗的100例急性心肌梗死患者展开研究，同时将患者均分两组，参照组均行常规护理干预，研究组行综合护理，对比护理效果，统计患者下肢深静脉血栓发生率、凝血指标、护理满意度，各项数据简列成表，利用统计学工具对比分析，判定组间差异及护理有效性。结果 下肢深静脉血栓发生率，研究组对比参照组显低（P＜0.05）；患者血凝血指标，护理前研究组与参照组间指标无明显差异性（P＞0.05），护理后研究组PT、APTT长于对照组，D-dimer、FBG低于对照组，两组存在统计学差异（P＜0.05）；护理满意度，研究组对比参照组较高（P＜0.05）。结论 心血管内科急性心肌梗死患者采用综合护理可有效避免下肢深静脉血栓形成，改善患者凝血指标，提高护理满意度，临床效果理想，建议推广、应用。

Abstract

Objective To analyze the effect of comprehensive nursing on prevention of deep vein thrombosis in lower extremities in patients with acute myocardial infarction in cardiovascular department.
Methods A study was conducted on 100 patients with acute myocardial infarction who were treated in the cardiovascular department of our hospital from January 2023 to January 2024. The patients were divided into two groups. The reference group received routine nursing intervention, and the study group received comprehensive nursing. The nursing effects were compared, and the incidence of deep vein thrombosis in lower extremities, coagulation indicators, and nursing satisfaction of the patients were statistically analyzed. The data were summarized in a table, and statistical tools were used for comparative analysis to determine the differences between the groups and the effectiveness of nursing.
Results The incidence of deep vein thrombosis of the lower extremities was significantly lower in the study group than in the reference group (P < 0.05). There was no significant difference in the blood coagulation indexes between the study group and the reference group before nursing (P > 0.05). After nursing, the PT and APTT of the study group were longer than those of the control group, and the D-dimer and FBG were lower than those of the control group. There was a statistical difference between the two groups (P < 0.05). The nursing satisfaction of the study group was higher than that of the reference group (P < 0.05).
Conclusion   Comprehensive nursing for patients with acute myocardial infarction in cardiovascular department can effectively avoid deep vein thrombosis of the lower extremities, improve the coagulation indexes of patients, and improve the nursing satisfaction. The clinical effect is ideal, and it is recommended to promote and apply it.