Rehabilitation strategy for prevention of lower extremity deep vein thrombosis in elderly patients with hip fracture based on predictive nursing model
基于预见性护理模式下老年髋部骨折患者下肢深静脉血栓预防的康复策略

摘要

目的 分析探讨基于预见性护理模式的康复策略对老年髋部骨折患者下肢深静脉血栓（Deep Vein Thrombosis ，DVT）预防及康复效果的影响。方法 选取2024年1月~2025年1月某三甲医院骨科收治的老年髋部骨折患者为试验组（n=120），2023年1月~2024年1月收治的老年髋部骨折患者为对照组（n=115）。试验组实施以预见、预警、预防、应急为核心的预见性护理模式，包括智能风险评估、动态监测、多学科协作及标准化流程管理；对照组予以常规护理。比较两组DVT发生率、平均住院时间、患者知识知晓率、30天再入院率、患者满意度等指标。结果 试验组DVT发生率为1.67%，显著低于对照组的10.43%，平均住院时间为（7.12±1.21）d，显著短于对照组的（9.19±1.52）d，患者知识知晓率及患者满意度均显著高于对照组，30天再入院率显著低于对照组，差异具有统计学意义（P＜0.05）。结论 预见性护理模式通过早期风险评估、动态监测和多学科协作，可显著降低老年髋部骨折患者DVT发生率，缩短住院时间，提升护理质量。

Abstract

Objective To analyze the impact of a predictive nursing model-based rehabilitation strategy on the prevention and rehabilitation outcomes of lower extremity deep vein thrombosis (DVT) in elderly patients with hip fractures.
Methods Elderly hip fracture patients admitted to the orthopedics department of a tertiary hospital from January 2024 to January 2025 were enrolled as the experimental group (n=120), while those admitted from January 2023 to January 2024 served as the control group (n=115). The experimental group received a predictive nursing model centered on prediction, early warning, prevention, and emergency response, incorporating intelligent risk assessment, dynamic monitoring, multidisciplinary collaboration, and standardized process management. The control group received conventional nursing care. Outcomes including DVT incidence, average hospital stay duration, patient knowledge awareness rate, 30-day readmission rate, and patient satisfaction were compared between the two groups.
Results The experimental group demonstrated a significantly lower DVT incidence (1.67%) compared to the control group (10.43%), with a shorter average hospital stay (7.12±1.21 days vs. 9.19±1.52 days). Additionally, the experimental group achieved higher patient knowledge awareness rates and satisfaction scores, alongside a lower 30-day readmission rate, with statistically significant differences (P＜0.05).
Conclusion   The predictive nursing model, through early risk assessment, dynamic monitoring, and multidisciplinary collaboration, effectively reduces DVT incidence, shortens hospital stays, and enhances nursing quality for elderly patients with hip fractures.