Clinical Observation on Prevention of Deep Venous Thrombosis after Abdominal Surgery by Graded Nursing Based on Caprini and IMPROVE Score
LI Cheng-qin,WANG Jian-guo,SUN Yan
Department of Nursing, The Second People' s Hospital of Zhanhua, Zhanhua District People' s Hospital of Binzhou, Binzhou (256800), China
Abstract:
Objective To investigate the effect of graded nursing under the guidance of Caprini and IMPROVE scores in preventing deep venous thrombosis (DVT) after abdominal surgery. Methods Ninety-eight patients undergoing abdominal surgery from August 2015 to August 2018 in the People’s Hospital of Zhanhua District of Binzhou City and Jinan Municiple Hospital of Traditional Chinese Medicine were randomly divided into observation group and control group. According to the Caprini Thrombus Risk Assessment Form and the IMPROVE Bleeding Risk Assessment Form, the postoperative thrombus risk grade and bleeding risk were evaluated. The patients in the observation group were given graded nursing under the guidance of Caprini and IMPROVE scores, and the patients in the control group were given routine nursing care. All patients were followed up for 6 months, and the incidence of DVT was counted. Results Two of forty-four patients in the observation group were diagnosed of DVT while 11 of 54 in the control group were diagnosed of DVT. There was signi.cant difference in the incidence of DVT between the two groups after operation (P <0.05). Conclusion Graded nursing under the guidance of Caprini and IMPROVE scores can effectively reduce the incidence of postoperative DVT in patients undergoing abdominal surgery.
