关键词: 集束化护理, 血液净化, 儿科护理学, 下肢深静脉血栓

Abstract:

Objective To explore the effects of a nursing bundle for prevention of deep venous thrombosis（DVT） in lower extremities caused by blood purification in children patients.Methods A total of 315 patients in pediatric intensive care unit undergoing blood purification from a tertiary hospital in Changchun in 2017 were recruited as the experimental group,and received a nursing bundle,including assessment and screening,vascular protection,leg circumference assessment,nutritional support,body fluid management,body temperature management,body movement,position management,and other nursing measures;a total of 202 patients undergoing blood purification in 2016 were selected as the control group and received routine nursing. The occurrence of DVT in lower extremities was compared between two groups.Results In the experimental group,there were 40 cases（12.7%） of lower extremity DVT,including 36 cases（16.5%） in children aged 0~6 years,and 4 cases（4.12%） aged 7~14 years old. Twenty-two cases（11.3%） occurred in children whose treatment time was longer than 24 hours,and 18 cases（15%） whose treatment time was less than 24 hours. In the control group,there were 49 cases（24.3%）,including 39 cases（30.7%） in children aged 0~6 years old and 10 cases（13.3%）aged 7~14 years old. Twenty-five cases（22.5%） occurred in children whose treatment time was greater than 24 hours,and 24 cases（26.4%） of children whose treatment time was less than 24 hours. The difference in occurrence of DVT between two groups was statistically significant（ χ²=11.539,P<0.05）.Conclusion The nursing bundle can effectively reduce the incidence of DVT in lower extremities in children undergoing blood purification,especially for children older than 7 years old and whose treatment time is longer than 24 hours.

Key words: Nursing Bundle, Blood Purification, Pediatric Nursing, Deep Venous Thrombosis of Lower Extremity