【摘要】 目的 探讨风险分级管理模式对预防脑卒中患者深静脉血栓的影响。方法 研究对象为郑州大学第五附属医院收治的112例脑卒中患者，采用随机抽样法分为对照组和试验组各56例。对照组采用常规护理，实验组在对照组的基础上实施风险分级管理模式，分别在干预前、干预后及干预后2个月对患者行彩超、血浆D-二聚体测定，并用治疗决策满意度量表及生活质量量表进行评定。结果 干预后2个月，实验组深静脉血栓发生率为1.89%，低于对照组的11.11%，差异有统计学意义(P<0.05)。干预后2个月，实验组D-二聚体水平为(397.94±29.77)分，对照组为(432.52±30.19)分，差异有统计学意义(t=—5.963,P<0.05)。干预后2个月，实验组治疗决策满意度得分(54.09±4.14)分，对照组为(51.69±5.05)分，差异有统计学意义(t=2.697,P<0.05)。患者治疗决策满意度得分[时间效应(F=197.349,P<0.001)、分组效应(F=6.970,P<0.05)及交互效应(F=2.517,P<0.05)]比较差异均有统计学意义。干预后2个月，实验组生活质量得分为(159.98±21.30)分，对照组为(146.72±19.43)分，差异有统计学意义(t=3.365,P<0.05)。患者生活质量得分[时间效应(F=45.231,P<0.001)、分组效应(F=8.119,P<0.05)及交互效应(F=16.417,P<0.001)]比较差异均有统计学意义。结论 风险分级管理模式可降低脑卒中患者深静脉血栓发生率，提高患者治疗决策满意度及生活质量。更多还原

【Abstract】 Objective To investigate the effect of risk grading management mode on reducing deep vein thrombosis in stroke patients.Methods Totally 112 store patients in the Department of Neurology of a Grade-Ⅲ Hospital in Zhengzhou were selected as the research objects.And they are randomly divided into control group and experimental group,56 cases in each group.The experimental group was given risk grading management mode on the basis of the control group,and the others was given routine nursing.Before intervention,at the time of discharge and 2 months after intervention,the patients were measured by color ultrasound and plasma D-dimer,and evaluated by the treatment decision satisfaction scale and quality of life scale.Results Two months after intervention,the incidence of deep vein thrombosis in the experimental group was 1.89%lower than 11.11%in the control group,the difference was statistically significant(P<0.05).Two months after intervention,the D-dimer level was(397.94±29.77)points in the experimental group and(432.52±30.19)points in the control group,and the diffe-rence was statistically significant (t=—5.963,P<0.05).Two months after intervention,the treatment decision satisfaction score of the experimental group was(54.09±4.14)points,and that of the control group was(51.69±5.05)points,the difference was statistically significant(t=2.697,P<0.05),and the scores of the experimental group were better than the control group.The satisfaction scores of treatment decision making in the two groups were statistically significant in the time effect(F=197.349,P<0.001),group effect(F=6.970,P<0.05)and interaction effect(F=2.517,P<0.05).Two months after intervention,the quality of life score of the experimental group was(159.98±21.30)points,and that of the control group was(146.72±19.43)points,the difference was statistically significant (t=3.365,P<0.05),and the scores of the experimental group were better than the control group.The quality of life scores in 2 groups were statistically significant in time effect(F=45.231,P<0.001),group effect(F=8.119,P<0.05)and interaction effect(F=16.417,P<0.001).Conclusion Risk grading management can reduce the incidence of deep vein thrombosis in stroke patients and improve patients’satisfaction with treatment decisions and quality of life.更多还原