Nursing effect of anticoagulant to prevent thrombosis after pancreatic kidney transplantation
胰肾移植术后应用抗凝剂预防血栓的护理效果

摘要

目的 探讨风险评估和管理计划联合CRUSADE出血量表在胰肾联合移植术后病人应用抗凝剂预防血栓的临床效果分析。方法 选取2017年1月至2019年10月在解放军第九二三医院行胰腺肾联合移植的40例患者。随机分为对照组及观察组，观察组采用专科护理方案，对照组在专科护理上接受风险评估，并制定计划，比较两组医患者对风险管理效果评分，统计两组患者术后并发症。结果：观察组患者在对风险评估、风险标识、症状控制、指标观察、心理护理、应急处理、医患沟通等项目评分，均显著高于对照组（P<0.05）。观察组患者对胰肾联合移植术后应用抗凝剂预防血栓在安全性、专业性、可靠性等方面评分显著高于对照组（P<0.05）。结论 风险评估和管理计划在风险因素的筛查中具有优势，能提前预测风险事件的发生，提高医患满意度，促进诊疗安全。

Abstract

Objective To investigate the clinical effect of risk assessment and management plan combined with the CRUSADE bleeding scale in the prevention of thrombosis with anticoagulants in patients with combined pancrea-kidney transplantation.
Methods a total of 40 patients receiving combined pancreas and kidney transplantation in the 923rd Hospital of PLA from January 2017 to October 2019 were selected. The control group was randomly divided into the control group and the observation group. The observation group adopted the specialized nursing program, and the control group received the risk assessment in the specialized nursing, and formulated the plan. The scores of the risk management effect of the two groups of patients were compared, and the postoperative complications of the two groups were counted. The scores of risk assessment, risk identification, symptom control, index observation, psychological nursing, emergency treatment, doctor-patient communication in the observation group were significantly higher than those in the control group (P<0.05). The scores of the safety, professionalism and reliability of the application of anticoagulants to prevent thrombosis after pancreatip-kidney transplantation in the observation group were significantly higher than those in the control group (P<0.05).
Conclusion  : Risk assessment and management plan has advantages in screening risk factors, can predict the occurrence of risk events in advance, improve doctor-patient satisfaction, and promote medical safety.