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骨科术后患者深静脉血栓形成的预防:一项混合荟萃分析与临床病例研究

Prevention of deep vein thrombosis in postoperative orthopedic patients: a hybrid meta-analysis and clinical case study.

作者信息

Liu Fenglan, Tan Juan, Pan Yulin

机构信息

Department of Orthopedics, Sichuan Dazhou Central Hospital, Dazhou, China.

Department of Critical Care Medicine, Sichuan Dazhou Central Hospital, Dazhou, China.

出版信息

Front Med (Lausanne). 2025 Aug 14;12:1603191. doi: 10.3389/fmed.2025.1603191. eCollection 2025.

Abstract

BACKGROUND

Deep vein thrombosis (DVT) is a significant complication, which often comes along with orthopedic surgery, and leads risks of severe outcomes such as pulmonary embolism. Effective prevention strategies are urgently expected to promote postoperative recovery and reduce complications.

OBJECTIVE

This study aims to measure the effectiveness of nursing interventions in preventing postoperative DVT among the patients with orthopedic surgeries, with the focus on outcomes such as DVT incidence, recovery time, and patient satisfaction. This hybrid study integrates a PRISMA-compliant meta-analysis of six independent studies with a prospective clinical case report, bridging population-level evidence and real-world nursing practice.

METHODS

Nursing intervention details (early mobilization and patient education) were firstly collected and assessed in postoperative patients in this research. Key metrics (DVT occurrence, D-dimer level, and patient-reported outcomes) were further analyzed to determine the impact of these interventions.

RESULTS

Following the nursing interventions, patients demonstrated a lower DVT incidence, the recovery rates as well as patient satisfaction were enhanced, and the symptoms of lower extremity swelling got reduced, despite challenges in adherence to the protocols.

CONCLUSION

Nursing interventions play a critical role in DVT prevention in postoperative care for the patients after orthopedic surgeries. These findings support the integration of standardized nursing practices to optimize postoperative outcomes after orthopedic surgeries and highlight the need for addressing adherence barriers to maximize their effectiveness.

摘要

背景

深静脉血栓形成(DVT)是一种严重并发症,常伴随骨科手术出现,并导致肺栓塞等严重后果的风险。迫切需要有效的预防策略来促进术后恢复并减少并发症。

目的

本研究旨在衡量护理干预措施对骨科手术患者术后预防DVT的有效性,重点关注DVT发生率、恢复时间和患者满意度等结果。这项混合研究将六项独立研究的符合PRISMA标准的荟萃分析与一项前瞻性临床病例报告相结合,架起了人群层面证据与实际护理实践之间的桥梁。

方法

本研究首先收集并评估了术后患者的护理干预细节(早期活动和患者教育)。进一步分析关键指标(DVT发生情况、D-二聚体水平和患者报告的结果)以确定这些干预措施的影响。

结果

经过护理干预后,尽管在遵守方案方面存在挑战,但患者的DVT发生率较低,恢复率和患者满意度得到提高,下肢肿胀症状减轻。

结论

护理干预在骨科手术后患者的术后护理中对预防DVT起着关键作用。这些发现支持整合标准化护理实践以优化骨科手术后的术后结果,并强调需要解决依从性障碍以最大限度地提高其有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4639/12391040/83e39495c059/fmed-12-1603191-g001.jpg

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