Application of structured nursing plan based on multidimensional risk analysis in preventing venous thromboembolism in patients undergoing pancreatic tumor surgery
基于多维风险分析的结构化护理方案在预防胰腺肿瘤手术患者静脉血栓栓塞症中的应用

摘要

目的 探究基于多维风险分析的结构化护理方案在预防胰腺肿瘤手术患者静脉血栓栓塞症（VTE）中的应用效果。方法 选取2024年1月—2025年1月于我院行胰腺肿瘤手术的60例患者，采用1：1的比例将患者分两组并行区别护理操作。对照组30例采用常规护理，研究组30例在对照组基础上采用基于多维风险分析的结构化护理方案。比较两组干预前后凝血功能 、血流动力学指标 、VTE 发生率相关研究数据。结果 干预后，研究组 PT、APTT 长于对照组，FIB、D-D 水平低于对照组（P＜0.05）；研究组 Vmax、Q 高于对照组（P＜0.05）；研究组 VTE 发生率低于对照组（P＜0.05）。结论 基于多维风险分析的结构化护理方案可改善胰腺肿瘤手术患者凝血功能与血流动力学，降低 VTE 发生率，缩短住院时间，提高护理满意度。

Abstract

Objective To explore the application effect of a structured nursing plan based on multidimensional risk analysis in preventing venous thromboembolism (VTE) in patients undergoing pancreatic tumor surgery.
Methods Sixty patients who underwent pancreatic tumor surgery in our hospital from January 2024 to January 2025 were selected, and the patients were divided into two groups in a 1:1 ratio for parallel differentiated nursing operations. The control group of 30 cases received routine nursing care, while the study group of 30 cases received a structured nursing plan based on multidimensional risk analysis on the basis of the control group. Compare the research data related to coagulation function, hemodynamic indicators, and VTE incidence between two groups before and after intervention.
Results After intervention, the PT and APTT levels in the study group were longer than those in the control group, while the FIB and D-D levels were lower than those in the control group (P<0.05); The Vmax and Q of the research group were higher than those of the control group (P<0.05); The incidence of VTE in the study group was lower than that in the control group (P<0.05).
Conclusion   A structured nursing plan based on multidimensional risk analysis can improve coagulation function and hemodynamics in patients undergoing pancreatic tumor surgery, reduce the incidence of VTE, shorten hospitalization time, and improve nursing satisfaction.