Influencing factors of venous thromboembolism in cancer patients and effect analysis of early nursing interventions (癌症患者静脉血栓栓塞症影响因素分析及早期护理干预效果观察)

Objective To analyze the influencing factors of venous thromboembolism (VTE) in cancer patients and investigate the effect of early nursing interventions on prevention of VTE. Methods A total of 115 cancer patients were included as research objects. The incidence of VTE was observed, and levels of...

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Main Authors: GUAN Lin (管玲), YU Jie (于洁)
Format: Article
Language:zho
Published: Journal of International Translational Medicine Limited 2023-12-01
Series:中西医结合护理
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Online Access:http://www.zxyjhhl.hk/thesisDetails#10.55111/j.issn2709-1961.202307027
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author GUAN Lin (管玲)
YU Jie (于洁)
author_facet GUAN Lin (管玲)
YU Jie (于洁)
author_sort GUAN Lin (管玲)
collection DOAJ
description Objective To analyze the influencing factors of venous thromboembolism (VTE) in cancer patients and investigate the effect of early nursing interventions on prevention of VTE. Methods A total of 115 cancer patients were included as research objects. The incidence of VTE was observed, and levels of coagulation-related indicators, Wells scale and Caprini risk assessment scale of patients with VTE and without VET were compared. According the nursing interventions, patients were divided into two groups: 57 cases in mechanical method group and 58 cases in early nursing intervention group. The incidence of VTE was compared between two groups. Results The incidence of VTE was 17. 39%(20/115). There was no significant difference in the incidence of VTE between patients aged under 70 and over 70(P>0. 05). The levels of D-dimer and thrombin-antithrombin III complex (TAT) in the patient with VTE was higher than those of patients without VTE (P<0. 05). There was no significant in thrombin time (TT), activated partial thromboplastin time (aPTT), prothrombin time (PT) Wells scale and Caprini risk assessment scale between patients with and without VTE. Lower incidence of VTE was reported in patient who received early nursing combined with mechanical prevention(12. 07%) compared with that in patient received mechanical prevention only(22. 81%). Conclusion More attention should be paid to prevention of VTE in cancer patients, especially those with increased levels of D-dimer and TAT, and early nursing interventions should be carried out to reduce the risk of VTE (目的 分析癌症患者静脉血栓栓塞症(VTE)的影响因素, 探讨早期护理干预效果。方法 本研究纳入115例癌症患者, 调查不同基线资料癌症患者VTE的发生率, 对比VTE患者与无VTE患者凝血相关指标、Wells评分和Caprini评分。根据接受干预措施不同将患者分为两组, 其中57例患者接受常规机械预防措施, 58例患者接受早期护理干预联合机械预防措施, 比较两组静VTE的发生率。结果 共20(17. 39%)例患者发生VTE。≥70岁与<70岁患者VTE发生率差异无统计学意义(P>0. 05)。VTE患者与无VTE患者的D-二聚体、凝血酶-抗凝血酶Ⅲ复合物(TAT)水平差异有统计学意义(P<0. 05), 凝血酶时间(TT)、活化部分凝血活酶时间(APTT)、凝血酶原时间(PT)、Wells评分和Caprini评分差异无统计学意义(P>0. 05)。接受护理干预联合机械预防措施的患者中有7(12. 07%)例患者发生VTE, 仅接受机械预防措施的患者中13(22. 81%)例发生VTE。结论 应重视癌症患者, 尤其是D-二聚体和TAT水平升高患者静脉血栓栓塞性疾病的预防, 并积极采取早期护理干预措施。)
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spelling doaj-art-3e5fcff2020940a8b519d65c2c8ce3bf2025-01-02T23:46:20ZzhoJournal of International Translational Medicine Limited中西医结合护理2709-19612023-12-0191218518810.55111/j.issn2709-1961.202307027T202307027Influencing factors of venous thromboembolism in cancer patients and effect analysis of early nursing interventions (癌症患者静脉血栓栓塞症影响因素分析及早期护理干预效果观察)GUAN Lin (管玲)0YU Jie (于洁)1Department of Cancer Chemotherapy, Affiliated Hospital of Nantong University, Nantong, Jiangsu, 226001 (南通大学附属医院 肿瘤化疗科, 江苏 南通, 226001)Department of Cancer Chemotherapy, Affiliated Hospital of Nantong University, Nantong, Jiangsu, 226001 (南通大学附属医院 肿瘤化疗科, 江苏 南通, 226001)Objective To analyze the influencing factors of venous thromboembolism (VTE) in cancer patients and investigate the effect of early nursing interventions on prevention of VTE. Methods A total of 115 cancer patients were included as research objects. The incidence of VTE was observed, and levels of coagulation-related indicators, Wells scale and Caprini risk assessment scale of patients with VTE and without VET were compared. According the nursing interventions, patients were divided into two groups: 57 cases in mechanical method group and 58 cases in early nursing intervention group. The incidence of VTE was compared between two groups. Results The incidence of VTE was 17. 39%(20/115). There was no significant difference in the incidence of VTE between patients aged under 70 and over 70(P>0. 05). The levels of D-dimer and thrombin-antithrombin III complex (TAT) in the patient with VTE was higher than those of patients without VTE (P<0. 05). There was no significant in thrombin time (TT), activated partial thromboplastin time (aPTT), prothrombin time (PT) Wells scale and Caprini risk assessment scale between patients with and without VTE. Lower incidence of VTE was reported in patient who received early nursing combined with mechanical prevention(12. 07%) compared with that in patient received mechanical prevention only(22. 81%). Conclusion More attention should be paid to prevention of VTE in cancer patients, especially those with increased levels of D-dimer and TAT, and early nursing interventions should be carried out to reduce the risk of VTE (目的 分析癌症患者静脉血栓栓塞症(VTE)的影响因素, 探讨早期护理干预效果。方法 本研究纳入115例癌症患者, 调查不同基线资料癌症患者VTE的发生率, 对比VTE患者与无VTE患者凝血相关指标、Wells评分和Caprini评分。根据接受干预措施不同将患者分为两组, 其中57例患者接受常规机械预防措施, 58例患者接受早期护理干预联合机械预防措施, 比较两组静VTE的发生率。结果 共20(17. 39%)例患者发生VTE。≥70岁与<70岁患者VTE发生率差异无统计学意义(P>0. 05)。VTE患者与无VTE患者的D-二聚体、凝血酶-抗凝血酶Ⅲ复合物(TAT)水平差异有统计学意义(P<0. 05), 凝血酶时间(TT)、活化部分凝血活酶时间(APTT)、凝血酶原时间(PT)、Wells评分和Caprini评分差异无统计学意义(P>0. 05)。接受护理干预联合机械预防措施的患者中有7(12. 07%)例患者发生VTE, 仅接受机械预防措施的患者中13(22. 81%)例发生VTE。结论 应重视癌症患者, 尤其是D-二聚体和TAT水平升高患者静脉血栓栓塞性疾病的预防, 并积极采取早期护理干预措施。)http://www.zxyjhhl.hk/thesisDetails#10.55111/j.issn2709-1961.202307027cancervenous thromboembolismd-dimerearly nursing interventions癌症静脉血栓栓塞症d-二聚体早期护理
spellingShingle GUAN Lin (管玲)
YU Jie (于洁)
Influencing factors of venous thromboembolism in cancer patients and effect analysis of early nursing interventions (癌症患者静脉血栓栓塞症影响因素分析及早期护理干预效果观察)
中西医结合护理
cancer
venous thromboembolism
d-dimer
early nursing interventions
癌症
静脉血栓栓塞症
d-二聚体
早期护理
title Influencing factors of venous thromboembolism in cancer patients and effect analysis of early nursing interventions (癌症患者静脉血栓栓塞症影响因素分析及早期护理干预效果观察)
title_full Influencing factors of venous thromboembolism in cancer patients and effect analysis of early nursing interventions (癌症患者静脉血栓栓塞症影响因素分析及早期护理干预效果观察)
title_fullStr Influencing factors of venous thromboembolism in cancer patients and effect analysis of early nursing interventions (癌症患者静脉血栓栓塞症影响因素分析及早期护理干预效果观察)
title_full_unstemmed Influencing factors of venous thromboembolism in cancer patients and effect analysis of early nursing interventions (癌症患者静脉血栓栓塞症影响因素分析及早期护理干预效果观察)
title_short Influencing factors of venous thromboembolism in cancer patients and effect analysis of early nursing interventions (癌症患者静脉血栓栓塞症影响因素分析及早期护理干预效果观察)
title_sort influencing factors of venous thromboembolism in cancer patients and effect analysis of early nursing interventions 癌症患者静脉血栓栓塞症影响因素分析及早期护理干预效果观察
topic cancer
venous thromboembolism
d-dimer
early nursing interventions
癌症
静脉血栓栓塞症
d-二聚体
早期护理
url http://www.zxyjhhl.hk/thesisDetails#10.55111/j.issn2709-1961.202307027
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