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Study on risk factors of deep venous thrombosis in patients with upper limb fracture
ZHANG Hui, YI Xin, SONG Guomin
Abstract300)   HTML0)    PDF (580KB)(168)      
Objective: To analyze the risk factors of deep venous thrombosis(DVT) in patients with upper limb fracture.Methods: The clinical data of 833 hospitalized patients with upper limb fracture were retrospectively analyzed. According to whether there was venous thrombosis, they were divided into thrombosis group ( n=82) and non-thrombosis group ( n= 751).Results:The incidence of DVT was 9.84%. Logistic multivariate analysis showed that gender, age, BMI and humeral fracture were risk factors of DVT in patients with upper limb fracture,and the independent risk factors of postoperative DVT were preoperative waiting time, intraoperative blood transfusion, anesthesia mode( P<0.05).Conclusion:The medical staffs should understand the risk factors of DVT in patients with upper limb fracture, evaluate the high-risk groups in time, carry out effective nursing and intervention to prevent and reduce the occurrence of DVT.
2022, 30 (1): 41-45. DOI: 10.3969/j.issn.1006-9143.2022.01.009
Qualitative research on the training experience of nursing assistants in unaccompanied hospitals
GAO Chang, HAO Xueyun, SONG Guomin, GUO Yan
Abstract294)   HTML17)    PDF (555KB)(166)      
Objective: To understand the training experience of nursing assistants, so as to provide reference for building the training-level management system. Methods: The phenomenological research method in the qualitative research was adopted. 11 nursing assistants who had completed the training in an unaccompanied hospital were selected for in-depth interviews. Claizzi 7-step analysis method was used to analyze, sort and summarize the data. Results: 2 themes and 6 aspects were extracted from the inner feelings and personal experiences of the interviewees. Theme 1 was the dual experience of cognition and emotion, included 4 aspects,namely professional identity and self-affirmation, learning potential and fun, nursing safety awareness, knowledge and skills acquisition.Theme 2 was the overall impression of the training project, included 2 aspects, namely the practicality of the training content and the expectation of more diversified training forms. Conclusion: The training of nursing assistants is necessary to improve the overall quality of nursing assistants, and it is a guarantee for the unaccompanied hospitals to implement nursing services and meet the health care needs of patients.
2021, 29 (4): 404-407. DOI: 10.3969/j.issn.1006-9143.2021.04.007