| ObjectivesThe aim of the study was to evaluate the effectiveness of caregivers collaborative multidisciplinary team intervention on the prevention of deep venous thrombosis in elderly patients with total hip replacement, in order to provide scientific basis for the clinical prevention of deep venous thrombosis in elderly patients with total hip replacement.Methods110 elderly patients with total hip replacement were chosen by convenience sampling method. They were placed into intervention group and the control group by the draw method of random patientwards, each group was 55 cases. Control group were received routine health education, and the intervention group got both the routine health education and the caregivers collaborative multidisciplinary team interventionData collections: general information of in elderly patients with total hip replacement, the basic knowledge of deep venous thrombosis questionnaire, health beliefs of prevention of deep venous thrombosis questionnaire,and the relative symptoms(tenderness positive signs on both sides, including the gastrocnemius muscle pain and muscle tenderness number of cases, level of D- dimer, color droppler ultrasonography of the double lower limbs) were measured before the operation and 6 to 7days after the operation respectively. The length of circumference on on both sides of patients were assessed(including circumference measurement of 15 cm on suprapatellar,10 cm under the patellar tendon and 5cm on ankle limb); body surface temperature on both sides(including surface temperature measurement of 15 cm on suprapatellar, 10 cm under the patellar tendon and 5cm on ankle limb) before the operation and 1 to 7days after the operation respectively.Research data were analyzed by SPSS 17.0, using descriptive statistics, chi-square test, t tests, or Wilcoxon rank- sum test.Results(1) general information, knowledge and belief of prevention on deep venous thrombosis were no statistical(P>0.05).(2) After the intervention, knowledge of prevention on deep venous thrombosis of patients in intervention group were different from that of control group(t = 5.567,P<0.05), and the score of knowledge of prevention on deep venous thrombosis of patients in intervention group was higher than that of control group.(3) After the intervention, belief of prevention on deep venous thrombosis of patients in intervention group were different from that of control group(t = 5.283,P<0.05), and the score of belief of prevention on deep venous thrombosis of patients in intervention group was higher than that of control group.(4) there was statistical differences of the on the circumference of limbs on 15 cm on suprapatellar on both sides of patients on postoperative day 3,4,5,6 between intervention group and control group(P<0.05), and the circumference was lower in the intervention group than that in the control group. there was statistical differences of the on the circumference of limbs on 10 cm under the patellar tendon on both sides of patients on postoperative day 2,3,4 between intervention group and control group(P<0.05), and the circumference was lower in the intervention group than that in the control group.(5) There was statistical differences of the body surface temperature of limbs on 15 cm on suprapatellar on both sides of patients on postoperative day 1, 2, 3, 4 between intervention group and control group(P<0.05), and the body surface temperature was lower in the intervention group than that of control group. there was statistical differences of the body surface temperature of limbs on 10 cm under the patellar tendon on both sides of patients on postoperative day1,2,3 between intervention group and control group(P<0.05), and the body surface temperature was lower in the intervention group than that of control group. there was statistical differences of the body surface temperature of limbs on 5 cm on the patellar tendon on both sides of patients on postoperative day 2 between intervention group and control group(P<0.05), and the body surface temperature was lower in the intervention group than that of control group.(6)There are difference on the number of syndrome of Homan of patients between the intervention group and control group(P<0.05, and the number of syndrome of Homan of patients in intervention group was lower than that of control group.(7) There was statistical differences of level of D- dimer on postoperative day 5-7 between intervention group and control group(P<0.05),and the level of D- dimer was lower in the intervention group than that of control group.(8) 10 cases of patients with femoral venous stasis in the control group, accounting for 18.2%, There were 4 cases of DVT, accounting for 7.3%. There were 3 cases of patients with femoral venous stasis in the intervention group, accounting for 5.5%. The control group and the intervention group were statistically different(P<0.05).Conclusions(1)We built the caregivers collaborative multidisciplinary team program of prevention on the deep venous thrombosis in elderly patients with total hip arthroplastyresults, and it included setting up multidisciplinary team, assess and guide patients Discover the benefits and threats, in strengthening the prevention of deep vein thrombosis in patients with behavior, self- efficacy improvement.(2) Caregivers collaborative multidisciplinary team program can improve the knowledge and belief of prevention on deep venous thrombosis in elderly patients with total hip replacement, prevent the incidence of deep venous thrombosis in elderly patients with total hip replacement, but the long term effect is still needed to put into practice.(3) Caregivers collaborative multidisciplinary team program need to be updated to improve and specific on the patients’ situation when used in the clinical practice, in order to prevent the incidence of deep venous thrombosis in elderly patients with total hip replacement... |
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