预见性护理预防老年下肢骨折术后患者深静脉血栓形成的效果及对睡眠质量的影响

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AbstractObjective：Toobservetheeffctof predictivenursingon preventingdeep veinthrombosis（DVT）in elderly patients afterlower extremityfracturesurgeryanditsinfluenceonthesleepqualityMethods：Atotalof1OOelderlypatients withlower limbfracturesintheDepartmentofpinalCord，Hand，Foot，ndAnkleurgery，LongyanSecondHospitalfroOctobrto October2024 wererandomly divided intothecontrol group（routine nursing）andexperimental group（predictive nursing）based onthe digitaltablemethod，with5Ocasesineach group.Thenursing efectofthetwogroupswascompared.Results：Theincidence of DVT was significantly lower in the observation group than the control group （2.00%[1/50] vs 20.00%[10/50]，P< 0.05）.Aftertheintervention，the maximumbloodflowrateofthepoplitealandfemoralveins inbothgroupswasfasterthanpretreatment value，which was significantly faster in the observation group than the control group（ P<0.05 ）.After the intervention， theprothrombintimewasshorterandthefibrinogenlevel waslower inbothgroupsthan pre-treatmentvalues，which weresignificantly pronounced in the observation group than the control group（ P<0.05 ）.After the intervention，the Pittsburgh sleep quality index（PQI）in both groupsdecreasedthan pre-treatment value，which wassignificantlylowerintheobservation groupthan the control group（ P<0.05 ）.Conclusion：Predictive nursing can effectively prevent DVT in elderly patients after lower limb fracture， accelerate blood flow in the deep vein of lower extremities，and improve coagulation index and sleep quality.

KeywordsPredictive nursing；Elderly patients；Lower limb fracture；Deep vein thrombosis； Sleep quality 中图分类号：R683.42 文献标识码：A doi：10.3969/j. issn.2095 -7130.2025.05.036

下肢骨折患者术后长时间卧床，下肢肌肉缺乏运动，可致下肢深静脉血流缓慢，血液淤滞，从而增加深静脉血栓形成的风险[1]。（剩余4906字）