The Preventive Effect of the FOCUS-PDCA Management Mode on Deep Vein Thrombosis in Elderly Patients Following Orthopedic Surgery.

IF 1.7 4区医学 Q4 NEUROSCIENCES

Journal of musculoskeletal & neuronal interactions Pub Date : 2025-03-01 DOI:10.22540/JMNI-25-061

Fang Li, Lei Liu

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引用次数: 0

Abstract

Objectives: To explore the preventive effect of the FOCUS-PDCA management model on deep vein thrombosis (DVT) in elderly orthopedic patients after surgery.

Methods: A total of 229 elderly patients who underwent orthopedic surgery in our hospital between January 2021 and December 2023 were divided into two groups: the control group (n=104) and the intervention group (n=125), based on their admission order. The control group received routine intervention, while the intervention group was treated with the FOCUS-PDCA model. Coagulation function, DVT risk symptoms, incidence of DVT, intervention quality, and patient satisfaction were compared between the two groups.

Results: After the intervention, the PT and APTT/s levels in the intervention group were significantly better than those in the control group, while the Fibrinogen (FIB) level was significantly lower (P < 0.05). The DVT risk symptoms and incidence of DVT were also lower in the intervention group (P < 0.05). Additionally, the intervention quality and patient satisfaction were higher in the intervention group compared to the control group (P < 0.05).

Conclusions: The FOCUS-PDCA management model improves coagulation function and reduces the incidence of deep vein thrombosis in elderly orthopedic patients after surgery.

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FOCUS-PDCA 管理模式对骨科手术后老年患者深静脉血栓形成的预防效果。

目的：探讨FOCUS-PDCA管理模式对老年骨科术后深静脉血栓形成（DVT）的预防效果。方法：选取2021年1月至2023年12月在我院行骨科手术的老年患者229例，根据入院先后将其分为对照组（n=104）和干预组（n=125）。对照组给予常规干预，干预组采用FOCUS-PDCA模型治疗。比较两组患者凝血功能、DVT危险症状、DVT发生率、干预质量及患者满意度。结果：干预后，干预组患者PT、APTT/s水平显著优于对照组，纤维蛋白原（FIB）水平显著低于对照组（P < 0.05）。干预组DVT危险症状及发生率均低于对照组（P < 0.05）。干预组的干预质量和患者满意度均高于对照组（P < 0.05）。结论：FOCUS-PDCA管理模式改善了老年骨科术后患者凝血功能，降低了深静脉血栓的发生率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of musculoskeletal & neuronal interactions NEUROSCIENCES-PHYSIOLOGY

CiteScore

3.40

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： The Journal of Musculoskeletal and Neuronal Interactions (JMNI) is an academic journal dealing with the pathophysiology and treatment of musculoskeletal disorders. It is published quarterly (months of issue March, June, September, December). Its purpose is to publish original, peer-reviewed papers of research and clinical experience in all areas of the musculoskeletal system and its interactions with the nervous system, especially metabolic bone diseases, with particular emphasis on osteoporosis. Additionally, JMNI publishes the Abstracts from the biannual meetings of the International Society of Musculoskeletal and Neuronal Interactions, and hosts Abstracts of other meetings on topics related to the aims and scope of JMNI.