Abstract: Objective To explore the application effect of nursing projects in the abdominal injection of low molecular weight heparin calcium in stroke patients. Methods Select 60 stroke patients who received abdominal injection of low molecular weight heparin calcium and were admitted to Qingxian People's Hospital in Hebei Province from February 2023 to April 2023 as the control group for routine nursing intervention; 56 stroke patients who received abdominal injection of low molecular weight heparin calcium and were admitted to Qingxian People's Hospital in Hebei Province from June 2023 to August 2023 were selected as the observation group for nursing intervention. Compare the differences in subcutaneous bleeding, pain level, positive attitude, and satisfaction between two groups of patients after injection under their respective nursing interventions. Results The subcutaneous bleeding rate of patients in the observation group after injection of low molecular weight heparin calcium was lower than that of the control group, and the difference was statistically significant (P<0.05); The Pain Assessment Scale (PANAS) scores of the observation group patients were lower than those of the control group at 1 and 24 hours after injection, and the difference was statistically significant (P<0.05). Before nursing, there was no statistically significant difference in the positive and negative emotion index between the two groups of patients (P>0.05). After nursing, the positive emotion index scores of the observation group patients were significantly higher than those of the control group, while the negative emotion index scores were lower than those of the control group, and the differences were statistically significant (P<0.05); The overall satisfaction of the observation group patients with nursing services was better than that of the control group, and the differences were statistically significant (P<0.05). Conclusion Nursing programs can effectively reduce the incidence of subcutaneous bleeding in stroke patients after abdominal injection of low molecular weight heparin calcium, improve pain levels, enhance positive emotions, and improve patient satisfaction with nursing work. The application effect is ideal and further application can be considered.

Key words: nursing project, stroke, low molecular weight heparin calcium, subcutaneous hemorrhage