Effect of Implementing a Nursing Protocol on Controlling Venous Thromboembolism among Post-Operative Patients with Femur Fracture Surgeries. | ||||
| Alexandria Scientific Nursing Journal | ||||
| Volume 27, Issue 1, March 2025, Page 319-340 PDF (394.14 K) | ||||
| Document Type: Research articles | ||||
| DOI: 10.21608/asalexu.2025.415013 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Eman Khalil Mohamed1; Mervat Adham Ghaleb2; Mohamed Hossam Ibrahim El-shafie,3; Naglaa Abdallah Abd-Elhafeez,4 | ||||
| 1, Assistant lecturer Medical-Surgical Nursing, Faculty of Nursing, Alexandria University | ||||
| 2professor Medical-Surgical Nursing, Faculty of Nursing, Alexandria University | ||||
| 3professor Orthopedic Surgery and Traumatology, Faculty of Medicine, Alexandria University | ||||
| 4Assistant professor Medical-Surgical Nursing, Faculty of Nursing, Alexandria University | ||||
| Abstract | ||||
| Background: Rotational and angling stresses exerted by top-down forces on the femoral head and neck are the primary causes of femur fractures, a common hip trauma Objective: Determine the effect of implementing a nursing protocol, on controlling Venous thromboembolism among post-operative patients with femur fracture surgeries. Settings: The inpatient and outpatient clinics of El-Hadra Orthopaedic and Traumatology Hospital in Alexandria were the sites of the current study. Subjects: 60 adult male and female patients; a convenience sample. They were organised into two equal sequential groups: the control and studied group. Tools: Seven tools were used for data collection of this study. Results: Following the implementation of the nursing protocol, 30% of the control subjects developed deep vein thrombosis in the right lower limb and 20% in the left lower limb. Conversely, the nursing protocol resulted in absence of DVT in the majority of the studied group (96.7%).The control and studied group patients exhibited a high statistically significant difference following implementation of the nursing protocol (χ2=16.86 p=<0.001***). Conclusion: The nursing protocol for patients undergoing femur fracture surgeries showed a positive finding in relation to controlling of VTE. The proposed nursing protocol implementation illustrated positive health outcomes of the studied patients as evidenced by improvement in knowledge level regarding VTE and anticoagulant- therapy post implementation of the nursing protocol. The studied patients had improvement in practice level regarding total ankle range of motion assessment score, adherence to anticoagulant therapy, safe use of mechanical prophylaxis & walker compared to the controls post implementation of the nursing protocol. Recommendation: Replication of this study using large probability sample. | ||||
| Keywords | ||||
| Nursing Protocol; Venous Thromboembolism; Post-Operative Femur Fracture Surgeries | ||||
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