Effect of Nursing led Intervention Regarding Prevention of Venous Thromboembolism among Women with Gynaecological Tumour Undergoing Major Abdomino-Pelvic Surgery | ||||
| Egyptian Journal of Health Care | ||||
| Article 41, Volume 11, Issue 3, September 2020, Page 650-669 PDF (856.09 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhc.2020.167100 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Ayat M. Omar Masoud1; Monira Samir Abdelhady2; Shaimaa Gomah Yousef3; Amal Abdelaziz Ahmed4 | ||||
| 1Maternal and Neonatal Health Nursing, Faculty of Nursing, Fayoum University, Egypt | ||||
| 2Medical-Surgical Nursing, Faculty of Nursing, Fayoum University, Egypt | ||||
| 3Medical-Surgical Nursing, Faculty of Nursing, Damanhour University, Egypt | ||||
| 4Maternal and Neonatal Health Nursing, Faculty of Nursing, Assiut University, Egypt | ||||
| Abstract | ||||
| Background: Venous thromboembolism, which involves deep vein thrombosis and pulmonary embolism, is a serious complication that doubles the risk of morbidity and mortality after major abdominal and pelvic surgery. Aim: To evaluate the effect of Nursing led intervention regarding prevention of Venous Thromboembolism among women with gynaecological tumour undergoing major abdomino-pelvic surgery. Design: This study utilized a quasi-experimental design. Setting: This study conducted at the gynecological department and outpatient clinic at Fayoum University Hospital and General Hospital Fayoum, Egypt. Sample: A purposive sample of 100 women divided randomly into two groups, 50 women for each groups. Tools of data collection: Three tools were utilized in this study including an interview scheduled questionnaire, Deep vein thrombosis risk factors assessment sheet, and deep vein thrombosis assessment sheet. Results: the percentage of good knowledge regarding VTE were significantly increased in post- test than pre -test among study group (2.0% pretest vs. 100.0% posttest) compared to control group (0.0% pretest vs. 4.0% posttest) p= 0.000., also after the implementation of the program the percentage of good compliance level with VTE preventive measures were significantly improved by all of the study group (100.0% ) who attained a good level of compliance compared to control group (40.0%) (p=0.000). In addition; there were one new case of PE among the control group and 2 cases with DVT compared to no cases reported in study group with a highly statistical significant difference P= 0.000. Conclusion: Women with gynaecological tumor who undergoing major abdomino-pelvic surgery who exposed to nurse led intervention program were not exposed to deep vein thrombosis than those who exposed to routine hospital only. Recommendations: Nursing led intervention should be added as an essential part of routine perioperative care for all major gynaecological operation. | ||||
| Keywords | ||||
| Nursing led Intervention; Venous Thromboembolism; Gynaecological Tumour; and Abdomino-pelvic Surgery | ||||
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