EFFECT OF NURSING CARE PROTOCOL ON DEEP VEIN THROMBOSIS OCCURRENCE AMONG CRITICALLY NEUROLOGICAL PATIENTS | ||||
| Port Said Scientific Journal of Nursing | ||||
| Article 8, Volume 8, Issue 1, 2021, Page 206-225 PDF (660.61 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/pssjn.2021.64444.1088 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Amal Eid Shaaban1; Asmaa Ibrahem Abo Seada2; Marwa Fathallah Mostafa3 | ||||
| 1Medical-surgical Nursing, Faculty of Nursing,Mansoura University,Mansoura, Egypt | ||||
| 2Assistant professor of Critical Care and Emergency Nursing, Faculty of Nursing, Mansoura University | ||||
| 3Assistant professor of Critical Care and Emergency Nursing, Faculty of Nursing, Mansoura University | ||||
| Abstract | ||||
| Background: Deep vein thrombosis (DVT) is a major complication and preventable cause of morbidity and mortality among patients in the intensive care unit (ICU). The incidence of deep vein thrombosis in neurological ICU presumed to be higher reporting an incidence of 18 to 50%. A nursing protocol that improves nurses’ use of preventive measures for deep vein thrombosis is paramount. Aim: This study aimed to investigate the effect of nursing care protocol on deep vein thrombosis occurrence among critically neurological patients.Subjects and Method: Design: A quasi-experimental research design was used.Setting: study conducted at neurosurgery intensive care unit and neurological department in Mansoura University HospitalSubjects:a purposive sample of 60 patients (30 protocol patients group and 30 control group) participated in the study.. Routine care was applied to the control group while the protocol group received deep vein thrombosis care according to the protocol. Tools: data were collected using two tools; DVT Assessment Status Tool and DVT Incidence Monitoring Tool. Results: 26% of studied patients in the control group developed DVT compared with 3% in the protocol group. A significant difference existed between the two groups after implementing the nursing protocol concerning exercise, elastic stock, and pneumatic compression (P<0.05). Conclusion and recommendations: The proposed protocol for nursing care is substantially successful in reducing DVT among critically neurological patients. It is recommended to train healthcare staff to use this protocol. | ||||
| Keywords | ||||
| Critically Neurological Patients; Deep Vein Thrombosis; Nursing Care Protocol | ||||
| References | ||||
|
Arabi, Y., Al-Hameed, F., Burns, K. E., Mehta, S., Alsolamy, S., Almaani, M., ...& Al-Dawood, A. (2018). Statistical analysis plan for the Pneumatic CompREssion for PreVENtingVenous Thromboembolism (PREVENT) trial: a study protocol for a randomized controlled trial. Trials, 19(1), 1-10.
Barbar S, Prandoni P. (2017).Scoring systems for estimating risk of venous thromboembolism in hospitalized medical patients.SeminThromb Hemost,43(5),460-468.
Barto, D. (2019).Nurse-driven protocols. Nursing2020 Critical Care, 14(4), 18-24.
Beckman, M. G., Hooper, W. C., Critchley, S. E., &Ortel, T. L. (2010).Venous thromboembolism: a public health concern. American journal of preventive medicine, 38(4), S495-S501.
Behera, S. S., Krishnakumar, M., &RadhakrishnanMuthuchellappan, M. P. (2019).Incidence of Deep Vein Thrombosis in Neurointensive Care Unit Patients—Does Prophylaxis Modality Make Any Difference?. Indian journal of critical care medicine: peer-reviewed, official publication of Indian Society of Critical Care Medicine, 23(1), 43.
Bircher, A., &Chowdhury, A. (2020).Current DVT prophylaxis: a review. Orthopaedics and Trauma, 34(3), 161-167.
Chibbaro, S., Cebula, H., Todeschi, J., Fricia, M., Vigouroux, D., Abid, H., ...&Ganau, M. (2018). Evolution of prophylaxis protocols for venous thromboembolism in neurosurgery: results from a prospective comparative study on low-molecular-weight heparin, elastic stockings, and intermittent pneumatic compression devices. World neurosurgery, 109, e510-e516.
Chitkara, A., &Saad, A. (2020).An Atypical Case of Morbid Obesity, Presenting With Deep Vein Thrombosis and Pulmonary Embolism. Cureus, 12(8).
Cuker, A., Tseng, E. K., Nieuwlaat, R., Angchaisuksiri, P., Blair, C., Dane, K., ...&Schünemann, H. J. (2021).American Society of Hematology 2021 guidelines on the use of anticoagulation for thromboprophylaxis in patients with COVID-19. Blood advances, 5(3), 872-888.
Duranteau, J., Taccone, F. S., Verhamme, P., &Ageno, W. (2018).European guidelines on perioperative venous thromboembolism prophylaxis: Intensive care. European Journal of Anaesthesiology| EJA, 35(2), 142-146.
Edeer, A. D., Comez, S., &Damar, H. T. (2018).Prevalence and risk factors of venous thromboembolism in postoperative patients: A retrospective study. Pakistan Journal of medical sciences, 34(6), 1539
Elkattan, B. E. A., &Elderiny, S. N. M. (2017).Effect of Nursing Care Guidelines on Preventing Deep Venous Thrombosis among Patients Undergoing Arthroplasty Surgery.International Journal of Novel Research in Healthcare and Nursing. 6, (2), pp: (757-774).
Ganau, M., Ligarotti, G. K., Meloni, M., &Chibbaro, S. (2019).Efficacy and safety profiles of mechanical and pharmacological thromboprophylaxis. Annals of translational medicine, 7(6).
Greenall, R., & Davis, R. E. (2020).Intermittent pneumatic compression for venous thromboembolism prevention: a systematic review on factors affecting adherence. BMJ open, 10(9), e037036.
Guo, P. C., Li, N., Zhong, H. M., Zhao, G. F., & Zhang, M. (2021). Clinical Effectiveness of a Pneumatic Compression Device Combined with Low-Molecular-Weight Heparin for the Prevention of Deep Vein Thrombosis in Trauma Patients: a Retrospective Cohort Study. Pp: (1-19).
Hepburn Brown, M., Darvall, J., &Hammerschlag, G. (2019). Acute pulmonary embolism:
concise review of diagnosis and management. Internal medicine journal, 49(1), 15-27.
Khan, M. T., Ikram, A., Saeed, O., Afridi, T., Sila, C. A., Smith, M. S., ...&Shuaib, A. (2017). Deep vein thrombosis in acute stroke-a systemic review of the literature. Cureus, 9(12).
Kim, K. I., Kim, D. K., Song, S. J., Hong, S. J., &Bae, D. K. (2019). Pneumatic compression device does not show effective thromboprophylaxis following total knee arthroplasty in a low incidence population. Orthopaedics& Traumatology: Surgery & Research, 105(1), 71-75.
Kim, W. J., Bae, S., Kang, C. J., & Kim, D. Y. (2019). Clinical Factors Associated with Deep Vein Thrombosis in Rehabilitation Patients Suspected of Thromboembolism after Cerebral Infarction. Brain & Neurorehabilitation, 13.
Kisner, C., Colby, L. A., &Borstad, J. (2017). Therapeutic exercise: foundations and techniques. Fa Davis.
Klovaite, J., Benn, M., &Nordestgaard, B. G. (2015).Obesity as a causal risk factor for deep venous thrombosis: a Mendelian randomization study. Journal of internal medicine, 277(5), 573-584.
Lee., Du Hyun Ro., Lee., Kwon., Sung., & Park, (2015). Incidence of deep vein thrombosis after major lower limb orthopedic surgery: analysis of a nationwide claim registry. Yonsei medical journal, 56(1), 139.
Li, J., Ren, X., Zhu, X., Chen, H., Lin, Z., Huang, M., &Gu, Z. (2020).Clinical Predictive Factors of Lower Extremity Deep Vein Thrombosis in Relative High-Risk Patients after Neurosurgery: A Retrospective Study. Disease Markers 2020 Jun 4; 2020.
Masotti, L., Di Napoli, M., Lorenzini, G., Godoy, D. A., Cappelli, R., Panigada, G &Landini, G. (2014).Non-pharmacological Prophylaxis of Venous Thromboembolism in Acutely Ill Medical Patients. Cardiology and Angiology: an International Journal, 1-14.
McClain, R. (2020).Increasing Compliance with Sequential Compression Devices to Reduce Venous Thromboembolism. (Doctoral Dissertations , Walden University).
Mohamed, A., Othman, W., El Alphy, B., &Sheble, A. (2017).Effect of Implementing Nursing Care Guidelines on the Occurrence of Deep Vein Thrombosis among Orthopedic Patients. IOSR Journal of Nursing and Health Science, 6(3), 28.
Mohammed, A. S., Taha, N. M., & Abdel-Aziz, E. M. (2018).Nurses' Performance Regarding Venous Thromboembolism Prophylaxis at Intensive Care Unit. Zagazig Nursing Journal, 14(1), 1-17.
Nyquist, P., Bautista, C., Jichici, D., Burns, J., Chhangani, S., DeFilippis, M., & Meyer, K. (2016).Prophylaxis of venous thrombosis in neurocritical care patients: an evidence-based guideline: a statement for healthcare professionals from the Neurocritical Care Society. Neurocritical care, 24(1), 47-60.
Ramadan, R. M. E. S., Amr, T. E. S. E. S., &Ashour, E. S. S. (2019).Calf muscle pump exercise and preventive measures: as means for prevention of deep vein thrombosis and its manifestations among a postpartum cesarean section. International journal of Nursing Didactics, 9(04), 49-60.
Rinde, L. B., Småbrekke, B., Mathiesen, E. B., Løchen, M. L., Njølstad, I., Hald, E. M., & Hansen, J. B. (2016). Ischemic stroke and risk of venous thromboembolism in the general population: the Tromsø Study. Journal of the American Heart Association, 5(11), e004311.
Schünemann, H. J., Cushman, M., Burnett, A. E., Kahn, S. R., Beyer-Westendorf, J., Spencer, F. A., &Wiercioch, W. (2018). American Society of Hematology 2018 guidelines for management of venous thromboembolism: prophylaxis for hospitalized and nonhospitalized medical patients. Blood advances, 2(22), 3198-3225.
Shaikhouni, A., Baum, J., &Lonser, R. R. (2018).Deep vein thrombosis prophylaxis in the neurosurgical patient. Neurosurgery Clinics, 29(4), 567-574.
Streiff, M. B., Brady, P. J., Grant, A. M., Grosse, S. D., Wong, B., &Popovic, T. (2014). CDC Grand Rounds: preventing hospital-associated venous thromboembolism. MMWR. Morbidity and mortality weekly report, 63(9), 190
Soatova, N.E., &Ergasheva, Z.A. (2020). Diagnosis, treatment and prevention ofgynecological diseases. Re-health journal , (3-2), 56-67.
Susanto, A. P., Krisnanda, C., Tan, D. S., Ong, H. Y., Pratama, D., &Soeparwata, R. (2014).Incidence of venous thromboembolism among patients who underwent major surgery in a public hospital in Singapore. Medical Journal of Indonesia, 23(1), 36-41.
Wallis, M., &Autar, R. (2001). Deep vein thrombosis: clinical nursing management. Nursing Standard (through 2013), 15(18), 47.
Zhang, C., & Liu, Y. (2017).Application of Autar risk assessment scale for assessing the risk of deep vein thrombosis in joint patients with arthroplasty. Journal of Medical Postgraduates, 30(9), 968-972. | ||||
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