Summary of best evidence for nonpharmacologic prevention and management of venous thromboembolism in patients with ischemic stroke
10.3760/cma.j.cn115682-20221101-05278
- VernacularTitle:缺血性脑卒中患者静脉血栓栓塞症非药物预防与管理的最佳证据总结
- Author:
Yanhong ZHANG
1
;
Yingchun HUAN
;
Liqun ZHU
;
Hongbing BU
;
Songmei CAO
;
Ruo ZHUANG
Author Information
1. 江苏大学附属医院神经内科，镇江 212001
- Keywords:
Stroke;
Venous thromboembolism;
Nonpharmaceutical;
Summary of evidences
- From:
Chinese Journal of Modern Nursing
2023;29(20):2667-2674
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To retrieve, review and summarize the best evidence on nonpharmacologic prevention and management of venous thromboembolism (VTE) in patients with ischemic stroke (IS) .Methods:According to the "6S" model, Best Practice, UpToDate, Joanna Briggs Institute (JBI) Evidence-Based Health Care Center Database, PubMed, CINAHL, SinoMed, CNKI, Wanfang, VIP Databases, and dedicated stroke websites in China and abroad were searched for the evidence of nonpharmacologic prevention and management of VTE in IS patients, including clinical decision-making, best practice, evidences summary, guidelines, systematic reviews, expert consensus and randomized controlled trials published up to March 20, 2022. Evidence was extracted and summarized after quality assessment of the literature.Results:A total of 19 articles were included, including 2 clinical decision-making articles, 2 evidences summaries, 8 guidelines, 3 systematic reviews, and 4 expert consensus. A total of 38 pieces of best evidence were collected from 6 aspects: organizational security, risk assessment, screening and diagnosis, basic prevention, mechanical prevention and health education.Conclusions:This study summarizes the best evidence for nonpharmaceutical prevention and management of VTE in IS patients. It is recommended to promote the clinical application of this evidence scientifically and in a planned way through multidisciplinary collaboration in combination with clinical situations, factors promoting and hindering the application of evidences, and patient wishes.
