Nursing preventive interventions of venous thromboembolism in ICU:a methodological systematic review
10.3760/cma.j.issn.1672-7088.2017.26.018
- VernacularTitle:ICU患者静脉血栓栓塞护理预防措施的系统评价
- Author:
Jingjing ZHANG
1
;
Zhixia JIANG
;
Xia ZHANG
;
Kaihan YANG
;
Yanbin PAN
;
Mingtao QUAN
;
Fang CHEN
;
Hui ZENG
Author Information
1. 563000,遵义医学院护理学院
- Keywords:
Intensive care units;
Venous thromboembolism;
Nursing care;
Prevention
- From:
Chinese Journal of Practical Nursing
2017;33(26):2069-2073
- CountryChina
- Language:Chinese
-
Abstract:
Objective To systematically review the nursing preventive interventions and their effects on venous thromboembolism (VTE) in ICU patients. Methods We searched PubMed, Cochrane Library, EMBASE, SCI, CINAHL, Science Direct, BM, CNKI, WanFang and VIP, to collect the randomized controlled trials of nursing prophylaxis on VTE in ICU patients. Results 57 studies were included, meta-analysis provided that: the incidence rates of VTE and bleeding between Intermittent Pneumatic Compression Devices(IPC) group and low molecular weightheparin group in severe trauma patients had no statistical significance (P=0.14); comparing with graduated compression stockings (GCS) only group, the incidence rates of deep vein thrombosis(DVT) were lower in combination with IPC and GCS group (P=0.003);comparing with routine nursing group, the incidence rates of VTE were lower in IPC group and GCS group (P<0.01), the blood flow velocity and the average velocity of venous flow in lower limbs were increased in IPC group (P<0.01). The results of descriptive analysis show that early comprehensive nursing interventions and corresponding nursing interventions after risk assessment can reduce the incidence of VTE in ICU. Conclusion According to the present projects, using IPC, GCS, adopting early comprehensive nursing interventions and giving corresponding nursing interventions after DVT risk assessment are the effective interventions on ICU VTE.
