Evidence-based for venous thromboembolism prevention to Perioperative patients in Orthopedic
10.3760/cma.j.issn.1672-7088.2019.21.007
- VernacularTitle: 骨科围手术期患者静脉血栓栓塞症预防最佳证据应用
- Author:
Ruting GU
1
;
Kai ZHU
1
;
Xia HUANG
2
;
Fang WANG
1
;
Yanqin CHENG
1
;
Lili LYU
1
;
Aiping ZHAO
1
Author Information
1. Spine Surgery, the Affilited Hosptial Of Qing Dao University, Qing Dao 266100, China
2. Department of Nursing, the Affilited Hosptial Of Qing Dao University, Qing Dao 266100, China
- Publication Type:Clinical Trail
- Keywords:
Venous thromboembolism prevention;
Evidence-based nursing;
Best practice
- From:
Chinese Journal of Practical Nursing
2019;35(21):1632-1637
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To integrate the best evidence of venous thromboembolism (VTE) prevention into practice, improve nurses′ compliance, and reduce the incidence of VTE in orthopaedic department.
Methods:Guided by the standard procedure in the JBI-Paces program, collected the best evidence from online databases and set the standards. Collected data through field observation, interviews and review of nursing records. A total of 167 patients and 36 nurses we recruited in the study and audited twice. We judged the result by the knowledge level of nurses and patients, nurses′ compliance with the evidence and the incidence rate of VTE.
Results:In baseline review, three criteria of poor compliance, "the correct situation of daily inspection of VTE risk assessment", "Wear gradient pressure stockings correctly for VTE high-risk patients", "Intermittent pneumatic compression device (IPCD) used twice a day for 30 minutes each time", were significantly improved after the application of evidence, increased from 47.22% (17/36) ,36.11% (13/36) ,36.11% (13/36) to 86.11% (31/36) , 86.11% (31/36) , 91.67 (33/36) respectively (χ2=12.25, 18.94, 24.08, all P < 0.05); The incidence of VTE decreased from 2.7% to 0 (P=0.195); the correct rate of VTE risk assessment, awareness rate of health education among patients, implementation rate of physical preventive measures and qualified rate of VTE-related knowledge and skills among nurses increased from 82.43% (61/74) ,74.32% (55/74) ,83.78% (62/74) ,77.03% (57/74) to 97.85% (91/93) ,91.40% (85/93) ,97.85% (91/93) ,96.77% (90/93) respectively (χ2= 8.86-15.24, all P < 0.01) .
Conclusion:The integration of best evidence standardize nurses′ behaviors, reduce the incidence rate of VTE, improve the quality of clinical care and promote the satisfaction of patients continuously.
