Evidence-based practice for non-pharmacological prevention and management of venous thromboembolism in ischemic stroke patients
10.3760/cma.j.cn115682-20240802-04328
- 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循证实践
- Author:
Yanhong ZHANG
1
;
Yingchun HUAN
;
Liqun ZHU
;
Jie QIN
Author Information
1. 江苏大学附属医院神经内科，镇江 212001
- Publication Type:Journal Article
- Keywords:
Stroke;
Venous thromboembolism;
Ischemic stroke;
Non-pharmacological;
Prevention;
Evidence-based nursing
- From:
Chinese Journal of Modern Nursing
2025;31(5):628-633
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore non-pharmacological prevention and management methods for venous thromboembolism (VTE) in ischemic stroke (IS) patients based on the best evidence and evaluate the effectiveness of their application.Methods:Based on evidence acquisition, this study was guided by the Ottawa model of research use to dissect the barriers and facilitators of evidence application through clinical review, and to implement intervention strategies and effect evaluation. Convenience sampling method was used to select inpatients and nurses in the Department of Neurology of Affiliated Hospital of Jiangsu University before and after evidence application as study subjects. The baseline review period was from March 1 to May 31, 2023, and the review subjects were 100 patients hospitalised in the Department of Neurology and 32 nurses working in the Department of Neurology during this period, and the evidence application review period was from December 1, 2023 to February 29, 2024, and the review subjects were 100 patients hospitalised in the Department of Neurology and 32 nurses working in the Department of Neurology during this period. Nurses and patients knowledge of non-pharmacological prevention of VTE, implementation of the review indicators, and the incidence of VTE in patients were compared before and after the application of the evidence.Results:After evidence application, most of the evidence implementation rates were higher than those before evidence application, and the differences were statistically significant ( P<0.05). The VTE non-pharmacological prevention knowledge scores of IS patients and nurses were higher than those before evidence application, and the differences were statistically significant ( P<0.05) ; the VTE incidence rate of IS patients was lower than that before evidence application, and the differences were statistically significant ( P<0.05) . Conclusions:Evidence-based practice of non-pharmacological prevention and management of VTE in patients with IS, guided by the Ottawa model of research use, can effectively improve nurses evidence-based adherence to non-pharmacological prevention and management of VTE, as well as enhance patients knowledge of non-pharmacological prevention of VTE, thereby reducing the incidence of VTE.
