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190448

Effect of Implementing Nursing Educational Protocol on Reducing Deep Venous Thrombosis among Orthopedic Surgery Patients

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Last updated: 28 Dec 2024

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Abstract

Background: Deep venous thrombosis is a most prevalent problem for orthopedic surgery patients. Nurses have been shown in the literature to play a significant role in reducing the incidence of deep venous thrombosis. Range of motion exercises increase blood flow to the lower extremities, and early mobilization has been shown to improve outcomes. Nurses are crucial in integrating these activities into their patients' regular care plans. Future research should concentrate on efforts to enhance nursing compliance with this exercise program .Aim of the study: To evaluate the effect of implementing nursing educational protocol on reducing deep vein thrombosis among orthopedic surgery patients.  Research design: Quasi experimental research design was utilized to conduct this study (study and control group). Subjects: A purposive sample of 72 patients (36 patients for each group study and control). Setting: This study was carried out in orthopedic department and orthopedic outpatient clinic at Minia University Hospital. Tools of data collection: Demographic and medical sheet, the Autar DVT risk assessment scale and Deep vein thrombosis evaluation sheet. Results: There was a statistical significant difference between study and control groups regarding the occurrence of DVT especially Left limb DVT p.value (0.027*) after application of the nursing educational protocol. There were highly statistically significant differences between study and control groups regarding signs and symptoms of DVT in calf muscle regarding redness, swelling and absence of signs of DVT with p.value (0.012*, 0.001**, and 0.002**) respectively. While in thigh muscle presence of swelling show a statistical significant difference with p.value (0.005**) between the two groups.  There was a statistical significant difference between study and control groups regarding the occurrence of DVT especially Left limb DVT p.value (0.027*) after application of the nursing educational protocol. Conclusion: Application of educational protocol was effective in reducing DVT among orthopedic surgery patients. Recommendations: Applying elastic stocking, exercising and range of motion had a positive effect on reducing incidence of DVT among orthopedic surgical patients. The in-service educational training program that illustrates purposes and benefits of applying elastic stocking, exercising and range of motion is very important.

DOI

10.21608/msnj.2021.190448

Keywords

educational protocol, Deep Venous Thrombosis, Nursing, orthopedic surgery

Authors

First Name

Mona

Last Name

Mohamed Ahmed

MiddleName

Rabea

Affiliation

B.Sc. Nursing, Faculty of Nursing, Minia University

Email

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City

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Orcid

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First Name

Shalabia

Last Name

AboZead

MiddleName

El-Sayed

Affiliation

Professor of Medical- Surgical Nursing, Faculty of Nursing, Assuit University

Email

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City

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Orcid

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First Name

Ahmed

Last Name

Yousef

MiddleName

Omar

Affiliation

Professor of Orthopedic Surgery, Faculty of Medicine, Minia University.

Email

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City

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Orcid

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First Name

Sahar

Last Name

Taha

MiddleName

Hamza

Affiliation

Lecturer of Medical Surgical Nursing, Faculty of Nursing, Minia University

Email

-

City

-

Orcid

-

Volume

009

Article Issue

1

Related Issue

27044

Issue Date

2021-06-01

Receive Date

2021-05-20

Publish Date

2021-06-30

Page Start

111

Page End

117

Print ISSN

2537-012X

Online ISSN

2785-9797

Link

https://msnj.journals.ekb.eg/article_190448.html

Detail API

https://msnj.journals.ekb.eg/service?article_code=190448

Order

15

Type

Original articles

Type Code

2,049

Publication Type

Journal

Publication Title

Minia Scientific Nursing Journal

Publication Link

https://msnj.journals.ekb.eg/

MainTitle

Effect of Implementing Nursing Educational Protocol on Reducing Deep Venous Thrombosis among Orthopedic Surgery Patients

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Type

Article

Created At

23 Jan 2023