eISSN 2097-6054 ISSN 1672-9234 CN 11-5289/R
Responsible Institution:China Association for Science and Technology
Publishing:Chinese Nursing Journals Publishing House Co.,Ltd.
Sponsor:Chinese Nursing Association
Source journal for Chinese Science Citation Database
China Academic Journals Full-text Database
China Core Journal Alternative Database
Scopus
Clinical Practice

A nurse-led management strategy of prevention and control of venous thromboembolism

  • Jie-fen OU ,
  • Yan-ling FENG ,
  • Shao-fang LUO ,
  • Ming-zhu WANG
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Received date: 2020-04-22

  Online published: 2021-05-07

Abstract

Objective To explore the effects of nurse-led management strategy of prevention and control of venous thromboembolism(VTE). Methods The patients who were admitted to our hospital were divided to the experimental group and the control group according to the admission date. Those admitted from January to June 2018 were assigned into the control group,and the conventional VTE management method was implemented. Patients admitted from January to June 2019 were assigned to the experimental group,and the nurse-led VTE prevention and control management strategy including risk assessment,hemorrhage risk assessment,and implementation of prevention strategy were adopted. The incidence of venous thromboembolism,the early diagnosis rate,the average length of stay and the average cost of hospitalization were compared between the two groups. Results After the implementation of nurse-led VTE prevention and control management strategy,the incidence of VTE,the early diagnosis rate,the average length of stay and the average cost of hospitalization were all ameliorated in the experimental group(P<0.001). Conclusion The construction and application of nurse-led VTE prevention and control management strategy can effectively reduce the incidence of VTE in hospitalized patients and improve the VTE specialized care.

Cite this article

Jie-fen OU , Yan-ling FENG , Shao-fang LUO , Ming-zhu WANG . A nurse-led management strategy of prevention and control of venous thromboembolism[J]. Chinese Journal of Nursing Education, 2021 , 18(4) : 377 -380 . DOI: 10.3761/j.issn.1672-9234.2021.04.018

References

[1] 中国健康促进基金会血栓与血管专项基金专家委员会. 静脉血栓栓塞症机械预防中国专家共识[J]. 中华医学杂志, 2020,100(7):484-485.
[1] Expert Committee of China Health Promotion Foundation Thrombosis and Vascular Special Fund. Chinese expert conse-nsus on mechanical prevention of venous thromboembolism[J]. Natl Med J China, 2020,100(7):484-485.
[2] ISTH Steering Committee for World Thrombosis Day. Throm-bosis:a major contributor to global disease burden[J]. Thromb Research, 2014,134(5):931-938.
[3] Zhu Z, Leu JP, Xiang S, et al. Trends in hospitalization and in-hospital mortality from VTE,2007 to 2016,in China[J]. Chest, 2019,155(2):342-353.
[4] 米元元, 陈婷, 周英凤, 等. 脊柱外科术后患者深静脉血栓预防及管理的最佳证据总结[J]. 中华护理杂志, 2019,54(2):288-294.
[4] Mi YY, Chen T, Zhou YF, et al. Evidence summary for preven-tion and management of deep venous thrombosis after spinal surgery[J]. Chin J Nurs, 2019,54(2):288-294.
[5] 彭慧明, 翁习生, 翟吉良, 等. 初次全膝关节成形术后常规抗凝患者症状性静脉血栓症发生率的调查研究[J]. 中华骨与关节外科杂志, 2014,7(2):101-104,133.
[5] Peng HM, Weng XS, Zhai JL, et al. Incidence of symptomatic venous thromboembolic events in patients undergoing primary total knee arthropalsty with routine anticoagulation[J]. Chin J Bone Jo Surg, 2014,7(2):101-104,133.
[6] 万铠瑞, 赖宁, 马杰羚, 等. 2018年肺血栓栓塞症诊治与预防指南的质量评价[J]. 中华结核和呼吸杂志, 2019,42(3):213-218.
[6] Wan KR, Lai N, Ma JL, et al. Quality assessment of the clini-cal practice guideline for diagnosis,treatment and prevention of pulmonary thromboembolism,2018[J]. Chinese Journal of Tuberculosis and Respiratory Diseases, 2019,42(3):213-218.
[7] 张丽, 杨可欣, 刘京坤, 等. 住院患者静脉血栓栓塞症规范化防控体系的建立和应用[J]. 齐鲁护理杂志, 2019,25(11):44-46.
[7] Zhang L, Yang KX, Liu JK, et al. Establishment and application of standardized prevention and control system for venous thromboembolism in hospitalized patients[J]. J Qilu Nurs, 2019,25(11):44-46.
[8] Spyropoulos AC, Ageno W, Cohen AT, et al. Prevention of ve-nous thromboembolism in hospitalized medically ill patients:a US perspective[J]. Thromb Haemost, 2020,120(6):924-936.
[9] 王丽倩, 贺爱兰, 唐红英, 等. 脊柱手术后并发静脉血栓栓塞症的临床特点及危险因素分析[J]. 解放军护理杂志, 2019,36(12):53-56.
[9] Wang LQ, He AL, Tang HY, et al. Clinical feature and risk factors of venous thromboembolism after spinal surgery[J]. Nurs J Chin PLA, 2019,36(12):53-56.
[10] 周海霞, 易群. 规范医院内静脉血栓栓塞症的防治和管理:来自四川大学华西医院的实践[J]. 国际呼吸杂志, 2020,40(1):15-16.
[10] Zhou HX, Yi Q. Standardization of the prevention,treatment and management of venous thromboembolism within the hospitals:experience from West China Hospital of Sichuan University[J]. International Journal of Respiration, 2020,40(1):15-16.
[11] 晏蓉, 李素云, 陈婷, 等. 脊柱外科术后患者深静脉血栓预防及管理的最佳证据应用[J]. 护理学杂志, 2019,34(19):21-26.
[11] Yan R, Li SY, Chen T, et al. Application of best evidence for deep venous thrombosis prevention and management to patients after spinal surgery[J]. J Nurs Sci, 2019,34(19):21-26.
[12] 谢开红, 金孔军. Caprini血栓风险评估模型应用研究进展[J]. 护理研究, 2020,34(11):1979-1982.
[12] Xie KH, Jin KJ. Research progress on the application of Caprini Risk Assessment Model[J]. Chin Nurs Res, 2020,34(11):1979-1982.
[13] 王彦艳, 王炎, 刘延锦, 等. 基于PubMed数据库的静脉血栓栓塞症研究热点的共词聚类分析[J]. 护理学杂志, 2018,33(13):91-95.
[13] Wang YY, Wang Y, Liu YJ, et al. Research focus in venous thromboembolism based on the PubMed database:a co-word cluster analysis[J]. J Nurs Sci, 2018,33(13):91-95.
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