Deep Vein Thrombosis Among Critically Ill Patients: Implementing a Structured Prophylaxis Protocol
[1]
Mona Mohamed Elhady, Emergency and Critical Care Nursing, Faculty of Nursing, Mansoura University, Dakhlia, Egypt; Medical Surgical Nursing, Faculty of Nursing, Jeddah, King AbdAlaziz University, Saudi Arabia.
[2]
Amany Mohammed Shebl, Medical Surgical Nursing, Faculty of Nursing, Mansoura University, Dakhlia, Egypt.
[3]
Mohamed Ahmed Ahmed Sultan, Anesthesia and Intensive Care Unit, Faculty of Medicine, Mansoura University, Dakhlia, Egypt.
[4]
Aida Faried Abd-Elwaness, Emergency and Critical Care Nursing, Faculty of Nursing, Mansoura University, Dakhlia, Egypt.
Deep vein thrombosis is a third leading cause of mortality in intensive care unit. Diagnosis and assessment for deep vein thrombosis are important, also appropriate prophylaxis and prevention when risk is present is the most effective way of avoiding deep vein thrombosis. Aim: This study aimed at evaluating the effect of a structured prophylaxis protocol on prevention of deep vein thrombosis among critically ill patients. Design: A quasi-experimental design study was performed on sixty adult patients admitted to trauma intensive care unit in Emergency Hospital, Mansoura University, Egypt. The sample was randomly assigned to either deep vein thrombosis prophylaxis protocol group or control group. Two observational tools were used to assess patient’s risk factors, and clinical and nonclinical indicators for deep vein thrombosis development. The overall reliability of the tools was measured using alpha Cronbach's test (0.953 & 0.977). Findings: The results revealed that, patients in the prophylaxis protocol group have low clinical and nonclinical indicators for deep vein thrombosis development, with significant reduced length of hospital stay than patients in control group. Conclusion: Implementing a prophylaxis protocol for all critically ill patients and continuous educational program for all critical care nurses was recommended to prevent deep vein thrombosis in intensive care units. Implications for Practice: The study findings may be useful as an empirical reference for critical care nurses caring for traumatic patients during hospitalization period to prevent development of deep vein thrombosis.
Prophylaxis Protocol, Deep Vein Thrombosis Prevention, Critically Ill Patients
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