Development and Feasibility Study of a Prevention Program of Venous Thromboembolism in Patients with Spinal Cord Disorders
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Abstract
Venous thromboembolism is a common complication in patients with spinal cord disorders, resulting in the need for long-term care, an increased length of hospital stays, a higher cost of care, and an increased risk of death. Most patients with spinal cord disorders receive delayed investigation and treatment due to variant risk assessment and management. Based on a literature review, current evidence suggests employing pharmaceutical and non-pharmaceutical methods for preventing venous thromboembolism.Even though pharmaceutical prevention, especially low-molecular-weight heparin, is effective, the critical side effects, including the risk of bleeding, need to be considered.Thus, the researchers developed a program focusing on non-pharmaceutical strategies to prevent venous thromboembolism in patients with spinal cord disorders based on Soukup’s conceptual framework. This developed program was named “5E,” including 1) education, 2) elevation, 3) exercise, 4) enough fluid, and 5) early application of intermittent pneumatic compression. The content validity index evaluated by five experts was 1.00. After modification, the pilot program was tried out in two patients diagnosed with spinal cord disorders, and the results showed that the 5E program was feasible to implement in a clinical setting. However, the effect of this prevention program on venous thromboembolism must be studied further.
Keywords: Prevention program, Spinal cord disorder, Venous thromboembolism
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บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการตีพิมพ์ในรามาธิบดีพยาบาลสาร ถือเป็นลิขสิทธิ์ของวารสาร หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่หรือเพื่อกระทำการใด ใด จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษรจากรามาธิบดีพยาบาลสารก่อนเท่านั้น
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