ผลของการใช้แนวปฏิบัติการพยาบาลเพื่อป้องกันการเกิดภาวะลิ่มเลือดอุดตันหลอดเลือดดำต่อการเกิดภาวะลิ่มเลือดอุดตันหลอดเลือดดำจำนวนวันนอน โรงพยาบาล และค่าใช้จ่ายในการรักษาพยาบาลในผู้ป่วยบาดเจ็บหลายระบบ

Duangamon  pongsriroj; Duangpen waewwanjit; Phinwanan nimitpan; Osaree  Akaraborwoen

Authors

Duangamon pongsriroj Songklanagarind Hospital
Duangpen waewwanjit
Phinwanan nimitpan
Osaree Akaraborwoen

Keywords:

venous thromboembolism (VTE), clinical nursing practice guidelines in prevention of venous thromboembolism, length of hospitalisation, medical expenses, multiple traumatic injury patients

Abstract

Objective: To examine the implementation of clinical nursing practice guidelines in prevention of venous thromboembolism (VTE) and the impact of the guidelines on multiple traumatic injury patients’ incidence of venous thromboembolism, length of hospitalisation,
and medical expenses
Design: Two-group quasi-experimental study with a post-test
Methodology: This study was conducted on 40 subjects who were multiple traumatic injury patients admitted to a trauma ward. The subjects were equally assigned a control group and an experimental group. Whilst the control group was given standard nursing care, the experimental group received 14-day treatment based on the clinical nursing practice guidelines, which were comprised of three major components: 1) VTE risk assessment; 2) nursing care activities in prevention of VTE; and 3) VTE assessment using the Doppler ultrasonography. The instruments used in gathering data comprised: 1) a demographic data form; 2) a VTE risk assessment form; 3) a VTE incidence report; 4) a length of hospitalisation report; and 5) a medical expense record. The data were analysed using descriptive statistics, chi-square test, independent t- test, and Mann-Whitney U-test.
Results: Incidence of VTE was not found in the experimental group but found in 25% of the members of the control group, which constituted is statistically signifcant difference (p < .05). In addition, the experimental group’s length of hospitalisation and medical expenses were signifcantly lower than the control group’s (p < .05).
Recommendations: Nurses are recommended to apply this set of guidelines to caring for multiple traumatic injury patients right from the start of hospitalisation, to reduce incidence of venous thromboembolism, length of hospitalisation, and medical expenses.

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