Effects of the Deep Vein Thrombosis Prevention Program on Venous Blood Flow Velocity and Deep Vein Thrombosis Ratio Among Critically Ill Surgical Patients
Keywords:
Deep vein thrombosis, Deep vein thrombosis prophylaxis, Critically ill surgical patientsAbstract
Deep vein thrombosis in critically ill surgical patients is a harmful complication. Nurses have an important role to improve venous circulation in femoral veins to reduce the risk of this condition. This experimental pretest-posttest control group and convergent parallel design study aimed to examine the effect of a deep vein thrombosis prevention program on venous blood flow velocity and deep vein thrombosis ratio among critically ill surgical patients. Data was collected from critically ill surgical patients who had Autar deep vein thrombosis risk assessment scores ≥ 11. Simple random sampling was used to assign 25 participants to each group. The research instrument was composed of 1) the deep vein thrombosis prevention program for critically ill surgical patients, and 2) the outcomes instrument, composed of a venous blood flow velocity record form and a deep vein thrombosis record form. Content validity and reliability of the research instrument were approved. Descriptive statistics and repeated measurement analysis of variance were used for data analysis.
The results revealed that the mean of femoral venous blood flow velocity in the control group was not different (p = 1.00) over three days of measurement, but there was a statistically significant difference for the experimental group comparing between day 1 and day 6 (p = .001) and between day 3 and day 6 (p = .004). The mean of femoral venous blood flow velocity between the control and experimental groups were statistically significantly different (p = .001) on all three days of measurement. There was no deep vein thrombosis incidence in either group.
The study results show that implementation of this program can increase femoral venous blood flow velocity, which can be used to prevent deep vein thrombosis among critically ill surgical patients.
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