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  4. Vol 2, Issue 1, 2021

Prevention and Management of Deep Vein Thrombosis in Patients after Spinal Orthopedic Surgery

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DOI: 10.23977/medsc.2021.020110 | Downloads: 10 | Views: 773

Author(s)

Li Tao 1

Affiliation(s)

1 First Affiliated Hospital, Shaanxi University of Traditional Chinese Medicine, Xi'an 712021, China

Corresponding Author

Li Tao

ABSTRACT

Objective: to apply the best evidence of prevention and management of deep vein thrombosis after spinal surgery to clinical practice and reduce the incidence of deep vein thrombosis in patients. Methods: A total of 30 nursing staff and 150 patients in Spine Trauma Orthopedics Department of our hospital were selected. Following the clinical application model of JBI evidence in Australia, the best evidence for the prevention and management of deep vein thrombosis in patients after spine surgery was retrieved and summarized, and review indicators were formulated. The implementation effect was judged through baseline review before evidence application, practical change and review after evidence application. Results: After the application of evidence, the scores of knowledge about prevention and management of DVT among medical staff were significantly increased, including basic knowledge, evaluation, prevention and treatment knowledge. The comparison before and after the application of evidence was statistically significant. After application of the evidence, the assessment of bleeding risk and assessment of surgical position and tourniquet use increased from 0 to 100%, D- dimer examination from 0 to 97.3%, mechanical prevention from 2 to 92%, and drug prevention to 38. 7%, preoperative and postoperative and discharge mission implementation rate increased significantly, in more than 98%, the difference was statistically significant; The incidence of DVT before evidence was 2.85% and the incidence of DVT after application was 0. Conclusion: the application of the best evidence of prevention and management of deep venous thrombosis can improve the level of prevention and management of deep venous thrombosis of medical staff, standardize prevention and management behavior, and reduce the incidence of deep venous thrombosis in patients.

KEYWORDS

Evidence-based nursing of prevention of dvt in spine orthopedics

CITE THIS PAPER

Li Tao. Prevention and Management of Deep Vein Thrombosis in Patients after Spinal Orthopedic Surgery. MEDS Clinical Medicine (2021) 2: 52-57. DOI: http://dx.doi.org/10.23977/medsc.2021.020110.

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