Nurse's Role, Spinal Cord Diseases, Spinal Cord Injuries, Venous Thromboembolism
Conditions
Brief summary
The goal of this quasi-experimental study is to examine the effects of a venous thromboembolism prevention program, or 5E program, on the rates of venous thromboembolism in patients with spinal cord disorders. The main questions it aims to answer are: * Will participants receiving the 5E program have lower rates of venous thromboembolism compared to those receiving the usual care? * Will participants receiving the 5E program have lower scores of venous thromboembolism signs and symptoms compared to those receiving the usual care? * Will the average thigh and calf circumferences of participants before and after receiving the 5E program be different? Participants in the intervention group will receive the 5E program, including * Education: health education regarding venous thromboembolism prevention * Elevation: leg elevation of 10-20 degrees * Exercise: ankle exercises * Enough fluid: adequate fluid uptake * Early application of intermittent pneumatic compression (IPC): IPC use within 48 hours after admission
Interventions
BEHAVIORAL5E program
Participants in the 5E program group will receive 7-day nursing interventions including * Education: health education regarding venous thromboembolism prevention * Elevation: leg elevation of 10-20 degrees * Exercise: ankle exercises * Enough fluid: adequate fluid uptake * Early application of intermittent pneumatic compression (IPC): IPC use within 48 hours after admission
Sponsors
Khon Kaen University
Study design
Allocation
NON_RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
PREVENTION
Masking
SINGLE (Subject)
Intervention model description
A quasi-experimental research (two group pretest-posttest design)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Caprini scores of 5-8 and \>8 * Able to communicate in the Thai language * Willing to participate in this study
Exclusion criteria
* Alteration of consciousness * Experiencing complications, including neurogenic shock and autonomic dysreflexia * Being pregnant * Having fluid restriction
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The rate of venous thromboembolism | The day before implementing the intervention and at 7 days after implementing intervention | The diagnosis of venous thromboembolism is confirmed by a Doppler ultrasound scan of the femoral vein and popliteal vein by a physician working at the study site. The physician will record the results in the data record form. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Signs and symptoms of deep venous thrombosis and pulmonary embolism | The day before implementing the intervention and Day 1 - Day 7 after implementing intervention | The Well's Score for deep venous thrombosis (DVT) includes clinical parameters: active cancer or palliative (+1), paralysis (+1), recently bedridden for more than 3 days (+1), localized tenderness (+1), entire leg swelling (+1), calf swelling more than 3 cm compared with asymptomatic leg (+1), pitting edema (+1), previous DVT documented (+1), collateral superficial veins (non-varicose) (+1), and alternative diagnosis (-2). The Modified Well's Score for pulmonary embolism (PE) includes the following criteria: clinical signs and symptoms of DVT (3); an alternative diagnosis is less likely than PE (3); a heart rate greater than 100 (1.5); immobilization for 3 or more consecutive days (1.5); previous objectively diagnosed PE or DVT (1.5); hemoptysis (1); and malignancy (1). |
| Thigh and calf circumference | The day before implementing the intervention and Day 1 - Day 7 after implementing intervention | Thigh and calf circumferences will be measured in centimeters using the standardized measuring tape. The assistant researcher will record the results in the data record form. |
Countries
Thailand
Contacts
Primary ContactWiphawadee Potisopha, Ph.D.
Outcome results
None listed