实施循证护理实践指南对预防产后妇女深静脉血栓形成的影响

Somaya Ouda abd Elmoniem, Aziza Fathy EL Sayed, Afaf Mohamed Mohamed Emam
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引用次数: 0

摘要

背景:产后深静脉血栓是孕产妇死亡的主要原因之一,并可能带来严重的长期发病率。目的:研究实施循证护理实践指南对预防产后妇女深静脉血栓形成的影响。设计:准实验研究设计。样本:两组目的性样本(研究组和对照组各 50 名妇女)。研究地点本研究在埃及 Qaluobia 市 Benha 大学医院妇产科产前门诊和产后病房进行。工具:使用了四种主要工具。工具 (I):结构化访谈问卷。工具 (II):深静脉血栓风险因素评估表。工具(III):妇女对深静脉血栓预防措施的遵守情况。工具 (IV):深静脉血栓评估表。结果与干预前相比,研究组和对照组在干预后对深静脉血栓知识的了解程度上存在高度统计学差异。此外,两组在干预后对深静脉血栓预防措施的依从性也有非常显著的统计学差异。此外,与对照组相比,研究组的深静脉血栓发生率和表现明显减少,干预后的差异具有统计学意义。结论与未接受《循证护理实践指南》的妇女相比,接受《循证护理实践指南》的妇女对深静脉血栓及其预防措施的了解程度更高,对深静脉血栓预防措施的依从性更好,深静脉血栓及其相关症状的发生率明显降低。建议提高对深静脉血栓形成的风险因素和预防措施的认识,应作为怀孕三个月期间常规产前保健的重要组成部分。
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Effect of Implementing Evidence-Based Nursing Practices Guidelines on Prevention of Deep Venous Thrombosis among Postpartum Women
Background: Postpartum deep venous thrombosis is a leading cause of maternal mortality and can carry significant long-term morbidity. Aim: was to investigate effect of implementing evidence-based nursing practices guidelines on prevention of deep venous thrombosis among postpartum women. Design: A quasi-experimental research design. Sample: A purposive sample of two groups (50 women in study group and 50 women in control group). Setting: This study was conducted at antenatal clinic and postpartum unit of Obstetrics and Gynecological Department in Benha University Hospital, Qaluobia, Egypt. Tools: Four main tools were utilized. Tool (I): A structured interviewing questionnaire. Tool (II): Deep vein thrombosis risk factors assessment sheet. Tool (III): Women’s compliance with the DVT preventive measures. Tool (IV): Deep vein thrombosis assessment sheet. Results: There was highly statistically significant difference between study and control groups regarding their knowledge about DVT at post-intervention compared to pre-intervention. Additionally, there was a highly statistical significance difference among both groups post-intervention regarding to their compliance with DVT preventive measures. Moreover, a significant reduction in the occurrence and manifestations of DVT in the study groups compared to control groups with statistically significant difference post-intervention. Conclusion: Women who receive the Evidence-Based Nursing Practices Guidelines exhibit a higher level of knowledge regarding DVT and its preventive measures, as well as demonstrate good compliance with deep vein thrombosis preventive measures and had significant decrease in the occurrence of DVT and its associated symptoms in comparison to those who do not receive. Recommendation: Increased awareness regarding the risk factors and preventive measures for DVT should be incorporated as a vital component of routine antenatal care during the third trimester of pregnancy.
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