American Journal of Nursing Science

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Effect of Perioperative Nursing on the Prevention of Lower Extremity Deep Vein Thrombosis in Patients Undergoing Gynecological Pelvic Surgery

Received: 05 December 2020    Accepted: 17 December 2020    Published: 22 December 2020
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Abstract

Background: Deep venous thrombosis (DVT) is a common complication of gynecological pelvic surgery. DVT focuses on prevention. How to make a detailed perioperative nursing plan and organize its implementation of the measures is a great significance for the prevention of DVT in patients undergoing gynecological pelvic surgery. Objective: To investigate the effect of perioperative nursing intervention measures on the prevention of lower extremity deep vein thrombosis (DVT) in patients undergoing pelvic surgery in gynecology. Methods: Set up a project improvement activity group, analyzation the reason of gynecological pelvic surgery patients with DVT, and development a detailed plan of perioperative nursing intervention measures. Organizing the implementation of “one-on-one” nursing intervention, the problems in the nursing process were collected and formulated solutions, inspection gaps in care, made up the nursing error and improved nursing content. It was used to improve the quality of preventive measures and promote their implementation by “plan-do-check-action” (PDCA) cycle. Results: The perioperative preventive measures were continuously improved with PDCA cycle. The incidence of DVT in patients with pelvic surgery in our gynecological ward decreased from 6.96% to 2.08%. The anus exhausting time, resumption of eating time, defecation time and first leaving bed time of perioperative nursing group were shorter than before of the project improvement activities. The hospitalization time of patients was also significantly shortened. The differences were statistically significant (P < 0.05). Through the follow-up survey, patients' satisfaction with nursing increased from 82.6% to 95.0%. Conclusion: Through the development of detailed perioperative nursing plan and promotion the implementation of the measures with PDCA cycle continuously improved for the prevention of DVT in patients undergoing gynecological pelvic surgery, the incidence of postoperative lower extremity DVT could be effectively reduced and also promote the rehabilitation of postoperative. It was significantly shortened in the hospitalization time of patients, and improved the satisfaction of patients in perioperative nursing.

DOI 10.11648/j.ajns.20200906.23
Published in American Journal of Nursing Science (Volume 9, Issue 6, December 2020)
Page(s) 455-458
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Perioperative Nursing, Gynecological Pelvic Surgery, Lower Extremity Deep Vein Thrombosis, Project Improvement

References
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[2] Di Nisio M, van Es N, Büller HR. Deep vein thrombosis and pulmonary embolism. Lancet. 2016; 388 (10063): 3060-3073.
[3] Graul A, Latif N, Zhang X, et al. Incidence of Venous Thromboembolism by Type of Gynecologic Malignancy and Surgical Modality in the National Surgical Quality Improvement Program. Int J Gynecol Cancer. 2017; 27 (3): 581-587.
[4] Trugilho IA, Renni MJP, Medeiros GC, Thuler LCS, Bergmann A. Incidence and factors associated with venous thromboembolism in women with gynecologic cancer [J]. Thromb Res. 2020; 185: 49-54.
[5] McLendon K, Goyal A, Bansal P, Attia M. Deep Venous Thrombosis Risk Factors. In: StatPearls. Treasure Island (FL): StatPearls Publishing; April 29, 2020.
[6] Badireddy M, Mudipalli VR. Deep Venous Thrombosis Prophylaxis. In: StatPearls. Treasure Island (FL): StatPearls Publishing; September 10, 2020.
[7] Qing C, Yuanyuan J, Deling W, et al. Nursing Care of Gynecological Pelvic Surgery for Prevention of Deep Venous Thrombosis of Lower Extremity [J]. Biped and Health, 2018, 27 (24): 15-16.
[8] Isniah S, Purba H H, Debora F. Plan do check action (PDCA) method: literature review and research issues [J]. Jurnal Sistem dan Manajemen Industri, 2020, 4 (1): 72-81.
[9] Rausa E, Kelly ME, Asti E, et al. Extended versus conventional thromboprophylaxis after major abdominal and pelvic surgery: Systematic review and meta-analysis of randomized clinical trials. Surgery. 2018; 164 (6): 1234-1240.
[10] Paik B, Joh JH, Park HC. Anatomic and clinical risk factors for pulmonary embolism in patients with deep venous thrombosis of the lower extremity. Ann Surg Treat Res. 2017; 92 (5): 365-369.
[11] Felder S, Rasmussen MS, King R, et al. Prolonged thromboprophylaxis with low molecular weight heparin for abdominal or pelvic surgery. Cochrane Database Syst Rev. 2018; 11 (11): CD004318. Published 2018 Nov 27.
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[13] Needleman L, Cronan JJ, Lilly MP, et al. Ultrasound for Lower Extremity Deep Venous Thrombosis: Multidisciplinary Recommendations From the Society of Radiologists in Ultrasound Consensus Conference. Circulation. 2018; 137 (14): 1505-1515.
[14] Guo M, Lu L, Sun Y, Li L, Wu M, Lang J. Comprehensive functional exercises with patient education for the prevention of venous thrombosis after major gynecologic surgery: A randomized controlled study. Thromb Res. 2019; 178: 69-74.
[15] Hattab Y, Küng S, Fasanya A, Ma K, Singh AC, DuMont T. Deep Venous Thrombosis of the Upper and Lower Extremity. Crit Care Nurs Q. 2017; 40 (3): 230-236.
[16] Cohen A, Lim CS, Davies AH. Venous Thromboembolism in Gynecological Malignancy. Int J Gynecol Cancer. 2017; 27 (9): 1970-1978.
[17] Kuster Uyeda MGB, Batista Castello Girão MJ, Carbone ÉDSM, Machado Fonseca MC, Takaki MR, Ferreira Sartori MG. Fast-track protocol for perioperative care in gynecological surgery: Cross-sectional study. Taiwan J Obstet Gynecol. 2019; 58 (3): 359-363.
[18] Mahdi H, Aljebori Q, Lockart D, Moulton L. Risk of Venous Thromboembolism After Laparoscopic Surgery for Gynecologic Malignancy. J Minim Invasive Gynecol. 2016; 23 (7): 1057-1062.
Author Information
  • Gynecology Department, The First Affiliated Hospital of Jinan University, Guangzhou, China

  • Gynecology Department, The First Affiliated Hospital of Jinan University, Guangzhou, China

  • Gynecology Department, The First Affiliated Hospital of Jinan University, Guangzhou, China

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    Lirong Mo, Xiaojuan Liao, Huijuan Cai. (2020). Effect of Perioperative Nursing on the Prevention of Lower Extremity Deep Vein Thrombosis in Patients Undergoing Gynecological Pelvic Surgery. American Journal of Nursing Science, 9(6), 455-458. https://doi.org/10.11648/j.ajns.20200906.23

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    ACS Style

    Lirong Mo; Xiaojuan Liao; Huijuan Cai. Effect of Perioperative Nursing on the Prevention of Lower Extremity Deep Vein Thrombosis in Patients Undergoing Gynecological Pelvic Surgery. Am. J. Nurs. Sci. 2020, 9(6), 455-458. doi: 10.11648/j.ajns.20200906.23

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    AMA Style

    Lirong Mo, Xiaojuan Liao, Huijuan Cai. Effect of Perioperative Nursing on the Prevention of Lower Extremity Deep Vein Thrombosis in Patients Undergoing Gynecological Pelvic Surgery. Am J Nurs Sci. 2020;9(6):455-458. doi: 10.11648/j.ajns.20200906.23

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  • @article{10.11648/j.ajns.20200906.23,
      author = {Lirong Mo and Xiaojuan Liao and Huijuan Cai},
      title = {Effect of Perioperative Nursing on the Prevention of Lower Extremity Deep Vein Thrombosis in Patients Undergoing Gynecological Pelvic Surgery},
      journal = {American Journal of Nursing Science},
      volume = {9},
      number = {6},
      pages = {455-458},
      doi = {10.11648/j.ajns.20200906.23},
      url = {https://doi.org/10.11648/j.ajns.20200906.23},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ajns.20200906.23},
      abstract = {Background: Deep venous thrombosis (DVT) is a common complication of gynecological pelvic surgery. DVT focuses on prevention. How to make a detailed perioperative nursing plan and organize its implementation of the measures is a great significance for the prevention of DVT in patients undergoing gynecological pelvic surgery. Objective: To investigate the effect of perioperative nursing intervention measures on the prevention of lower extremity deep vein thrombosis (DVT) in patients undergoing pelvic surgery in gynecology. Methods: Set up a project improvement activity group, analyzation the reason of gynecological pelvic surgery patients with DVT, and development a detailed plan of perioperative nursing intervention measures. Organizing the implementation of “one-on-one” nursing intervention, the problems in the nursing process were collected and formulated solutions, inspection gaps in care, made up the nursing error and improved nursing content. It was used to improve the quality of preventive measures and promote their implementation by “plan-do-check-action” (PDCA) cycle. Results: The perioperative preventive measures were continuously improved with PDCA cycle. The incidence of DVT in patients with pelvic surgery in our gynecological ward decreased from 6.96% to 2.08%. The anus exhausting time, resumption of eating time, defecation time and first leaving bed time of perioperative nursing group were shorter than before of the project improvement activities. The hospitalization time of patients was also significantly shortened. The differences were statistically significant (P < 0.05). Through the follow-up survey, patients' satisfaction with nursing increased from 82.6% to 95.0%. Conclusion: Through the development of detailed perioperative nursing plan and promotion the implementation of the measures with PDCA cycle continuously improved for the prevention of DVT in patients undergoing gynecological pelvic surgery, the incidence of postoperative lower extremity DVT could be effectively reduced and also promote the rehabilitation of postoperative. It was significantly shortened in the hospitalization time of patients, and improved the satisfaction of patients in perioperative nursing.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Effect of Perioperative Nursing on the Prevention of Lower Extremity Deep Vein Thrombosis in Patients Undergoing Gynecological Pelvic Surgery
    AU  - Lirong Mo
    AU  - Xiaojuan Liao
    AU  - Huijuan Cai
    Y1  - 2020/12/22
    PY  - 2020
    N1  - https://doi.org/10.11648/j.ajns.20200906.23
    DO  - 10.11648/j.ajns.20200906.23
    T2  - American Journal of Nursing Science
    JF  - American Journal of Nursing Science
    JO  - American Journal of Nursing Science
    SP  - 455
    EP  - 458
    PB  - Science Publishing Group
    SN  - 2328-5753
    UR  - https://doi.org/10.11648/j.ajns.20200906.23
    AB  - Background: Deep venous thrombosis (DVT) is a common complication of gynecological pelvic surgery. DVT focuses on prevention. How to make a detailed perioperative nursing plan and organize its implementation of the measures is a great significance for the prevention of DVT in patients undergoing gynecological pelvic surgery. Objective: To investigate the effect of perioperative nursing intervention measures on the prevention of lower extremity deep vein thrombosis (DVT) in patients undergoing pelvic surgery in gynecology. Methods: Set up a project improvement activity group, analyzation the reason of gynecological pelvic surgery patients with DVT, and development a detailed plan of perioperative nursing intervention measures. Organizing the implementation of “one-on-one” nursing intervention, the problems in the nursing process were collected and formulated solutions, inspection gaps in care, made up the nursing error and improved nursing content. It was used to improve the quality of preventive measures and promote their implementation by “plan-do-check-action” (PDCA) cycle. Results: The perioperative preventive measures were continuously improved with PDCA cycle. The incidence of DVT in patients with pelvic surgery in our gynecological ward decreased from 6.96% to 2.08%. The anus exhausting time, resumption of eating time, defecation time and first leaving bed time of perioperative nursing group were shorter than before of the project improvement activities. The hospitalization time of patients was also significantly shortened. The differences were statistically significant (P < 0.05). Through the follow-up survey, patients' satisfaction with nursing increased from 82.6% to 95.0%. Conclusion: Through the development of detailed perioperative nursing plan and promotion the implementation of the measures with PDCA cycle continuously improved for the prevention of DVT in patients undergoing gynecological pelvic surgery, the incidence of postoperative lower extremity DVT could be effectively reduced and also promote the rehabilitation of postoperative. It was significantly shortened in the hospitalization time of patients, and improved the satisfaction of patients in perioperative nursing.
    VL  - 9
    IS  - 6
    ER  - 

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