Construction of personalized prevention and intervention strategies for venous thromboembolism in patients undergoing minimally invasive surgery
Objective:To construct a personalized prevention and intervention strategy for venous thromboembolism(VTE)in patients undergoing minimally invasive surgery in order to reduce the risk of VTE in these patients.Methods:Through in-depth interviews and literature review,a preliminary intervention strategy for individualized prevention of VTE in patients undergoing minimally invasive surgery was formulated.Fifteen experts were selected to conduct two rounds of Delphi expert consultation to revise each item of the strategy.Finally,a personalized prevention intervention strategy for VTE in patients undergoing minimally invasive surgery was constructed.Results:The individualized prevention and intervention strategy for VTE in patients undergoing minimally invasive surgery includes 3 primary indicators,7 secondary indicators,and 17 tertiary indicators.The response rates of expert questionnaires for both rounds of inquiry were 100%.The two rounds of inquiry showed judgment coefficients of 0.91 and 0.93,familiarity levels of 0.82 and 0.83,authority coefficients of 0.86 and 0.88,and Kendall coefficients of 0.271 and 0.359,respectively.Conclusion:The construction process of personalized prevention and intervention strategies for VTE in patients undergoing minimally invasive surgery is rigorous and reliable.It can be used for the prevention of VTE in minimally invasive surgery to reduce the incidence of VTE in these patients.