Evidence-based nursing practice of perioperative deep vein thrombosis prevention and management in patients with gyneco-logical malignant tumor
Objective To apply the best evidence of perioperative deep venous thrombosis(DVT)prevention and management in patients with gynecological malignant tumors,and evaluate its efficacy and safety.Methods Establish an evidence-based practice project team to ac-quire the optimal evidence for preventing and managing perioperative DVT in patients with gynecological malignant tumors,and implement it ac-cordingly.Data were collected through medical record review and on-site inspections.Baseline investigations and two rounds of evaluations were conducted for both patient groups and medical staff before and after implementing the evidence.Obstacle factors hindering the application of evi-dence were analyzed,leading to targeted improvement measures.Results Nineteen audit criteria were determined.There was no significant difference in the incidence of DVT before and after the application of evidence(P＞0.05).There were statistically significant differences in the scores of exercise compliance,self-monitoring compliance and postoperative precautions compliance before and after the application of evidence(P＜0.001).There were statistically significant differences in the implementation rates of each review index before and after evidence application(P＜0.05).Conclusion The application of best evidence can standardize the department's DVT prevention and management process,improve the compliance of patients'early ambulation,and the implementation rate of medical care to the evidence.
gynecology malignant tumorperioperative perioddeep venous thrombosisthromboembolismevidence-based practice
万方数据
维普
