Abstract
This study aimed to analyze risk factors for deep vein thrombosis (DVT) in the lower limbs among inpatients and to discuss appropriate nursing measures. Clinical data from 32 DVT patients were analyzed retrospectively to identify the potential risk factors. Except for one case who was transferred to another hospital for surgical treatment, all 31 cases received conservative therapy via medication. With the Autar DVT scale applied, 10 cases scored below 10; 11 cases 11-14, and 11 cases 15 or above 15. The preliminary risk factors for DVT included advanced age, concurrent high-risk illnesses, lying in bed, obesity, trauma and surgical intervention. Among these 32 cases, the commonly noted concurrent illnesses were hypertension, coronary heart disease, diabetes, atrial fibrillation, infection and cerebral infarction. Twenty-five cases were combined with three or more concurrent illnesses (78.1%). Considering the risk factor scores for DVT and increasing the level of knowledge about DVT among nursing staff are crucial points in improving the quality of nursing practices. Extended nursing is a significant factor in reducing the risk of DVT among those lying in bed for long periods.
Highlights
Venous thromboembolism (VTE) consists of deep vein thrombosis (DVT) and pulmonary thromboembolism (FTE), with DVT accounting for about two thirds of all VTE cases [1]
DVT may result in chronic deep venous insufficiency (CVI), which hinders patients’ daily functioning and may even cause disability or death [2]
DVT affected the proximal end of the lower limbs in 30 cases and in the distal end in 2 cases
Summary
Venous thromboembolism (VTE) consists of deep vein thrombosis (DVT) and pulmonary thromboembolism (FTE), with DVT accounting for about two thirds of all VTE cases [1]. DVT refers to the condition where in the blood coagulates abnormally in deep veins, thereby blocking the vascular lumen and leading to venous return flow disorder. This study retrospectively analyzes clinical data from 32 patients with DVT in their lower limbs, confirmed by vascular color Doppler ultrasound at the 7th People’s Hospital in Changzhou City from August 2013 to July 2016. By reviewing their medical histories, the risk factors for DVT and the appropriate preventive treatment and nursing measures are analyzed. A solid basis is laid for comprehensive intervention against
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