Clinical Report: Impact of a Perioperative Intervention on DVT Prevention

Overview

This study evaluates a perioperative intervention based on the Theory of Planned Behavior (TPB) aimed at reducing lower extremity deep vein thrombosis (LEDVT) following laparoscopic cholecystectomy (LC).

Background

Laparoscopic cholecystectomy is a common surgical procedure with advantages over traditional methods, yet postoperative complications like LEDVT pose serious risks. Understanding and addressing the behavioral factors that influence patient adherence to preventive measures is crucial for improving outcomes in this population.

Data Highlights

Key Findings

• The intervention group had significantly shorter recovery times for flatus, defecation, and ambulation (all P < 0.001).
• Complication rates, including LEDVT, were lower in the intervention group (2.63% vs. 8.33%, P < 0.05).
• Improved coagulation profiles were observed in the intervention group (all P < 0.001).
• Emotional status, as measured by HADS scores, improved significantly in the intervention group (all P < 0.001).
• Health behavior scores were higher in the intervention group (all P < 0.001).

Clinical Implications

The findings indicate that a TPB-based intervention may enhance recovery and reduce complications in patients undergoing LC.

Conclusion

The TPB-based perioperative intervention effectively reduces complications, including LEDVT, in patients undergoing laparoscopic cholecystectomy.

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