A nurse-led bundled care intervention for preventing deep vein thrombosis in immobilized neurosurgical patients: a quasi-experimental study - Report - MDSpire
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A nurse-led bundled care intervention for preventing deep vein thrombosis in immobilized neurosurgical patients: a quasi-experimental study
Clinical Report: Nurse-Directed Care to Prevent DVT in Neurosurgical Patients
Overview
A nurse-led bundled care intervention significantly reduced the incidence of deep vein thrombosis (DVT) in immobilized neurosurgical patients compared to standard care. The intervention also improved patient compliance, knowledge, and satisfaction.
Background
Deep vein thrombosis (DVT) is a serious complication in immobilized neurosurgical patients, with incidence rates significantly higher without effective prophylaxis. Traditional prophylactic measures often fall short due to poor compliance and the risks associated with anticoagulants. A comprehensive, nurse-led approach may enhance prevention strategies and improve patient outcomes.
Data Highlights
Outcome
Intervention Group
Control Group
P-value
DVT Incidence
1.66%
2.75%
0.041
Compliance with GCS/IPC
76.5%
58.1%
<0.001
Early Mobilization
72.1%
51.5%
<0.001
DVT-related Knowledge
85.2 ± 8.5
62.1 ± 10.2
<0.001
Limb Circumference Difference
1.2 ± 0.8 cm
2.1 ± 1.1 cm
<0.001
Pain Scores (VAS)
2.3 ± 1.2
4.1 ± 1.6
<0.001
Patient Satisfaction
94.1 ± 3.3
85.6 ± 4.8
<0.001
Key Findings
The intervention group had a significantly lower DVT incidence (1.66% vs. 2.75%, p = 0.041).
Compliance with GCS/IPC was higher in the intervention group (76.5% vs. 58.1%, p < 0.001).
Early mobilization rates were significantly improved in the intervention group (72.1% vs. 51.5%, p < 0.001).
Patients in the intervention group had greater DVT-related knowledge (85.2 ± 8.5 vs. 62.1 ± 10.2, p < 0.001).
The intervention group showed a greater reduction in limb circumference difference (1.2 ± 0.8 cm vs. 2.1 ± 1.1 cm, p < 0.001).
Patient satisfaction was significantly higher in the intervention group (94.1 ± 3.3 vs. 85.6 ± 4.8, p < 0.001).
Clinical Implications
Implementing a nurse-led bundled care approach can significantly reduce DVT incidence and enhance patient outcomes in immobilized neurosurgical patients. Increased compliance and patient education are critical components of effective DVT prevention strategies.
Conclusion
The study demonstrates that a structured, nurse-led intervention can effectively lower DVT risk and improve clinical outcomes, providing a viable model for VTE prevention in neurosurgical settings.
Aviva Abosch, M.D., Ph.D., a neurosurgeon at Baptist Health Miami Neuroscience Institute, part of Baptist Health Brain and Spine Care, was installed as the Esernia Endowed Chair in Surgical Treatment of Adult Epilepsy and Movement Disorders.
