A nurse-led bundled care intervention for preventing deep vein thrombosis in immobilized neurosurgical patients: a quasi-experimental study - Scorecard - MDSpire

A nurse-led bundled care intervention for preventing deep vein thrombosis in immobilized neurosurgical patients: a quasi-experimental study

  • By

  • Li Chen

  • Longfen Zhou

  • Ju Huang

  • Mingjie Chen

  • June 1, 2026

  • 0 min

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Clinical Scorecard: Evaluation of a Nurse-Directed Comprehensive Care Approach to Prevent Deep Vein Thrombosis in Immobilized Neurosurgical Patients: A Quasi-Experimental Analysis

At a Glance

CategoryDetail
ConditionDeep Vein Thrombosis (DVT)
Key MechanismsVenous stasis, endothelial injury, hypercoagulability
Target PopulationImmobilized neurosurgical patients
Care SettingDepartment of Neurosurgery, Xichang People’s Hospital

Key Highlights

  • DVT incidence significantly lower in intervention group (1.66% vs. 2.75%, p = 0.041)
  • Higher compliance with GCS/IPC use (76.5% vs. 58.1%, p < 0.001)
  • Greater DVT-related knowledge in intervention group (85.2 ± 8.5 vs. 62.1 ± 10.2, p < 0.001)
  • Significantly lower pain scores in intervention group (2.3 ± 1.2 vs. 4.1 ± 1.6, p < 0.001)
  • Patient satisfaction significantly higher in intervention group (94.1 ± 3.3 vs. 85.6 ± 4.8, p < 0.001)

Guideline-Based Recommendations

Diagnosis

  • Dynamic Caprini risk assessment

Management

  • Standardized mechanical prophylaxis with graduated compression stockings (GCS) and intermittent pneumatic compression (IPC)
  • Structured health education
  • Individualized early mobilization

Monitoring & Follow-up

  • Symptomatic ultrasound-confirmed DVT incidence

Risks

  • Anticoagulants carry a risk of bleeding

Patient & Prescribing Data

Adult neurosurgical patients requiring immobilization for at least 72 hours

Nurse-led bundled care protocol effectively reduces DVT incidence and improves clinical outcomes

Clinical Best Practices

  • Implement a nurse-led bundled care approach for DVT prevention
  • Ensure compliance with mechanical prophylaxis and early mobilization
  • Conduct regular risk assessments and patient education

Related Resources & Content

Original Source(s)

A nurse-led bundled care intervention for preventing deep vein thrombosis in immobilized neurosurgical patients: a quasi-experimental study

  • by Li Chen, Longfen Zhou, Ju Huang, Mingjie Chen

  • June 1, 2026

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