5E Program for Preventing Venous Thromboembolism in Patients With Spinal Cord Disorders
- Conditions
- Venous ThromboembolismSpinal Cord DiseasesSpinal Cord InjuriesNurse's Role
- Interventions
- Behavioral: 5E program
- Registration Number
- NCT06302478
- Lead Sponsor
- Khon Kaen University
- Brief Summary
The goal of this quasi-experimental study is to examine the effects of a venous thromboembolism prevention program, or "5E" program, on the rates of venous thromboembolism in patients with spinal cord disorders. The main questions it aims to answer are:
* Will participants receiving the 5E program have lower rates of venous thromboembolism compared to those receiving the usual care?
* Will participants receiving the 5E program have lower scores of venous thromboembolism signs and symptoms compared to those receiving the usual care?
* Will the average thigh and calf circumferences of participants before and after receiving the 5E program be different?
Participants in the intervention group will receive the 5E program, including
* Education: health education regarding venous thromboembolism prevention
* Elevation: leg elevation of 10-20 degrees
* Exercise: ankle exercises
* Enough fluid: adequate fluid uptake
* Early application of intermittent pneumatic compression (IPC): IPC use within 48 hours after admission
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 42
- Caprini scores of 5-8 and >8
- Able to communicate in the Thai language
- Willing to participate in this study
- Alteration of consciousness
- Experiencing complications, including neurogenic shock and autonomic dysreflexia
- Being pregnant
- Having fluid restriction
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SEQUENTIAL
- Arm && Interventions
Group Intervention Description 5E Program 5E program Participants in the 5E program group will receive 7-day nursing interventions.
- Primary Outcome Measures
Name Time Method The rate of venous thromboembolism The day before implementing the intervention and at 7 days after implementing intervention The diagnosis of venous thromboembolism is confirmed by a Doppler ultrasound scan of the femoral vein and popliteal vein by a physician working at the study site. The physician will record the results in the data record form.
- Secondary Outcome Measures
Name Time Method Thigh and calf circumference The day before implementing the intervention and Day 1 - Day 7 after implementing intervention Thigh and calf circumferences will be measured in centimeters using the standardized measuring tape. The assistant researcher will record the results in the data record form.
Signs and symptoms of deep venous thrombosis and pulmonary embolism The day before implementing the intervention and Day 1 - Day 7 after implementing intervention The Well's Score for deep venous thrombosis (DVT) includes clinical parameters: active cancer or palliative (+1), paralysis (+1), recently bedridden for more than 3 days (+1), localized tenderness (+1), entire leg swelling (+1), calf swelling more than 3 cm compared with asymptomatic leg (+1), pitting edema (+1), previous DVT documented (+1), collateral superficial veins (non-varicose) (+1), and alternative diagnosis (-2).
The Modified Well's Score for pulmonary embolism (PE) includes the following criteria: clinical signs and symptoms of DVT (3); an alternative diagnosis is less likely than PE (3); a heart rate greater than 100 (1.5); immobilization for 3 or more consecutive days (1.5); previous objectively diagnosed PE or DVT (1.5); hemoptysis (1); and malignancy (1).
Trial Locations
- Locations (1)
Chaiyaphum Hospital
🇹ðŸ‡Chaiyaphum, Thailand