The effect of nursing interventions based on Wells scale results on the incidence of deep vein thrombosis in patients admitted to the intensive care unit

The aim of this study was to determine the effect of nursing interventions based on the results of Wells comparisons on the incidence of deep vein thrombosis in patients admitted to the intensive care unit. According to previous studies in Iran and the world, the assessment of the risk of patients at risk for deep vein thrombosis is based on a doctor's own judgment and experience, which puts these patients at risk of developing pulmonary embolism that could expose the lives of patients. It also increases the length of hospitalization and patient costs.

In this study, 72 patients admitted to the intensive care unit with a study entry age range of 18 to 65 years of age with no prostate thrombosis and pulmonary embolism are selected. Participants were randomly assigned to two groups of intervention (36) and control group (36).

This study is a non-blind clinical trial without placebo, in which patients with a minimum of 10 days admission to the intensive care unit will be selected.

Patients aged between 18 and 65 years with no prostate thrombosis and pulmonary embolism will be excluded and will be excluded if they fail to cooperate or die.

After entering the study, patients will be divided into two non-hazardous (less than 1) and at risk levels (grade 2 and more), deep vein thrombosis, and will be studied for 10 days, based on the Wells scoring scale. Took In the intervention group, according to the Wells scale risk assessment, in the non-risk group, nursing interventions such as exercise (flexion and dorsal flexion of the lower extremity), respiratory exercises, effective cough, and maintaining the lower extremity above the heart level will be performed. In the at-risk group, in addition to the nursing interventions mentioned, the mechanical preventive measures (anti-embolism socks) and drug prevention (anaxaparin based on the prescribing dose of the physician) will be used. In the control group, patients will receive routine care according to the physician's instructions. Then, both interventional and control groups for the detection of deep vein thrombosis in the first, fifth and tenth days will be examined by the D-dimer test and Doppler sonography.

Patient evaluation can be beneficial by using a clinical predictive scale (Wells scale) for rapid identification of patients; Early identification of at-risk patients and nursing care can reduce mortality, hospitalization time, and patient costs.

Ahvaz Jundishapur University of Medical Sciences and health Services

Participants were randomly assigned and randomly divided into two intervention groups (36) and a control group (36) using a randomized design designed by a statistic consultant.