Development of Clinical Practice Guidelines for Prevention of Deep Vein Thrombosis in Older Adults with Hip Fracture, Orthopedic Department, Udonthani Hospital

Abstract

This research and development study aimed to develop clinical nursing practice guidelines for preventing Deep Vein Thrombosis in older adults with Hip Fracture, Orthopedic Department, Udonthani Hospital. The study used the empirical evidence in nursing (Evidenced - Based Practice Model) (Soukup, 2000). The sample was 33 registered nurses who used the developed nursing practice guidelines and 49 older adults with hip fractures admitted to the Orthopedic Department. The measurements consisted of the Nursing Practice Guideline 1: Assessing and screening the risk of deep vein thrombosis using the Autar DVT Risk Assessment Scales, and The Nursing Practice Guideline 2: Nursing Practice to Prevent Deep Veins Thrombosis. The tools were used to collect data for professional nurses included a demographic questionnaire, nurses' satisfaction with the use of guidelines nursing knowledge assessment, and a form Evaluating the feasibility of developing guidelines evaluation of results about the ability of nurses to practice. Tools used to collect data for patients included patient and relative satisfaction. Descriptive statistics and Pair t-tests were used to analyze the quantitative data and used content analysis for qualitative data.

The results showed that nurses are satisfied after using the nursing guidelines, with an average score of 4.1 points at a high level. Nurses' knowledge scores before and after using nursing guidelines to prevent deep vein thrombosis in older adults with hip fractures were significantly different (p<0.001), with a difference of 5.30 the feasibility of implementing the guidelines into practice in the hospital showed an average feasibility score of 4.32 points, indicating high levels. No deep vein thrombosis was found in older adults. The patient and relative satisfaction average score was 4.78, at the most satisfied level.

The nursing guidelines developed can be used as a standard practice in the unit to prevent the occurrence of deep vein thrombosis effectively in older adults with hip fractures.