Nilgün ERDOĞAN, Hümeyra YÜKSEL, Dilek TALHAOĞLU, Özlem CEYHAN

Thromboprophylaxis Knowledge and Practices of Intensive Care Nurses: Practice and Experiences After Covid 19

This study was conducted to determine the knowledge and practices of nurses working in the intensive care unit regarding thromboprophylaxis practices during the Covid-19 pandemic. The research was conducted with 117 nurse intensive care nurses who agreed to participate in the research. In the study, data were collected by using the "Nurse Information Form" and “Evaluation Form of Knowledge and Practice Experiences on Venous Thromboembolism" via Google questionnaire. Ethics committee approval and approval were obtained from the participants before the study. As a result of the study, it was determined that the majority of the nurses (62.4%) did not receive in-service training on thromboprophylaxis, but 70.1% stated that their knowledge about venous thromboembolism (VTE) risk assessment was good. Moreover, it was determined that 61.5% of the nurses experienced VTE in patients with a diagnosis of Covid-19 in their clinics, 30.6% of them had DVT, 68.1% had a pulmonary embolism, 62.52% had a cardiac embolism and 31.9% had neurological events. As a result of this study, it can be suggested that intensive care nurses should improve their knowledge level with in-service training on VTE, and that patient care should be handled more carefully in terms of VTE in pandemics with physiological effects like Covid-19.

Anahtar Kelimeler:

Intensive care unit, Thrombophylaxis, Covid-19, Nurse

Thromboprophylaxis Knowledge and Practices of Intensive Care Nurses: Practice and Experiences After Covid 19

Keywords:

Intensive care unit, Thrombophylaxis, Covid-19, Nurse,

PDF

___

Akpınar S. 2020. Coagulopathy associated with coronavirus disease (covid-19). Namık Kemal Medic J, 8(3): 564-569.
Al-Mugeed K, Bayraktar N. 2018. Knowledge and practices of nurses on deep vein thrombosis risks and prophylaxis: A descriptive cross sectional study. Vasc Nurs, 36(2): 71-80.
Arabi YM, Al-Hameed F, Burns KE, Mehta S, Alsolamy SJ, Alshahrani MS. 2019. Adjunctive intermittent pneumatic compression for venous thromboprophylaxis. New England J Medic, 380(14): 1305-1315.
Bahloul M, Regaieg K, Dlela M, Turki O, Nouri H, Bradaii S, Haddar S. 2019. Pulmonary embolism in intensive care units: More frequent or more known? Prospective study of 75 cases. The Clin Respir J, 13(8): 513-520.
Barp M, Carneiro V, Amaral K, Pagotto V, Malaquias SG. 2018. Nursing care in the prevention of venous thromboembolism: an integrative review. Rev Eletron Enf, 20: v20a14.
Bhatti AM, Ahsin S, Salim B, Mansoor J. 2012. Knowledge, attitude and practices of healthcare providers towards deep vein thrombosis prophylaxis in five teaching hospitals of Rawalpindi. J Ayub Medic Coll Abbottabad, 24(2): 136-139.
Bozkaya E. 2017. Determination of nurses' knowledge and practices regarding the risk of venous thromboembolism in intensive care patients. PhD thesis, Gazi University, Institute of Health Sciences, Ankara, Türkiye, pp: 121.
Cohen AT, Tapson VF, Bergmann JF, Goldhaber SZ, Kakkar AK, Deslandes B. 2008. Venous thromboembolism risk and prophylaxis in the acute hospital care setting (ENDORSE study): a multinational cross-sectional study. Lancet, 371(9610): 387-394.
Cook D, Douketis J, Crowther MA, Anderson DR. 2005. The diagnosis of deep venous thrombosis and pulmonary embolism in medical-surgical intensive care unit patients. J Crit Care, 20(4): 314-319.
Cui S, Chen S, Li X, Liu S, Wang F. 2020. Prevalence of venous thromboembolism in patients with severe novel coronavirus pneumonia. J Thrombosis Haemostasis, 18(6): 1421-1424.
Ejaz A, Ahmed MM, Tasleem A, Niazi MRK, Ahsraf MF, Ahmad I. 2018. Thromboprophylaxis in intensive care unit patients: a literature review. Cureus, 10(9): e3341.
El-SayedEad D, Abd-Allah K, Hegazi M, Mohammed S. 2017. Effect of nursing care standards for preventing deep vein thrombosis among patients undergoing hip surgery on nurses' performance and patients' outcome. J Nurs Health Sci, 5(4): 1-12.
Helms J, Tacquard C, Severac F, Leonard-Lorant I, Ohana M, Delabranche X. 2020. High risk of thrombosis in patients with severe SARS-CoV-2 infection: a multicenter prospective cohort study. Inten Care Medic, 46(6): 1089-1098.
Karadoğan K, Durna Z, Akın S. 2020. Evaluation of nurses' knowledge about venous thromboembolism risk factors and preventive interventions. JAREN, 6(1): 36-43.
Klok F, Kruip M, Van der Meer N, Arbous M, Gommers D, Kant K, Huisman M. 2020. Incidence of thrombotic complications in critically ill ICU patients with COVID-19. Thrombosis Res, 191: 145-147.
Lee JA, Grochow D, Drake D, Johnson L, Reed P, van Servellen G. 2014. Evaluation of hospital nurses' perceived knowledge and practices of venous thromboembolism assessment and prevention. J Vascular Nurs, 32(1): 18-24.
Llitjos JF, Leclerc M, Chochois C, Monsallier JM, Ramakers M, Auvray M, Merouani K. 2020. High incidence of venous thromboembolic events in anticoagulated severe COVID‐19 patients. J Thrombosis Haemostasis, 18(7): 1743-1746.
Ma K, Alhassan S, Sharara R, Young M, Singh AC, Bihler E. 2017. Prophylaxis for venous thromboembolism. Critical Care Nurs Quarterly, 40(3): 219-229.
Ma YF, Xu Y, Chen YP, Wang XJ, Deng HB. He Y, Wu XJ. 2018. Nurses’ objective knowledge regarding venous thromboembolism prophylaxis. Medicine, 97(14): e0338-e0338.
Middeldorp S, Coppens M, van Haaps TF, Foppen M, Vlaar AP. 2020. Incidence of venous thromboembolism in hospitalized patients with COVID‐19. J Thrombosis Haemostasis, 18(8): 1995-2002.
Milinis K, Shalhoub J, Coupland AP, Salciccioli JD, Thapar A, Davies AH. 2018. The effectiveness of graduated compression stockings for prevention of venous thromboembolism in orthopedic and abdominal surgery patients requiring extended pharmacologic thromboprophylaxis. J Vasc Surg: Venous Lymphatic Disord, 6(6): 766-777.
Nahum J, Morichau-Beauchant T, Daviaud F, Echegut P, Fichet J, Maillet JM, Thierry S. 2020. Venous thrombosis among critically ill patients with coronavirus disease 2019 (COVID-19). JAMA, 3(5): e2010478
Oh H, Boo S, Lee JA. 2017. Clinical nurses’ knowledge and practice of venous thromboembolism risk assessment and prevention in South Korea: A cross‐sectional survey. J Clin Nurs, 26(3-4): 427-435.
Pieralli F, Pomero F, Giampieri M, Marcucci R, Prisco D, Luise F. 2021. Incidence of deep vein thrombosis through an ultrasound surveillance protocol in patients with COVID-19 pneumonia in non-ICU setting: A multicenter prospective study. Plos One, 16(5): e0251966.
Ribic C, Lim W, Cook D, Crowther M. 2009. Low-molecular-weight heparin thromboprophylaxis in medical-surgical critically ill patients: a systematic review. J Crit Care, 24(2): 197-205.
Santoliquido A, Porfidia A, Nesci A, De Matteis G, Marrone G, Porceddu E. 2020. Incidence of deep vein thrombosis among non‐ICU patients hospitalized for COVID‐19 despite pharmacological thromboprophylaxis. J Thrombosis Haemostasis, 18(9): 2358-2363.
Schulman S, Hu Y, Konstantinides S. 2020. Venous thromboembolism in COVID-19. J Thrombosis Haemostasis, 120(12): 1642-1653.
Scialpi M, Scialpi S, Piscioli I, Scalera GB, Longo F. 2020. Pulmonary thromboembolism in critical ill COVID-19 patients. Int J Infect Diseas, 95: 361.
Silva JS, Lee JA, Grisante DL, Lopes JdL, Lopes CT. 2020. Nurses’ knowledge, risk assessment, and self-efficacy regarding venous thromboembolism. Acta Paulista de Enfermagem, 33: eAPE20190125.
Tyagi V, Tomaszewski P, Lukasiewicz A, Theriault S, Pelker R. 2018. The role of intraoperative intermittent pneumatic compression devices in venous thromboembolism prophylaxis in total hip and total knee arthroplasty. Orthopedics, 41(1): e98-e103.
Yakar ND, Mıngır T, Yakar N, Berktaş CK, Turgut N. 2019. The awareness of venous thromboembolism and its prophylaxis: a survey study. European Arch Medic Res, 35(4): 224.