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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:
Participants in the intervention group will receive the 5E program, including
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 5E Program | Experimental | Participants in the 5E program group will receive 7-day nursing interventions. |
|
| Usual Care | No Intervention | Participants in the control group will receive 7-day usual care interventions, including health education regarding signs and symptoms of venous thromboembolism and IPC use if the participants experienced muscle power as grade 0. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 5E program | Behavioral | Participants in the 5E program group will receive 7-day nursing interventions including
|
| Measure | Description | Time Frame |
|---|---|---|
| The rate of venous thromboembolism | 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. | The day before implementing the intervention and at 7 days after implementing intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Signs and symptoms of deep venous thrombosis and pulmonary embolism | 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). |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Wiphawadee Potisopha, Ph.D. | Contact | +660954291592 | wiphpo@kku.ac.th |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Chaiyaphum Hospital | Recruiting | Chaiyaphum | 36000 | Thailand |
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| ID | Term |
|---|---|
| D054556 | Venous Thromboembolism |
| D013118 | Spinal Cord Diseases |
| D013119 | Spinal Cord Injuries |
| ID | Term |
|---|---|
| D013923 | Thromboembolism |
| D016769 | Embolism and Thrombosis |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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A quasi-experimental research (two group pretest-posttest design)
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| The day before implementing the intervention and Day 1 - Day 7 after implementing intervention |
| Thigh and calf circumference | 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. | The day before implementing the intervention and Day 1 - Day 7 after implementing intervention |
| D002493 |
| Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D020196 | Trauma, Nervous System |
| D014947 | Wounds and Injuries |