Effect of Clinical Nursing Pathway Intervention Based on Evidence-Based Medicine on Venous Thrombosis in Long-Term Bedridden Patients.

Background: Venous thrombosis is a type of medical condition that establishes as deep vein thrombosis of the limb or pulmonary embolism. This disease arises as a result of interrelating hereditary, ecological, and interactive risk aspects. Clinical nursing pathways also known as critical pathways are pathways that guide nurses when developing a patient's care plan. However, the effect of nursing intervention on venous thrombosis in long-term bedridden patients from the perspective of evidence-based medicine had not been reported.
Methods: A total of 170 patients hospitalized in the hospital from January 2021 to October 2021 were selected, and the bed time was more than 2 weeks. The patients were randomly divided into the control group and observation group. 85 cases in the control group received routine nursing in cardiology, and 85 cases in the observation group received clinical nursing pathway. Venous thrombosis, lower limb pain, swelling, D-dimer level, hemodynamic parameters, and nursing satisfaction were compared in two groups.
Results: The incidence of deep venous thrombosis in the observation group was 8.2%, lower than 24.7% in the control group ( P  < 0.05). The incidence of lower limb pain and elevated D-dimer in the observation group was lower than that in the control group ( P  < 0.05). The improvement of hemodynamic parameters such as SBP, DBP, CBV, PR, CI, and CO in the study group was better than that in the control group ( P  < 0.05). The satisfaction of the observation group was 90.58%, which was higher than that of the control group (82.35%) ( P  < 0.05).
Conclusion: Clinical nursing pathway can improve patients' nursing efficiency, improve the treatment effect, shorten hospital stay, and improve nursing satisfaction.
Competing Interests: The authors declare that they have no conflicts of interest regarding the publication of this study.
(Copyright © 2022 Jing Chen et al.)