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SILENT DANGER FOR SURGICAL PATIENTS: DEEP VEIN THROMBOSIS RISK-REDUCING NURSING CARE
Ayla Gürsoy, Dilek Çilingir
Karadeniz Teknik Üniversitesi Sağlık Bilimleri Fakültesi, Cerrahi Hastalıklar Hemşireliği, Trabzon, Türkiye
Keywords: Surgical procedures, deep vein thrombosis, patients, perioperative nursing, venous thromboembolism

Deep vein thrombosis (DVT) is a problem that threatens many hospitalized patients. Risk of DVT development is higher among post-operative patients as compared with other patients. The risk increases substantially in patients undergoing orthopedic, gynecological and brain surgeries and among the elderly. In the guidelines of The American College of Chest Physicians (ACCP), surgical patients are divided into low, medium, high and very high risk groups in terms of risk development. Primary care includes early post-operative bed removal and leg exercises among the low risk patients. For medium or high risk patients, elastic bandages or intermittent pneumatic compressions that reduce venous stasis are applied. Secondary care includes early diagnosis and subclinic DVT treatment during the post-operative period among the high risk patients whose primary prophylaxis intervention is not sufficient or unfavorable.

Surgical nurses occupy a valuable position in evaluation of risk factors and non-pharmacological DVT prophylaxis interventions. The study deals with the risk factors that may develop DVT, treatment methods and nursing interventions among surgical patients.