WANG Xiao-xia, XU Zhi-hong, WANG Fei-fei, DENG Si-si, CHEN Qiu-ju. Assessment of the Effect on Prevention of Venous Thromboembolism (VTE) in Wards of Elderly Patients by Two-Way Communication Management of Both Patients and Medical ProfessionalsJ. Journal of Evidence-Based Medicine, 2020, 20(2): 125-128. DOI: 10.12019/j.issn.1671-5144.2020.02.013
Citation:
WANG Xiao-xia, XU Zhi-hong, WANG Fei-fei, DENG Si-si, CHEN Qiu-ju. Assessment of the Effect on Prevention of Venous Thromboembolism (VTE) in Wards of Elderly Patients by Two-Way Communication Management of Both Patients and Medical ProfessionalsJ. Journal of Evidence-Based Medicine, 2020, 20(2): 125-128. DOI: 10.12019/j.issn.1671-5144.2020.02.013
WANG Xiao-xia, XU Zhi-hong, WANG Fei-fei, DENG Si-si, CHEN Qiu-ju. Assessment of the Effect on Prevention of Venous Thromboembolism (VTE) in Wards of Elderly Patients by Two-Way Communication Management of Both Patients and Medical ProfessionalsJ. Journal of Evidence-Based Medicine, 2020, 20(2): 125-128. DOI: 10.12019/j.issn.1671-5144.2020.02.013
Citation:
WANG Xiao-xia, XU Zhi-hong, WANG Fei-fei, DENG Si-si, CHEN Qiu-ju. Assessment of the Effect on Prevention of Venous Thromboembolism (VTE) in Wards of Elderly Patients by Two-Way Communication Management of Both Patients and Medical ProfessionalsJ. Journal of Evidence-Based Medicine, 2020, 20(2): 125-128. DOI: 10.12019/j.issn.1671-5144.2020.02.013
Assessment of the Effect on Prevention of Venous Thromboembolism (VTE) in Wards of Elderly Patients by Two-Way Communication Management of Both Patients and Medical Professionals
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Objective To assess the effect on prevention of venous thromboembolism (VTE) in wards of elderly patients by two-way communication management of both patients and medical professionals. Methods One hundred patients with low-risk of VTE development in our comprehensive division of elderly patient wards and fifty-one medical care-givers were selected as study subjects from January 2019 through December 2019. Concurrent education and communication methods in terms of comprehensive VTE prevention course training, implementation, monitoring and follow-up to both patients and medical professionals were adopted. Indicators of VTE awareness degree and basic knowledge, attitude to VTE prevention and task implementation before and after introduction of two-way management system were compared. VTE incidence rates in elderly and non-elderly wards were also compared. Results Indicators in basic knowledge, attitude to VTE prevention and task implementation were significantly improved in medical profressionals and patients (P<0.05). After introduction of this two-way management system for VTE prevention, eleven of one hundred patients in elderly wards developed VTE (11.0%), significantly lower than 38.1% (40/105) of VTE incidence in wards without implementing this two-way management system (P<0.001). Satisfaction to hospital in patients were also greatly improved as 62.0% (60/100) most satisfied, 24.0% (24/100) much satisfied, 10.0% (10/100) satisfied and no non-satisfied patients. Conclusions Venous thromboembolism could be reduced significantly by two-way communication management of both patients and medical professionals in elderly population. This systemic management could raise the awareness of VTE prevention in both patients and care-givers, and promote patient satisfaction to hospital staff, suggesting be worth further validation and expanded implementation.