5E Program for Preventing Venous Thromboembolism in Patients With Spinal Cord Disorders

Khon Kaen University

Status: Enrolling

Conditions: Venous Thromboembolism; Spinal Cord Injuries; Spinal Cord Diseases; Nurse's Role

Treatments: Behavioral: 5E program

Study type: Interventional

Funder types: Other

Identifiers

NCT06302478

KhonKaenU001

Details and patient eligibility

About

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:

• Will participants receiving the 5E program have lower rates of venous thromboembolism compared to those receiving the usual care?
• Will participants receiving the 5E program have lower scores of venous thromboembolism signs and symptoms compared to those receiving the usual care?
• Will the average thigh and calf circumferences of participants before and after receiving the 5E program be different?

Participants in the intervention group will receive the 5E program, including

• Education: health education regarding venous thromboembolism prevention
• Elevation: leg elevation of 10-20 degrees
• Exercise: ankle exercises
• Enough fluid: adequate fluid uptake
• Early application of intermittent pneumatic compression (IPC): IPC use within 48 hours after admission

Enrollment: 42 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Caprini scores of 5-8 and >8
• Able to communicate in the Thai language
• Willing to participate in this study

Exclusion criteria

• Alteration of consciousness
• Experiencing complications, including neurogenic shock and autonomic dysreflexia
• Being pregnant
• Having fluid restriction

Trial design

Primary purpose: Prevention

Allocation: Non-Randomized

Interventional model: Sequential Assignment

Masking: Single Blind

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42 participants in 2 patient groups

5E Program

Experimental group

Description:

Participants in the 5E program group will receive 7-day nursing interventions.

Treatment:

Behavioral: 5E program

Usual Care

No Intervention group

Description:

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.