Nurses' knowledge about the assessment and therapeutic plan of patients at risk of venous thromboembolism
DOI:
https://doi.org/10.12957/reuerj.2025.82565Keywords:
Nursing Care, Nurses, Venous Thromboembolism, KnowledgeAbstract
Objective: to analyze the knowledge of nurses in cardiology units about prevention measures and interventions for venous thromboembolism. Method: cross-sectional descriptive study with a quantitative approach. Data collection consisted of characterizing the participants and their knowledge of risk stratification, prevention, and nursing care, obtained through an online questionnaire and statistically analyzed. Results: the risk factors identified were limited ambulation, immobilization, use of contraceptives, and postoperative period. Regarding the signs and symptoms, pain, tenderness in the calf, and burning in the lower limbs stood out. In pulmonary embolism, dyspnea, tachypnea, and pleuritic pain prevailed. In risk stratification, 51% stated that they knew at least one scale. The barriers identified were the absence of institutional protocols and lack of continuity in care. Conclusion: nurses have some knowledge about venous thromboembolism, but there are gaps to be overcome, including the need for training, protocols, and improvements in continuity of care.
References
1. Organização Pan-Americana de Saúde. Doenças cardiovasculares continuam sendo a principal causa de morte nas Américas. OPAS; 2021 [cited 2022 Jul 15]. Available from: https://www.paho.org/pt/noticias/29-9-2021-doencas-cardiovasculares-continuam-sendo-principal-causa-morte-nas-americas#:~:text=Washington%2C%20DC%2C%2029%20de%20setembro,milh%C3%B5es%20de%20vidas%20cada%20ano.
2. Albricker ACL, Freire CMV, Santos SN, Alcantara ML, Saleh MH, Cantisiano AL et al. Joint Guideline on Venous Thromboembolism – 2022. Arq. Bras. Cardiol. 2022 [cited 2023 Aug 26]; 118 (4):797–857. DOI: https://doi.org/10.36660/abc.20220372.
3. Raymundo SRO, Lobo SMA, Hussain KMK, Hussein KG, Secches IT. What has changed in venous thromboembolism prophylaxis for hospitalized patients over recent decades: review article. J. Vasc. Bras. 2019 [cited 2022 Jul 15]; 18:e20180021. DOI: https://doi.org/10.1590/1677-5449.002118.
4. Rodrigues A, Advins AF, Rebelo A, Dias C, Novo R, Anjos S, Garrido A. Nurse's intervention in the prevention of deep venous thrombosis in the postoperative period: integrative review. RIIS. 2020 [cited 2022 Aug 26]; 3(2):87-99. DOI: https://doi.org/10.37914/riis.v3i2.89.
5. Galete J, Rotta CS, Lopes EFB, Menezes IR, Silva LSA, Ramos MF, et al. Risk of venous thromboembolism and adjustment of thromboprophylaxis in hospitalized clinical patients. Braz. J. Develop. 2021 [cited 2022 Jul 15]; 7(2):16975-93. DOI: https://doi.org/10.34117/bjdv7n2-362.
6. Barp M, Carneiro VSM, Amaral KVA, Pagotto V, Malaquias SG. Nursing care in the prevention of venous thromboembolism: an integrative review. Rev. Eletr. Enferm. 2018 [cited 2022 Aug. 20]; 20:14. DOI: https://doi.org/10.5216/ree.v20.48735.
7. Gomes ET, Assunção MCT, Lins EM, Püschel VAA. Nursing in mechanical prevention of venous thromboembolism in surgical patients. Rev Esc Enferm USP. 2021 [cited 2022 Jul 15]; 55:e03738. DOI: https://doi.org/10.1590/S1980-220X2020002703738.
8. Gomes IFP, Freitas SCG, Almeida CS, Miranda CJCP, Silva PES. Prophylaxis of deep vein thrombosis in the hospital environment. REAS. 2023 [citado 2025 Apr 10]; 23(4):e11829. DOI: https://doi.org/10.25248/reas.e11829.2023.
9. Soares AF, Pereira JA. Análise da tromboprofilaxia em um hospital de urgências em Goiás. RESAP. 2024 [cited 2025 Apr 10]; 10. Available from: https://www.revista.esap.go.gov.br/index.php/resap/article/view/822.
10. Silva JS, Lee JA, Grisante DL, Lopes JL, Lopes CT. Nurses’ knowledge, risk assessment, and self-efficacy regarding venous thromboembolism. Acta Paul Enferm. 2020 [cited 2023 Dec 09]; 33:eAPE20190125. DOI: https://doi.org/10.37689/acta-ape/2020AO0125.
11. Gusmão LG, Silva LX, Azevedo AS. Assistência de enfermagem no tratamento da trombose venosa profunda em pacientes críticos. POBS. 2014 [cited 2023 Nov 09]; 4(15):50-60. Available from: https://ojs3.perspectivasonline.com.br/biologicas_e_saude/article/view/533.
12. Ramalli Junior EL, Dallo MB, Joviliano EE. Adequacy of venous thromboembolism risk stratification and prophylaxis in a tertiary university hospital. J Vasc Bras. 2023 [cited 2023 Nov 09]; 22:e20230007. DOI: https://doi.org/10.1590/1677-5449.202300071.
13. Rodrigues FA, Waters C. Risk factors and prophylaxis of methods for venous thromboembolism in hospitalized patient. Arq Med Hosp Fac Cienc Med Santa Casa São Paulo. 2022 [cited 2023 Nov 09]; 67:e026. DOI: https://doi.org/10.26432/1809-3019.2022.67.026.
14. Mendes FRP, Gemito MLGP, Caldeira EC, Serra IC, Casas-Novas MV. A continuidade de cuidados de saúde na perspetiva dos utentes. Ciênc. saúde colet. 2017 [cited 2024 Jan 05]; 22(3):841-53. DOI: https://doi.org/10.1590/1413-81232017223.26292015.
15. Costa MT, Ferreira GM, Barros LM. Deep venous thrombosis related to the pregnancy-puerperal cycle and physiopathological changes with the advent of COVID-19. RSD. 2021 [cited 2022 Oct 08];10(15):e309101523097. DOI: https://doi.org/10.33448/rsd-v10i15.23097.
16. Ye F, Bell LN, Mazza J, Lee A, Yale SH. Variation in definitions of immobility in pharmacological thromboprophylaxis clinical trials in medical inpatients: a systematic review. Clin Appl Thromb Hemost. 2018 [cited 2025 Apr 21]; 24(1):13-21. DOI: http://dx.doi.org/10.1177/1076029616677802.
17. Oliveira ALML, Paschôa AF, Marques MA. Venous thromboembolism in women: new challenges for an old disease. J Vasc Bras. 2020 [cited 2023 Nov 09]; 19:e20190148. DOI: https://doi.org/10.1590/1677-5449.190148.
18. Araújo WEC, Nascimento LC, Lima EL. Eficácia, segurança e tolerabilidade da enoxaparina para prevenção de tromboembolismo venoso nas cirurgias eletivas de abdome, pelve e varizes: revisão rápida de evidências. RESAP. 2023 [cited 2023 Dec 27]; 9(9a4):1-15. Available from: https://www.revista.esap.go.gov.br/index.php/resap/article/view/572/272.
19. Kernitskei J, Bertoncello KCG, Jesus SC. Prevalência dos fatores de risco para trombose venosa profunda em pacientes cirúrgicos em uma unidade de terapia intensiva. Arq. Ciênc. Saúde Unipar. 2021 [cited 2025 Apr 10]; 25(3):175-83. Available from: https://www.revistas.unipar.br/index.php/saude/article/view/8243.
20. Flamia BI, Souza FM, Silva JC, Lima LF, Tomaz MVS, Neto MSPet al. Prophylaxis of venous thromboembolism in surgical patients. REAS. 2021 [cited 2022 Oct 08]; 13(4):e6878. DOI: https://doi.org/10.25248/reas.e6878.2021.
21. Lima LSC, Oliveira DS, Rocha JO, Mendes KM. Role of the nurses in the prophylaxis of venous thromboembolism in surgical patients. EJCH. 2025 [cited 2025 Apr 21];25:e19248. DOI: https://doi.org/10.25248/reas.e19248.2025.
22. Renni MJP, Bergmann A, Melo AC. Placement of inferior vena cava filter: clinical and prognostic characteristics of cancer patients at INCA. Rev. Bras. Cancerol. 2020 Dec. 28 [cited 2025 Apr. 10]; 67(1):e-01841. DOI: https://doi.org/10.32635/2176-9745.RBC.2021v67n1.841.
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