Effect of Implementing a Nursing Protocol on Controlling Venous Thromboembolism among Post-Operative Patients with Femur Fracture Surgeries.

Mohamed, Eman Khalil; Ghaleb, Mervat Adham; El-shafie,, Mohamed Hossam Ibrahim; Abd-Elhafeez,, Naglaa Abdallah

doi:10.21608/asalexu.2025.415013

Effect of Implementing a Nursing Protocol on Controlling Venous Thromboembolism among Post-Operative Patients with Femur Fracture Surgeries.

Document Type : Research articles

Authors

¹ , Assistant lecturer Medical-Surgical Nursing, Faculty of Nursing, Alexandria University

² professor Medical-Surgical Nursing, Faculty of Nursing, Alexandria University

³ professor Orthopedic Surgery and Traumatology, Faculty of Medicine, Alexandria University

⁴ Assistant professor Medical-Surgical Nursing, Faculty of Nursing, Alexandria University

10.21608/asalexu.2025.415013

Abstract

Background: Rotational and angling stresses exerted by top-down forces on the femoral head and
neck are the primary causes of femur fractures, a common hip trauma Objective: Determine
the effect of implementing a nursing protocol, on controlling Venous thromboembolism
among post-operative patients with femur fracture surgeries. Settings: The inpatient and
outpatient clinics of El-Hadra Orthopaedic and Traumatology Hospital in Alexandria were
the sites of the current study. Subjects: 60 adult male and female patients; a convenience
sample. They were organised into two equal sequential groups: the control and studied group.
Tools: Seven tools were used for data collection of this study. Results: Following the
implementation of the nursing protocol, 30% of the control subjects developed deep vein
thrombosis in the right lower limb and 20% in the left lower limb. Conversely, the nursing
protocol resulted in absence of DVT in the majority of the studied group (96.7%).The control
and studied group patients exhibited a high statistically significant difference following
implementation of the nursing protocol (χ2=16.86 p=<0.001***). Conclusion: The nursing
protocol for patients undergoing femur fracture surgeries showed a positive finding in
relation to controlling of VTE. The proposed nursing protocol implementation illustrated
positive health outcomes of the studied patients as evidenced by improvement in knowledge
level regarding VTE and anticoagulant- therapy post implementation of the nursing protocol.
The studied patients had improvement in practice level regarding total ankle range of motion
assessment score, adherence to anticoagulant therapy, safe use of mechanical prophylaxis &
walker compared to the controls post implementation of the nursing protocol.
Recommendation: Replication of this study using large probability sample.

Keywords