关键词: 骨科大手术, 照顾者, 协同护理, 静脉血栓, 质性研究

Abstract: Objective: To understand the real experience of collaborative venous thromboprophylaxis in caregivers of patients undergoing major orthopedic surgery, and to provide a new idea for clinical venous thromboprophylaxis management. Methods: Fifteen main caregivers of patients undergoing major orthopedic surgery were recruited from a Class A tertiary hospital in Henan province from March to July 2023. Semi-structured interviews were performed to collect data and Colaizzi′s 7-steps analysis was conducted to analyze the data. Results: Five themes regarding collaborative venous thromboprophylaxis were extracted including awareness of the risk of venous thromboembolism(perceiving the risk of venous thromboembolism, increased awareness of prolonged thrombosis prevention), caregivers′ positive emotional experience (strong belief in collaborative prevention, acceptance of life refocusing, desire for diversified knowledge acquisition channels), enhanced preventive behavior(actively seeking care support and taking on collaborative responsibilities), lack of care capacity(unable to cope effectively with pain, lack of effect assessment support) and perceived benefits of collaborative prevention (meeting personal value needs and adopting proactive disease prevention behaviors). Conclusion: Clinical providers should focus on the positive behavior experiences of primary caregivers, integrate VTE prevention with the collaborative care model. In the process of prevention and management of VTE, the primary caregivers should be encouraged to assume the role of educators to improve their ability of collaborative care and perceived benefits.

Key words: Major orthopedic surgery, Caregivers, Collaborative, Thrombosis, Qualitative study