Objective To explore the expert consensus on risk assessment and preventive nursing of venous thromboembolism（VTE） in general surgical patients. Methods This consensus was drafted through a systemic literature review on VTE prevention and the interviews of nursing experts. The draft was thereafter reviewed by a total of experts in related fields,and it was finalized after 2 rounds of expert consultation. Results 4 domains with 26 components were established through a modified Delphi method. The effective recovery of the ques-tionnaire was 100%;the expert judgment coefficient was 0.960;the familiarity was 0.912;the authority coefficient was 0.936. The Kendall coefficients of the first and second level topics in the 2 rounds were 0.149 and 0.261,and 0.122 and 0.203,respectively,with statistically significant differences（P<0.05）. The consensus includes risk factors for VTE in general surgical patients,risk assessment,risk response,education and quality control,and it is applicable to perioperative patients of general surgery. Conclusion The consensus was based on the recommendations of 25 clinical nursing experts. The results are scientific,rigorous and authoritative,and can provide guidance for clinical nursing staff in the prevention and control of VTE in general surgical patients.

Objective To comprehensively retrieve and analyze evidence related to deep vein thrombosis（DVT）prevention after joint replacement and to summarize the best evidence. Methods We systematically searched for evidence on DVT prevention after joint replacement in BMJ Best Practice,UpToDate,JBI,YiMaiTong,GIN,NGC,NZGG,NICE,SIGN,NHMRC,CPG Infobase,CINAHL,EMBASE,PubMed,WOS,Wanfang and CNKI databases to collect relevant clinical decisions,evidence summaries,clinical guidelines and expert consensuses. The timeframe of data search ran from January 2015 to November 2020. 2 researchers independently evaluated the quality of the articles,and classified the evidence according to the Joanna Briggs Institute evidence-based pre-grading system（2014 edition）. Results A total of 13 articles were included,including 3 clinical decisions,2 evidence summaries,4 guidelines and 4 expert consensuses. Combined with professional judgment,16 pieces of best evidence in 6 aspects were summarized,including risk assessment,health education,preventive measures of nursing care,mechanical prophylaxis,pharmacological prophylaxis,and promotion of clinical implementation of preventive measures. Conclusion The best evidence summarized on the prevention of DVT in patients after joint replacement can provide evidence for clinical nursing work.

Objective To describe the development and evolution of venous thromboembolism（VTE） nursing research in China,and to reveal research hotspots and frontiers. Methods Journal articles from CNKI and WanFang Database from the inception to 2019 were searched and retrieved with keywords of venous thromboembolism and nursing. CiteSpace software was used for the bibliometric and cluster analysis. Results The volume of papers issued in the nursing research of VTE is on the whole increasing trend. The direction of VTE nursing research involves the identification of high-risk groups and the development of nursing preventive measures. Among them,the elderly,the patients after joint replacement,the patients with malignant tumor and the patients after PICC catheterization have always been the research focus of the prevention of VTE. Conclusion As one of the specialized nursing direction,the nursing care of patients with VTE has been given more attention. Future research can explore effective methods in order to improve nurses’ knowledge for prevention of VTE,and develop intervention programs to promote the “flawless” VTE prevention

Objective To establish an expert consensus on nursing prevention and control of venous thromboembolism（VTE） in adult patients with coronavirus disease 2019（COVID-19）. Methods This consensus was drafted through a systemic literature review on COVID-19 diagnosis and management plan,VTE prevention and control,and interviewing nursing experts from front-line epidemic control. The draft was thereafter reviewed by a total of 18 experts in related fields. This consensus was finalized after 2 rounds of discussions and modifications. Results The expert consensus covers the following 5 topics,namely VTE risk factors,VTE risk assessment,VTE nursing prevention and control,VTE prewarning and monitoring,and health care education of VTE prevention and control after discharge. Conclusion The consensus was drafted and finalized on a scientific and practical basis,which can provide guidance for clinical nurses in prevention and control of VTE in adult patients with COVID-19.

Objective To describe the correlation between common complications of bed rest（pressure ulcer,deep vein thrombosis,pulmonary infection,and urinary tract infection） during hospitalization and the health-related quality of life after discharge among bedridden patients with stroke,in order to provide reference to form specific strategies. Methods A total of 3 238 stroke patients from 25 hospitals in 6 provinces or cities were recruited by convenience sampling. Common complications of bed rest during hospitalization were measured by case report form,and quality of life after discharge was measured using the EQ-5D scale by telephone interview. Results Among the 3 238 bedridden stroke patients,626（19.33%） patients experienced at least one of the major complications,including pressure ulcer（80,2.47%）,deep vein thrombosis（29,0.9%）,pulmonary infection（500,15.44%）,and urinary tract infection（91,2.81%）. Patients with any of the four complications during hospitalization reported more problems in all EQ-5D dimensions（Mobility,Self-Care,Usual Activities,Pain/Discomfort,and Anxiety/Depression） and had lower mean EQ-VAS scores than those without any complications. The occurrence of any complication was significantly associated with the proportion of reported problems in all dimensions after adjustment for confounding variables. Conclusion Common complications of bed rest were significantly associated with quality of life among stroke patients. Prevention of complications is vital to improve quality of life and reduce burden of disease for stroke patients.