Implications of Bed Rest for Patients with Acute Deep Vein Thrombosis: A Qualitative Study
Authors Gong JM, Du JS, Han DM
Received 9 July 2020
Accepted for publication 2 September 2020
Published 18 September 2020 Volume 2020:14 Pages 1659—1667
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Naifeng Liu
Jian-Mei Gong,1 Jian-Shi Du1,2 ,* Dong-Mei Han2, *
1Nursing School of Jilin University, Changchun City, Jilin Province, People’s Republic of China; 2Department of the Lymphatic and Vascular Surgery, China-Japan Union Hospital of Jilin University, Key Laboratory of Lymphatic Surgery Jilin Province, Changchun City, Jilin Province, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Jian-Shi Du No. 965 Xinjiang Street, Changchun City, Jilin Province 130021, People’s Republic of China
Tel +86-13314301430 Email firstname.lastname@example.org
Background/Objective: The recommendation of bed rest for deep vein thrombosis (DVT) patients has changed during the last 20 years, and it has become a concern for researchers. The existing researches on potentially harmful treatment of bed rest for DVT patients focus only on physiological outcomes. This qualitative study explored the implications of bed rest from the perspective of patients with acute DVT. Understanding these implications will provide more evidence on whether bed rest should be used as a medical treatment of acute DVT.
Patients and Methods: For data collection, a descriptive qualitative design utilizing semi-structured, in-depth, face-to-face interviews with nine patients with acute DVT was conducted. In order to find the themes and subthemes emerging from the interviews for data analysis, the Colaizzi method, which was suggested by phenomenological methodology, was used.
Results: The four major themes found were physical effects, psychological effects, social effects, and post-trauma growth. These themes illustrated the bed rest experiences of patients and it has a negative impact on the quality of life (QOL) amidst acute DVT.
Conclusion: Bed rest for patients with acute DVT is a physically, emotionally, and socially distressing phenomenon that simultaneously affects QOL and induces post-traumatic growth. We believe that bed rest is not beneficial to the physical and mental health of patients with acute DVT. This study adds to the available evidence on the harmful effect of bed rest as a treatment from the perspective of patients with acute DVT. Further quantitative studies should compare the quality of life and psychosocial status of patients with and without bed rest amidst acute DVT.
Keywords: bed rest, deep venous thromboembolism, qualitative, patient experience
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