الفهرس 
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Abstract
Venous thromboembolic disease (VTE) is a term, including deep venous thrombosis (DVT) and pulmonary embolism (PE). It is the third most common cardiovascular disease in the Western world, occurring in about 0.1% of people every year. Venous thromboembolism represents an important source of mortality and morbidity. It is a major public health problem impacting 600,000 people and causing 100,000 deaths annually (Antony et al., 2016).
The biopsychosocial needs are a comprehensive, integrative framework for understanding human development, health, functioning and helping in anticipating problems that facing patients in medical care. Nurses are in a unique position in all health care settings to educate patients and the public to prevent and provide early detection for this devastating complication (Kusnanto et al., 2018 and Lavall & Costello, 2015).
Aim of the study:
This study aimed to:
Assess biopsychosocial needs and awareness of patients with deep venous thrombosis. It was achieved through the following:
1- Assess patient’s awareness (Knowledge) regarding deep venous thrombosis.
2- Assess biopsychosocial needs of patients with deep venous thrombosis.
Research questions:
This study was conducted for answering the following research questions:
1-What is the patient’s level of awareness (Knowledge) regarding deep venous thrombosis?
2-What are the biopsychosocial needs of patients with deep venous thrombosis?
Subjects and Methods:
Research Design:
A descriptive exploratory research design was utilized to conduct this study.
Setting:
This study was conducted at the vascular surgery unit and the vascular outpatient clinic at Kafr El- Dawar General Hospital.
Subjects:
The subjects of the present study consisted of ninety patients diagnosed with DVT from both genders; (56) females and (34) males.
Tools for data collection:
Data for this study was collected using the following tools:
Tool (I): A structured interviewing questionnaire for patients: It was used to assess the level of patients’ knowledge about the disease (DVT). It was developed by the investigator in a simple Arabic language after reviewing the relevant and most recent literature (Elgazar, 2018; Kahn et al., 2018; Lewis, Dirksen, Heitkemper, Bucher & Harding, 2017 and Hinkle & Cheever, 2014).
It was divided into three parts as the following:
The 1stpart: Concerned with patient’s socio demographic data, including: age, gender, marital status, educational level, occupation, area of residence, income, and housing condition.
The 2ndpart: Concerned with patient’s clinical data, including: past and present medical and surgical history, duration of the disease, prescribed and over the counter medications, data related to previous hospitalization and family history.
The 3rdpart: Concerned with an assessment of the patient’s level of awareness (knowledge) regarding DVT, which include: the nature of the disease, drugs, requirements for treatment, effective ways to prevent disease complications and discharge instructions for patients with DVT.
Tool (II): Biopsychosocial needs assessment scales: They were used to assess the patient’s physical, psychological and social needs. They were consisted of three parts:
Part1: concerned with the physical needs assessment scales which include:
A- Katz Scale of Basic Activities of Daily Living “ADL”: It was used to measure patients’ functional status to assess six basic functions of independent activities of daily living as bathing, dressing, toileting, transferring, continence, and feeding. It was translated into Arabic language by the investigator. It was adapted from (Katz, 1983).
B- Numerical Pain Rating Scale: It was used to assess the level of pain in patients with DVT. It was translated into Arabic language by the investigator. It is a subjective indicator as it depends on the patients’ opinion in evaluating their feeling of pain. It was adopted from (Galer & Gammaitoni, 2003).
C- Fatigue Assessment Scale (FAS): It was used to assess the level of fatigue for patients with DVT. It consists of 10 statements; 5 statements for physical fatigue and 5 statements for mental fatigue. It was translated into Arabic language by the investigator. It considers the subjective evaluation of the level of fatigue based on patient’s feeling. It was adopted from (De Vries, Michielsen, Van Heck & Drent, 2004)
Part2: It concerned with assessment of psychological needs for patients with DVT which include:
Hospital Anxiety and Depression Scale (HADS): It consists of 14 statements; 7statements for anxiety and 7 statements for depression. It was translated into Arabic language by the investigator. It was adapted from (Snaith & Zigmond, 1994).
Part3: It concerned with assessment of social needs for patients with DVT which include:
Social Dysfunction Rating Scale (SDRS): It is a 20 item scale which measures the negative aspect of an individual’s social adjustment. It was translated into Arabic language by the investigator. It was adapted from (McDowell, 2006). Three major categories have been made in this scale; the self-perception, interpersonal relations and social performance.