Examining Patients’ Use of Graduated Compression Stockings in Postoperative Period

Year 2024, Volume: 8 Issue: 2, 358 - 366, 31.05.2024

Filiz Salman , Altun Baksi , Faruk Durna , Nida Nur Yurt

https://doi.org/10.30621/jbachs.1303019

Abstract

Purpose: This study aimed to examine the use of graduated compression stockings after surgery.
Methods: Employing a descriptive research design, the study was conducted on a sample of 173 patients admitted to the surgical departments of a university hospital.
Results: Among all the patients, 80.9% of them did not lift their feet up for a while when they were in bed before wearing stockings; 72.3% did not wear stockings before getting out of bed. The researchers observed that 50.9% of the patients placed the stockings properly on the heel and 79.2% of them had folds in the stockings they wore. Additionally, upon removing the stockings for observations, 59.5% of the patients exhibited redness in the corresponding area. The use of stockings was more accurate and the damage to the tissue was less in the patients who received information (p<0.05).
Conclusion: In conclusion, patients who received information used stockings more accurately and that the damage of the stockings to the tissue was less. Consequently, it is recommended that comprehensive and effective patient education programs regarding the use of compression stockings be implemented to mitigate such issues and enhance patient outcomes.

Keywords

Graduated compression stockings, Nursing, Postoperative, Venous thromboembolism

Examining Patients’ Use of Graduated Compression Stockings in Postoperative Period

Abstract

References

• Khan F, Tritschler T, Kahn SR, Rodger MA. Venous thromboembolism. The Lancet. 2021;398(10294):64-77.
• Demir M, Erdemli B, Kurtoğlu M, Öngen G. Ulusal venöz tromboembolizm profilaksi ve tedavi kılavuzu. İstanbul: Gü-Ven Platformu. 2010.
• Roberts SH, Lawrence SM. Venous Thromboembolism. Am J Nurs. 2017;117(5):38-47.
• Ortel TL, Neumann I, Ageno W, et al. American Society of Hematology 2020 guidelines for management of venous thromboembolism: treatment of deep vein thrombosis and pulmonary embolism. Blood advances. 2020;4(19):4693-738.
• Atılgan K, Demirdaş E, Er CZ, Çiçekçioğlu F. Evaluation of deep vein thrombosis incidence with respect to age and gender in light of regional factors in central Anatolia: A population-based study. Journal of Surgery and Medicine. 2020;4(1):62-5.
• Edeer AD, Comez S, Damar HT, Savcı A. Prevalence and risk factors of venous thromboembolism in postoperative patients: A retrospective study. Pakistan Journal of medical sciences. 2018;34(6):1539.
• Sachdeva A, Dalton M, Amaragiri SV, Lees T. Elastic compression stockings for prevention of deep vein thrombosis. Cochrane database of systematic reviews. 2010(7).
• Sachdeva A, Dalton M, Lees T. Graduated compression stockings for prevention of deep vein thrombosis. Cochrane Database of Systematic Reviews. 2018(11).
• Machin M, Peerbux S, Whittley S, et al. Examining the benefit of graduated compression stockings in the prevention of hospital-associated venous thromboembolism in low-risk surgical patients: a multicentre cluster randomised controlled trial (PETS trial). BMJ Open. 2023;13(1):e069802.
• Shalhoub J, Lawton R, Hudson J, et al. Graduated compression stockings as adjuvant to pharmaco-thromboprophylaxis in elective surgical patients (GAPS study): randomised controlled trial. BMJ. 2020;369.
• Akyüz E, Tunçbilek Z. Antiembolik çorap yönetiminde hemşirelerin rol ve sorumlulukları: antiembolik çorap bakım protokolü. Turk J Cardiovasc Nurs. 2018;9(20):96-104.
• Lim CS, Davies AH. Graduated compression stockings. CMAJ. 2014;186(10):E391-E8.
• Winslow EH, Brosz DL. Graduated compression stockings in hospitalized postoperative patients: correctness of usage and size. Am J Nurs. 2008;108(9):40-50.
• Geçit S, van Giersbergen MY. Cerrahi hasta bakımında venöz tromboembolizmin önlenmesi kanıt temelli uygulama önerileri. E.Ü. Hemşirelik Fakültesi Dergisi. 2021;37(2):179-87.
• Miller JA. Use and wear of anti‐embolism stockings: a clinical audit of surgical patients. International Wound Journal. 2011;8(1):74-83.
• Özkan ZK, Fındık Ü, Ünver S. Hastaların ameliyat sonrası kompresyon çorabı kullanma durumlarının değerlendirilmesi. Florence Nightingale Hemşirelik Dergisi. 2016;24(1):30-7.
• Hobson DB, Chang TY, Aboagye JK, et al. Prevalence of graduated compression stocking–associated pressure injuries in surgical intensive care units. J Crit Care. 2017;40:1-6.
• Morrison R. Venous thromboembolism: scope of the problem and the nurse’s role in risk assessment and prevention. J Vasc Nurs. 2006;24(3):82-90.
• Akyüz E, Tunçbilek Z. Anti-embolism stocking care protocol to prevent associated skin problems: A quasi-experimental study. J Tissue Viability. 2021;30(1):89-94.
• Karadoğan K, Durna Z, Akın S. Hemşirelerin venöz tromboemboli risk faktörleri ve koruyucu girişimlere yönelik bilgi düzeylerinin değerlendirilmesi. JAREN 2020;6(1):36-43.
• Ayhan H, Iyigun E, Ince S, et al. A randomised clinical trial comparing the patient comfort and efficacy of three different graduated compression stockings in the prevention of postoperative deep vein thrombosis. J Clin Nurs. 2015;24(15-16):2247-57.
• NICE. Venous thromboembolism in over 16s: reducing the risk of hospital-acquired deep vein thrombosis or pulmonary embolism. London, UK: National Institute for Health and Care Excellence; 2018.
• AORN. Guideline Quick View: Venous Thromboembolism. AORN J. 2018;107(2):281-5.
• T.C. Resmi Gazete (27910). 19 Nisan 2011 Hemşirelik Yönetmeliğinde Değişiklik Yapılmasına Dair Yönetmelik. Çalışılan birim/servis/ünite/alanlara göre hemşirelerin görev, yetki ve sorumlulukları. . T.C. Resmi Gazete, 27910, 2011.
• Varghese BA, Ezhilarasu P, Rajan A, Jesudason MR, Jeyaseelan V. Knowledge, attitude, and practice of nurses regarding use of Anti-embolism stockings. Indian Journal of Continuing Nursing Education. 2016;17(2):31.
• Xu Y, Wang W, Zhao J, Wang J, Zhao T. Knowledge, attitude, and practice of healthcare professionals toward clinically applying graduated compression stockings: results of a Chinese web-based survey. J Thromb Thrombolysis.. 2019;47:102-8.
• Yılmaz S, Yaylaci S, Diken A, Yalcinkaya A, Aksoy E. Alt ekstremite venöz yetmezligi tedavisinde kompresyon çoraplari ve kullanımını etkileyen faktörler. Damar Cerrahi Dergisi. 2015;24(1):47-53.
• Williams A, Davies P, Sweetnam D, et al. Knee-length versus thigh-length graduated compression stockings in the prevention of deep vein thrombosis. Journal of British Surgery. 1996;83(11):1553-.
• Brady D, Raingruber B, Peterson J, et al. The use of knee-length versus thigh-length compression stockings and sequential compression devices. Crit Care Nurs Q.. 2007;30(3):255-62.
• Hilleren-Listerud AE. Graduated compression stocking and intermittent pneumatic compression device length selection. Clin Nurse Spec. 2009;23(1):21-4.
• Wade R, Paton F, Woolacott N. Systematic review of patient preference and adherence to the correct use of graduated compression stockings to prevent deep vein thrombosis in surgical patients. J Adv Nurs.. 2017;73(2):336-48.