Araştırma Makalesi
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The Effect of Video Education on the Risk of Development of Venous Thrombo Embolia in the Lower Extremıty After Coronary Bypass Surgery: A Quasi-Experimental Study

Yıl 2024, Cilt: 19 Sayı: 2, 21 - 28, 22.07.2024
https://doi.org/10.17517/ksutfd.1280990

Öz

Objective: This study was conducted as a quasi-experimental study to evaluate the effect of video training on the prevention of the risk of developing venous thromboembolism in the lower extremities after coronary bypass surgery.
Materials and Methods: 42 patients were included in the experimental group and 42 patients in the control group according to the sample selection in groups with a certain population. Data were collected with the Patient Information Form, Venous Circulation Evaluation Form, and Wearing Compression Elastic Stocking Evaluation Form. Video-assisted training was given to the experimental group, and the training that existed in the clinical routine was delivered to the control group.
Results: There was no redness, pain, or burning in the extremities of the patients in the experimental group (p<0.001). It was found that the patients in the experimental group knew how to wear elastic socks, that there should be no wrinkles while wearing them, knew how to measure their foot pulse after taking them off, and knew how to measure leg circumference (p<0.001). It was determined that all patients did not have bruising in the extremities when they took off the socks (p<0.05). It was found that the patients in the experimental group did not have tingling, burning, or itching in their feet when they took off their pressure elastic socks (p<0.05). It was determined that the patients in the experimental group had high scores on the Questionnaire Using Compressed Elastic Stockings (p<0.001).
Conclusion: It was found that patients who required experiments based on the effect of video training on the risk of developing venous thromboembolism in the lower extremities after coronary bypass surgery had less deep vein thrombosis, and the information about the flexible socks they wore and the users were correct.

Proje Numarası

yok

Kaynakça

  • Başara BB, Çağlar İS, Aygün A, Özdemir TA, Kulali B,. Uzun SB, et al. (2019). Sağlık İstatistikleri Yıllığı 2019. Sağlık Bakanlığı.
  • Ambrosetti M, Salerno M, Zambelli M, Filippo M, Tramarin R, Pedretti RFE. Deep Vein Thrombosis Among Patients Entering Cardiac Rehabilitation After Coronary Artery Bypass Surgery. Clin Investig Cardiol. 2004;125:191–196.
  • Jannati M, Ardecani AA. Prevention of pulmonary and venous thromboembolism post coronary artery bypass graft surgery – literature review. Braz J Cardiovasc Surg. 2020;35:368–374.
  • Kearon C, Akl EA, Comerota AJ, Prandoni P, Bounameaux H, Goldhaber SZ, et al. Antithrombotic therapy for VTE disease: Antithrombotic therapy and prevention of thrombosis, 9th ed: American College of Chest Physicians evidence-based clinical practice guidelines. Chest. 2012;141:e419S-e496S.
  • National Institute for Health and Care Excellence (NICE), Venous thromboembolism in over 16s: Reducing the risk of hospital-acquired deep vein thrombosis or pulmonary embolism, NICE Guidance. 2 (2018) 44. www.nice.org.uk/guidance/ng89.
  • Kulik A, Rassen JA, Myers J, Schneeweiss S, Gagne J, Polinski JM, et al. Comparative effectiveness of preventative therapy for venous thromboembolism after coronary artery bypass graft surgery. Circ Cardiovasc Interv. 2012;5:590–596.
  • Kolluri R, Plessa AL, Sanders MC, Singh NK, Lucore C. A randomized study of the safety and efficacy of fondaparinux versus placebo in the prevention of venous thromboembolism after coronary artery bypass graft surgery. Am Heart J. 2016;171:1–6.
  • Khoury H, Lyons R, Sanaiha Y, Rudasill S, Shemin RJ, Benharash P. Deep Venous Thrombosis and Pulmonary Embolism in Cardiac Surgical Patients. Ann Thorac Surg. 2020;109:1804–1810.
  • Den Exter PL, Van Es J, Erkens PMG, Van Roosmalen MJG, Van Den Hoven P, Hovens MMC, et al. Impact of delay in clinical presentation on the diagnostic management and prognosis of patients with suspected pulmonary embolism. Am J Respir Crit Care Med. 2013;187:1369–1373.
  • Krouse HJ. Video modelling to educate patients. J Adv Nurs. 2001;33:748–757.
  • Kempenich JW, Willis RE, Fayyadh MA, Campi HD, Cardenas T, Hopper WA, et al. Video-Based Patient Education Improves Patient Attitudes Toward Resident Participation in Outpatient Surgical Care. J Surg Educ. 2018 Nov;75(6):e61-e67. doi: 10.1016/j.jsurg.2018.07.024. Epub 2018 Sep 11. PMID: 30217778.
  • Jha AK, Larizgoitia I, Audera-Lopez C, Prasopa-Plaizier N, Waters H, Bates DW. The global burden of unsafe medical care: Analytic modelling of observational studies. BMJ Qual Saf. 2013;22:809–815.
  • Wendelboe AM, McCumber M, Hylek EM, Buller H, Weitz JI, Raskob G. Global public awareness of venous thromboembolism. J Thromb Haemost. 2015;13:1365–1371.
  • Barp M, Carneiro VSM, Amaral KVA, Pagotto V, Malaquias SG. Nursing care in the prevention of venous thromboembolism: an integrative review. Rev Eletr Enf. 2018;20:1–13.
  • Ayhan H, Iyigun E, Ince S, Can MF, Hatipoglu S, Saglam M. 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;24:2247–2257.
  • Le Sage S, McGee M, Emed JD. Knowledge of Venous Thromboembolism (VTE) prevention among hospitalized patients. J Vasc Nurs. 2008;26:109–117.
  • National Clinical Guideline Centre – Acute and Chronic Conditions (UK). Venous Thromboembolism: Reducing the Risk of Venous Thromboembolism (Deep Vein Thrombosis and Pulmonary Embolism) in Patients Admitted to Hospital, 2010. pmid: 23346611.
  • Ferreira PBP, Porto IS, do E Santo FH, de Figueiredo NMA, Enders BC, Cameron LE, et al. Health education for hospitalized patient in nursing care: a conceptual analysis. Rev Bras Enferm. 2021;75:e20200459.
  • Marini BL, Funk K, Kraft MD, Fong JM, Naanos R, Stout SM, et al. The effects of an informational video on patient knowledge, satisfaction and compliance with venous thromboembolism prophylaxis: A pilot study. Patient Educ Couns. 2014;96:264–267.
  • Anderson FA Jr, Spencer FA. Risk factors for venous thromboembolism. Circulation. 2003 Jun 17;107(23 Suppl 1):I9-16. doi: 10.1161/01.CIR.0000078469.07362.E6. PMID: 12814980.

Koroner Bypass Cerrahisi Sonrası Alt Ekstremitelerde Venöz Tromboemboli Gelişme Riskinin Önlenmesinde Video Eğitiminin Etkisi: Yarı Deneysel Çalışma

Yıl 2024, Cilt: 19 Sayı: 2, 21 - 28, 22.07.2024
https://doi.org/10.17517/ksutfd.1280990

Öz

Amaç: Bu araştırma, koroner bypass cerrahisi sonrası alt ekstremitelerde venöz tromboemboli gelişme riskinin önlenmesinde video eğitiminin etkisini değerlendirmek amacıyla yarı deneysel olarak yapıldı.
Gereç ve Yöntemler: Evreni belli gruplarda örneklem seçimine göre deney grubuna 42, kontrol grubuna 42 hasta dahil edildi. Veriler Hasta Tanıtıcı Bilgi formu, Venöz Dolaşımı Değerlendirme Formu, Basınçlı Elastikli Çorabı Giyme Değerlendirme Formu ile toplandı. Deney grubuna video destekli eğitim verildi, kontrol grubuna ise klinik rutinde var olan eğitim verildi.
Bulgular: Deney grubundaki hastaların ekstremitelerinde kızarıklık, ağrı, yanma olmadığı saptandı (p<0,001). Deney grubundaki hastaların elastik çorabını nasıl giyileceklerini, giyerken kırışıklık olmaması gerektiğini, çıkardıktan sonra ayak nabzını nasıl ölçeceğini, bacak çevresini nasıl ölçeceğini bildiği saptandı (p<0,001). Tüm hastaların çorabı çıkardığında ektremitede morarma olmadığı tespit edildi (p<0,05). Deney grubundaki hastaların basınçlı elastik çorabını çıkardığında ayaklarında karıncalanma, yanma, kaşıntı olmadığı belirlendi (p<0,05). Deney grubundaki hastaların Basınçlı Elastik Çorabını Kullanma soru formu puan ortalamalarının yüksek olduğu saptandı (p<0,001).
Sonuç: Koroner bypass cerrahisi sonrası venöz tromboemboli gelişme riskinin önlenmesinde video eğitiminin etkisine bakıldığında deney grubundaki hastalarda derin ven trombozu bulgusunun daha az olduğu ve giydikleri elastik çoraba yönelik bilgi ve davranışlarının doğru olduğu saptandı.

Destekleyen Kurum

yok

Proje Numarası

yok

Kaynakça

  • Başara BB, Çağlar İS, Aygün A, Özdemir TA, Kulali B,. Uzun SB, et al. (2019). Sağlık İstatistikleri Yıllığı 2019. Sağlık Bakanlığı.
  • Ambrosetti M, Salerno M, Zambelli M, Filippo M, Tramarin R, Pedretti RFE. Deep Vein Thrombosis Among Patients Entering Cardiac Rehabilitation After Coronary Artery Bypass Surgery. Clin Investig Cardiol. 2004;125:191–196.
  • Jannati M, Ardecani AA. Prevention of pulmonary and venous thromboembolism post coronary artery bypass graft surgery – literature review. Braz J Cardiovasc Surg. 2020;35:368–374.
  • Kearon C, Akl EA, Comerota AJ, Prandoni P, Bounameaux H, Goldhaber SZ, et al. Antithrombotic therapy for VTE disease: Antithrombotic therapy and prevention of thrombosis, 9th ed: American College of Chest Physicians evidence-based clinical practice guidelines. Chest. 2012;141:e419S-e496S.
  • National Institute for Health and Care Excellence (NICE), Venous thromboembolism in over 16s: Reducing the risk of hospital-acquired deep vein thrombosis or pulmonary embolism, NICE Guidance. 2 (2018) 44. www.nice.org.uk/guidance/ng89.
  • Kulik A, Rassen JA, Myers J, Schneeweiss S, Gagne J, Polinski JM, et al. Comparative effectiveness of preventative therapy for venous thromboembolism after coronary artery bypass graft surgery. Circ Cardiovasc Interv. 2012;5:590–596.
  • Kolluri R, Plessa AL, Sanders MC, Singh NK, Lucore C. A randomized study of the safety and efficacy of fondaparinux versus placebo in the prevention of venous thromboembolism after coronary artery bypass graft surgery. Am Heart J. 2016;171:1–6.
  • Khoury H, Lyons R, Sanaiha Y, Rudasill S, Shemin RJ, Benharash P. Deep Venous Thrombosis and Pulmonary Embolism in Cardiac Surgical Patients. Ann Thorac Surg. 2020;109:1804–1810.
  • Den Exter PL, Van Es J, Erkens PMG, Van Roosmalen MJG, Van Den Hoven P, Hovens MMC, et al. Impact of delay in clinical presentation on the diagnostic management and prognosis of patients with suspected pulmonary embolism. Am J Respir Crit Care Med. 2013;187:1369–1373.
  • Krouse HJ. Video modelling to educate patients. J Adv Nurs. 2001;33:748–757.
  • Kempenich JW, Willis RE, Fayyadh MA, Campi HD, Cardenas T, Hopper WA, et al. Video-Based Patient Education Improves Patient Attitudes Toward Resident Participation in Outpatient Surgical Care. J Surg Educ. 2018 Nov;75(6):e61-e67. doi: 10.1016/j.jsurg.2018.07.024. Epub 2018 Sep 11. PMID: 30217778.
  • Jha AK, Larizgoitia I, Audera-Lopez C, Prasopa-Plaizier N, Waters H, Bates DW. The global burden of unsafe medical care: Analytic modelling of observational studies. BMJ Qual Saf. 2013;22:809–815.
  • Wendelboe AM, McCumber M, Hylek EM, Buller H, Weitz JI, Raskob G. Global public awareness of venous thromboembolism. J Thromb Haemost. 2015;13:1365–1371.
  • Barp M, Carneiro VSM, Amaral KVA, Pagotto V, Malaquias SG. Nursing care in the prevention of venous thromboembolism: an integrative review. Rev Eletr Enf. 2018;20:1–13.
  • Ayhan H, Iyigun E, Ince S, Can MF, Hatipoglu S, Saglam M. 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;24:2247–2257.
  • Le Sage S, McGee M, Emed JD. Knowledge of Venous Thromboembolism (VTE) prevention among hospitalized patients. J Vasc Nurs. 2008;26:109–117.
  • National Clinical Guideline Centre – Acute and Chronic Conditions (UK). Venous Thromboembolism: Reducing the Risk of Venous Thromboembolism (Deep Vein Thrombosis and Pulmonary Embolism) in Patients Admitted to Hospital, 2010. pmid: 23346611.
  • Ferreira PBP, Porto IS, do E Santo FH, de Figueiredo NMA, Enders BC, Cameron LE, et al. Health education for hospitalized patient in nursing care: a conceptual analysis. Rev Bras Enferm. 2021;75:e20200459.
  • Marini BL, Funk K, Kraft MD, Fong JM, Naanos R, Stout SM, et al. The effects of an informational video on patient knowledge, satisfaction and compliance with venous thromboembolism prophylaxis: A pilot study. Patient Educ Couns. 2014;96:264–267.
  • Anderson FA Jr, Spencer FA. Risk factors for venous thromboembolism. Circulation. 2003 Jun 17;107(23 Suppl 1):I9-16. doi: 10.1161/01.CIR.0000078469.07362.E6. PMID: 12814980.
Toplam 20 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Araştırma Makaleleri
Yazarlar

Mehmet Ok 0009-0006-3418-5834

Arzu Tuna 0000-0001-9024-3513

Dilek Soylu 0000-0002-9580-3804

Proje Numarası yok
Erken Görünüm Tarihi 11 Temmuz 2024
Yayımlanma Tarihi 22 Temmuz 2024
Gönderilme Tarihi 11 Nisan 2023
Kabul Tarihi 29 Kasım 2023
Yayımlandığı Sayı Yıl 2024 Cilt: 19 Sayı: 2

Kaynak Göster

AMA Ok M, Tuna A, Soylu D. Koroner Bypass Cerrahisi Sonrası Alt Ekstremitelerde Venöz Tromboemboli Gelişme Riskinin Önlenmesinde Video Eğitiminin Etkisi: Yarı Deneysel Çalışma. KSÜ Tıp Fak Der. Temmuz 2024;19(2):21-28. doi:10.17517/ksutfd.1280990