Araştırma Makalesi
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Ameliyat Sonrası Dönemdeki Hastaların Anti-Emboli Çorabı Kullanımına İlişkin Bilgi Gereksinimleri, Uygulamaları ve Yaşadıkları Sorunların Değerlendirilmesi

Yıl 2024, Cilt: 7 Sayı: 2, 313 - 323, 30.08.2024
https://doi.org/10.38108/ouhcd.1316090

Öz

Amaç: Bu çalışmanın amacı; ameliyat sonrası dönemdeki hastaların anti-emboli çorabı (AEÇ) kullanımına ilişkin bilgi gereksinimleri, uygulamaları ve yaşadıkları sorunları belirlemektir.
Yöntem: Bu araştırma tanımlayıcı tipte gerçekleştirilmiştir. Araştırmanın örneklemini, 25 Eylül 2017- 26 Eylül 2018 tarihleri arasında, Ankara’daki bir üniversitenin Sağlık Araştırma ve Uygulama Merkezi’nde ortopedi, beyin cerrahi ve genel cerrahi kliniklerinde ameliyat sonrası dönemde en az 48 saat anti-emboli çorabı giyen 351 hasta oluşturmuştur. Araştırmacı tarafından geliştirilen, sosyodemografik özellikler ve anti-emboli çorabı kullanımı ile ilgili sorular içeren bir soru formu veri toplamada kullanılmıştır. Veriler, yüz yüze görüşme yöntemi ile elde edilmiştir.
Bulgular: Bu araştırmadaki hastaların yaklaşık yarısı anti-emboli çorabı ile ilgili bilgi aldıklarını belirtmiştir. Araştırmada hastaların neredeyse tamamının anti-emboli çorabı ölçüsünün bacakları ölçülmeden saptandığı belirlenmiştir. Hastaların çoğunun çoraplarını kullandıkları süre boyunca hiç çıkartmadıkları ve çoraplarının hiç yıkanmadığı ortaya konmuştur. Hastaların anti-emboli çorabı kullanırken yaşadığı sorunlar sırasıyla; giyme zorluğu, ısı artışı, kıvrılma, kızarıklık, terleme ve kaşıntı şeklinde saptanmıştır. Ayrıca kadın hastaların ağrı, kıvrılma, kızarıklık ve evre 1 basınç yarası sorunlarını erkeklere göre, istatistiksel olarak anlamlı derecede daha fazla yaşadığı belirlenmiştir.
Sonuç: Bu çalışmada, ameliyat sonrası dönemdeki hastaların anti-emboli çorabı konusunda bilgi gereksinimi olduğu ve yanlış kullanım nedeniyle çeşitli sorunlar yaşadığı belirlenmiştir.

Kaynakça

  • Akyüz E, Tunçbilek Z. (2018). Nurses’ role and responsibilities on management of antiembolism stockings: antiembolism stocking care protocol. Turkish Journal of Cardiovascular Nursing, 9(20), 96-104. https://doi.org/10.5543/khd.2019.68077
  • Akyuz E, Tuncbilek Z. (2021). Anti-embolism stocking care protocol to prevent associated skin problems: A quasi-experimental study. J Tissue Viability, 30(1), 89-94. https://doi.org/10.1016/j.jtv.2020.07.001
  • Amaral C, Pereira LG, Moreto A, Sá AC, & Azevedo A. (2017). The postoperative venous thromboembolism (TREVO) study–Risk and case mortality by surgical specialty. Revista Portuguesa de Cardiologia (English Edition), 36(9), 609-616. https://doi.org/10.1016/j.repc.2016.11.007
  • Autar R. (2009). A review of the evidence for the efficacy of Anti-Embolism Stockings (AES) in Venous Thromboembolism (VTE) prevention. Journal of Orthopaedic Nursing, 13(1), 41-49. https://doi.org/10.1016/j.joon.2009.01.003
  • Burlingame B. (2010). Clinical Issues—December 2010. AORN Journal, 92(6), 690-696. https://doi.org/10.1016/j.aorn.2010.09.019
  • Centers for Disease Control and Prevention. (2023, February 16, 2023). Data and statistics on venous thromboembolism. Retrieved May 13 from https://www.cdc.gov/ncbddd/dvt/data.html.
  • Clarke-Moloney M, Keane N, O'Connor V, Ryan MA, Meagher H, Grace PA, Kavanagh E, Walsh SR, Burke PE. (2014). Randomised controlled trial comparing European standard class 1 to class 2 compression stockings for ulcer recurrence and patient compliance. International Wound Journal, 11(4), 404-408. https://doi.org/10.1111/j.1742-481X.2012.01108.x
  • Collaboration CT, Dennis M, Sandercock PA, Reid J, Graham C, Murray G, Venables G, Rudd A, Bowler G. (2009). Effectiveness of thigh-length graduated compression stockings to reduce the risk of deep vein thrombosis after stroke (CLOTS trial 1): a multicentre, randomised controlled trial. Lancet, 373(9679), 1958-1965. https://doi.org/10.1016/S0140-6736(09)60941-7
  • Dao Jr H, Kazin RA. (2007). Gender differences in skin: a review of the literature. Gender Medicine, 4(4), 308-328.
  • Dirimese E, Yavuz M, Nurulke B. (2012). Investigate of eligibility usage of graduated compression stockings. International Journal of Caring Sciences, 5(3), 354-361.
  • Donnelly T, McNeely B. (2015). The shocking stocking audit: an audit on the use of thromboembolic deterrent stockings (TEDS) for patients having surgery at Sligo regional hospital. J Perioper Pract, 25(4), 83-86. https://doi.org/10.1177/175045891502500405.
  • Ferreira D, Sousa JA, Felicíssimo P, França A. (2017). Venous thromboembolism risk and thromboprophylaxis in the Portuguese hospital care setting: the ARTE study. Portuguese Journal of Cardiology, 36(11), 823-830.
  • Gee E. (2019). How to apply antiembolism stockings to prevent venous thromboembolism. Nursing Times [online], 115(4), 24-26.
  • Guideline Quick View: Venous Thromboembolism. (2018). AORN Journal, 107(2), 281–285. https://doi.org/10.1002/aorn.12072
  • Herlihy DR, Thomas M, Tran QH, Puttaswamy V. (2020). Primary prophylaxis for venous thromboembolism in people undergoing major amputation of the lower extremity. Cochrane Database of Systematic Reviews, 7, CD010525. https://doi.org/10.1002/14651858.CD010525.pub3
  • Joanna Briggs Institute. (2008a). Graduated compression stockings for the prevention of post-operative venous thromboembolism. Best Practice, 12(4), 1-4. https://fliphtml5.com/zboo/kihv
  • Joanna Briggs Institute. (2008b). Graduated compression stockings for the prevention of post operative venous thromboembolism. Australian Nursing Journal, 16(2), 31-33. https://www.ncbi.nlm.nih.gov/pubmed/18780714
  • Kim H, Lee ES. (2015). Major difficulties and information needs recognised by nurses in applying graduated compression stocking and intermittent pneumatic compression for deep vein thrombosis prophylaxis. Journal of Clinical Nursing, 24(1-2), 308-311. https://doi.org/10.1111/jocn.12610
  • Li GM, Yuan TM, Qi GW. (2012). Implementation of best practice evidence in the nursing management of graduated compression stockings (GCS) in the prevention of venous thromboembolism in an adult surgical setting. PACEsetterS, 9(3), 35-42.
  • Link T. (2018). Guideline Implementation: Prevention of Venous Thromboembolism: 1.6 www.aornjournal.org/content/cme. AORN Journal, 107(6), 737-748. https://doi.org/10.1002/aorn.12146
  • Lloyd Jones M. (2013). BPS2: nursing care of patients wearing anti-embolic stockings. British Journal of Healthcare Assistants, 7(8), 388-391. https://doi.org/10.12968/bjha.2013.7.8.388
  • Macintyre L, Kent K, McPhee D. (2013). Do anti-embolism stockings fit our legs? Leg survey and data analysis. International Journal of Nursing Studies, 50(7), 914-923. https://doi.org/10.1016/j.ijnurstu.2013.01.005
  • May V, Clarke T, Coulling S, Cowie L, Cox R, Day D, Husk J, Laslett S, Mansell S, McHenry M. (2006). What information patients require on graduated compression stockings. British Journal of Nursing, 15(5), 263-270. https://doi.org/10.12968/bjon.2006.15.5.20641
  • Miller JA. (2011). Use and wear of anti-embolism stockings: a clinical audit of surgical patients. International Wound Journal, 8(1), 74-83. https://doi.org/10.1111/j.1742-481X.2010.00751.x
  • Morrison R. (2006). Venous thromboembolism: scope of the problem and the nurse's role in risk assessment and prevention. Journal of Vascular Nursing, 24(3), 82-90. https://doi.org/10.1016/j.jvn.2006.05.002
  • Munoz-Figueroa GP, Ojo O. (2015). Venous thromboembolism: use of graduated compression stockings. British Journal of Nursing, 24(13), 680, 682-685. https://doi.org/10.12968/bjon.2015.24.13. 680
  • Özkan ZK, Fındık ÜY, Ünver S. (2016). Hastaların ameliyat sonrası kompresyon çorabı kullanma durumlarının değerlendirilmesi. Florance Nightingale Hemşirelik Dergisi, 24(1), 30-37.
  • Rathore FA, Ahmad F, Khan OJ. (2017). Compression Stockings and Pressure Ulcers: Case Series of a Neglected Issue. Cureus, 9(10), e1763. https://doi.org/10.7759/cureus.1763
  • Sachdeva A, Dalton M, Amaragiri SV, Lees T. (2014). Graduated compression stockings for prevention of deep vein thrombosis. Cochrane Database of Systematic Reviews (12), CD001484. https://doi.org/10.1002/14651858.CD001484.pub3
  • Szekely M, Garai J. (2018). Thermoregulation and age. In A. A. Romanovsky (Ed.), Handbook of Clinical Neurology (2018/11/21 ed., Vol. 156, pp. 377-395). https://doi.org/10.1016/B978-0-444-63912-7.00023-0
  • The Ministry of Health of the Republic of Turkey. (2023, March 23, 2023). Fighting Venous Thromboembolism. Retrieved May 13 from https://shgmkalitedb.saglik.gov.tr/TR,95233/venoz-tromboemboli-ile-mucadele.html.
  • Wade R, Sideris E, Paton F, Rice S, Palmer S, Fox D, Woolacott N, Spackman E. (2015). Graduated compression stockings for the prevention of deep-vein thrombosis in postoperative surgical patients: a systematic review and economic model with a value of information analysis. Health Technology Assessment, 19(98), 1-220. https://doi.org/10.3310/hta19980
  • Walker L, Lamont S. (2008). The use of antiembolic stockings. Part 2: a clinical audit. British Journal of Nursing, 17(1), 32-36. https://doi.org/10.12968/bjon.2008.17.1.28058
  • Winslow EH, Brosz DL. (2008). Graduated compression stockings in hospitalized postoperative patients: correctness of usage and size. American Journal of Nursing, 108(9), 40-50; quiz 50-41. https://doi.org/10 .1097/01.NAJ.0000334973.82359.11
  • Wooditch A, Johnson NJ. Solymosi R, Medina Ariza J, Langton S. (2021). Measures of association for nominal and ordinal variables. In A Beginner’s Guide to Statistics for Criminology and Criminal Justice Using R (pp. 209-225). Cham: Springer International Publishing.
  • Xu Y, Wang W, Zhen K, Zhao J. (2020). Healthcare professionals' knowledge, attitudes, and practices regarding graduated compression stockings: a survey of China's big-data network. BMC Health Services Research, 20(1), 1078. https://doi.org/10.1186/s12913-020-05933-9
  • Yurdugül H. (2005, September 28-30). Using content validity indexes for content validity in scale development studies. The XIV. National Educational Sciences Congress, Denizli. http://yunus.hacettepe .edu.tr /~yurdugul/3/indir/PamukkaleBildiri.pdf.

Assessment of Information Needs, Practices, and Challenges Encountered by Patients in Postoperative Period Regarding the Use of Anti-Embolism Stockings

Yıl 2024, Cilt: 7 Sayı: 2, 313 - 323, 30.08.2024
https://doi.org/10.38108/ouhcd.1316090

Öz

Objective: The aim of this study is to identify the information needs, practices, and challenges encountered by patients in the postoperative period regarding the use of anti-embolism stockings (AES).
Methods: This study was carried out in descriptive design. The study's sample group comprised 351 patients who utilized AES for a minimum of 48 hours during the postoperative period in the departments of orthopedics, neurosurgery, and general surgery at the Health Research and Practice Center affiliated with a university in Ankara, between September 25, 2017, and September 26, 2018. A questionnaire developed by the researcher, including questions about sociodemographic characteristics and the use of AES, was used to collect data. The data was obtained by face-to-face interview method.
Results: Approximately half of the patients in this study reported receiving information about AES. It was determined that the size of the AES of almost all patients was determined without measuring their legs. Most patients were found to have never removed their stockings throughout their usage and never washed them. The problems experienced by the patients while using AES were respectively; difficulty in wearing, increased temperature, curling, redness, sweating, and itching. Furthermore, it was determined that female patients statistically suffered from pain, curling, redness, and stage 1 pressure injuries significantly more than men.
Conclusion: In this study, it has been determined that patients in the postoperative period have a need for information regarding AES and experience various problems due to incorrect usage.

Kaynakça

  • Akyüz E, Tunçbilek Z. (2018). Nurses’ role and responsibilities on management of antiembolism stockings: antiembolism stocking care protocol. Turkish Journal of Cardiovascular Nursing, 9(20), 96-104. https://doi.org/10.5543/khd.2019.68077
  • Akyuz E, Tuncbilek Z. (2021). Anti-embolism stocking care protocol to prevent associated skin problems: A quasi-experimental study. J Tissue Viability, 30(1), 89-94. https://doi.org/10.1016/j.jtv.2020.07.001
  • Amaral C, Pereira LG, Moreto A, Sá AC, & Azevedo A. (2017). The postoperative venous thromboembolism (TREVO) study–Risk and case mortality by surgical specialty. Revista Portuguesa de Cardiologia (English Edition), 36(9), 609-616. https://doi.org/10.1016/j.repc.2016.11.007
  • Autar R. (2009). A review of the evidence for the efficacy of Anti-Embolism Stockings (AES) in Venous Thromboembolism (VTE) prevention. Journal of Orthopaedic Nursing, 13(1), 41-49. https://doi.org/10.1016/j.joon.2009.01.003
  • Burlingame B. (2010). Clinical Issues—December 2010. AORN Journal, 92(6), 690-696. https://doi.org/10.1016/j.aorn.2010.09.019
  • Centers for Disease Control and Prevention. (2023, February 16, 2023). Data and statistics on venous thromboembolism. Retrieved May 13 from https://www.cdc.gov/ncbddd/dvt/data.html.
  • Clarke-Moloney M, Keane N, O'Connor V, Ryan MA, Meagher H, Grace PA, Kavanagh E, Walsh SR, Burke PE. (2014). Randomised controlled trial comparing European standard class 1 to class 2 compression stockings for ulcer recurrence and patient compliance. International Wound Journal, 11(4), 404-408. https://doi.org/10.1111/j.1742-481X.2012.01108.x
  • Collaboration CT, Dennis M, Sandercock PA, Reid J, Graham C, Murray G, Venables G, Rudd A, Bowler G. (2009). Effectiveness of thigh-length graduated compression stockings to reduce the risk of deep vein thrombosis after stroke (CLOTS trial 1): a multicentre, randomised controlled trial. Lancet, 373(9679), 1958-1965. https://doi.org/10.1016/S0140-6736(09)60941-7
  • Dao Jr H, Kazin RA. (2007). Gender differences in skin: a review of the literature. Gender Medicine, 4(4), 308-328.
  • Dirimese E, Yavuz M, Nurulke B. (2012). Investigate of eligibility usage of graduated compression stockings. International Journal of Caring Sciences, 5(3), 354-361.
  • Donnelly T, McNeely B. (2015). The shocking stocking audit: an audit on the use of thromboembolic deterrent stockings (TEDS) for patients having surgery at Sligo regional hospital. J Perioper Pract, 25(4), 83-86. https://doi.org/10.1177/175045891502500405.
  • Ferreira D, Sousa JA, Felicíssimo P, França A. (2017). Venous thromboembolism risk and thromboprophylaxis in the Portuguese hospital care setting: the ARTE study. Portuguese Journal of Cardiology, 36(11), 823-830.
  • Gee E. (2019). How to apply antiembolism stockings to prevent venous thromboembolism. Nursing Times [online], 115(4), 24-26.
  • Guideline Quick View: Venous Thromboembolism. (2018). AORN Journal, 107(2), 281–285. https://doi.org/10.1002/aorn.12072
  • Herlihy DR, Thomas M, Tran QH, Puttaswamy V. (2020). Primary prophylaxis for venous thromboembolism in people undergoing major amputation of the lower extremity. Cochrane Database of Systematic Reviews, 7, CD010525. https://doi.org/10.1002/14651858.CD010525.pub3
  • Joanna Briggs Institute. (2008a). Graduated compression stockings for the prevention of post-operative venous thromboembolism. Best Practice, 12(4), 1-4. https://fliphtml5.com/zboo/kihv
  • Joanna Briggs Institute. (2008b). Graduated compression stockings for the prevention of post operative venous thromboembolism. Australian Nursing Journal, 16(2), 31-33. https://www.ncbi.nlm.nih.gov/pubmed/18780714
  • Kim H, Lee ES. (2015). Major difficulties and information needs recognised by nurses in applying graduated compression stocking and intermittent pneumatic compression for deep vein thrombosis prophylaxis. Journal of Clinical Nursing, 24(1-2), 308-311. https://doi.org/10.1111/jocn.12610
  • Li GM, Yuan TM, Qi GW. (2012). Implementation of best practice evidence in the nursing management of graduated compression stockings (GCS) in the prevention of venous thromboembolism in an adult surgical setting. PACEsetterS, 9(3), 35-42.
  • Link T. (2018). Guideline Implementation: Prevention of Venous Thromboembolism: 1.6 www.aornjournal.org/content/cme. AORN Journal, 107(6), 737-748. https://doi.org/10.1002/aorn.12146
  • Lloyd Jones M. (2013). BPS2: nursing care of patients wearing anti-embolic stockings. British Journal of Healthcare Assistants, 7(8), 388-391. https://doi.org/10.12968/bjha.2013.7.8.388
  • Macintyre L, Kent K, McPhee D. (2013). Do anti-embolism stockings fit our legs? Leg survey and data analysis. International Journal of Nursing Studies, 50(7), 914-923. https://doi.org/10.1016/j.ijnurstu.2013.01.005
  • May V, Clarke T, Coulling S, Cowie L, Cox R, Day D, Husk J, Laslett S, Mansell S, McHenry M. (2006). What information patients require on graduated compression stockings. British Journal of Nursing, 15(5), 263-270. https://doi.org/10.12968/bjon.2006.15.5.20641
  • Miller JA. (2011). Use and wear of anti-embolism stockings: a clinical audit of surgical patients. International Wound Journal, 8(1), 74-83. https://doi.org/10.1111/j.1742-481X.2010.00751.x
  • Morrison R. (2006). Venous thromboembolism: scope of the problem and the nurse's role in risk assessment and prevention. Journal of Vascular Nursing, 24(3), 82-90. https://doi.org/10.1016/j.jvn.2006.05.002
  • Munoz-Figueroa GP, Ojo O. (2015). Venous thromboembolism: use of graduated compression stockings. British Journal of Nursing, 24(13), 680, 682-685. https://doi.org/10.12968/bjon.2015.24.13. 680
  • Özkan ZK, Fındık ÜY, Ünver S. (2016). Hastaların ameliyat sonrası kompresyon çorabı kullanma durumlarının değerlendirilmesi. Florance Nightingale Hemşirelik Dergisi, 24(1), 30-37.
  • Rathore FA, Ahmad F, Khan OJ. (2017). Compression Stockings and Pressure Ulcers: Case Series of a Neglected Issue. Cureus, 9(10), e1763. https://doi.org/10.7759/cureus.1763
  • Sachdeva A, Dalton M, Amaragiri SV, Lees T. (2014). Graduated compression stockings for prevention of deep vein thrombosis. Cochrane Database of Systematic Reviews (12), CD001484. https://doi.org/10.1002/14651858.CD001484.pub3
  • Szekely M, Garai J. (2018). Thermoregulation and age. In A. A. Romanovsky (Ed.), Handbook of Clinical Neurology (2018/11/21 ed., Vol. 156, pp. 377-395). https://doi.org/10.1016/B978-0-444-63912-7.00023-0
  • The Ministry of Health of the Republic of Turkey. (2023, March 23, 2023). Fighting Venous Thromboembolism. Retrieved May 13 from https://shgmkalitedb.saglik.gov.tr/TR,95233/venoz-tromboemboli-ile-mucadele.html.
  • Wade R, Sideris E, Paton F, Rice S, Palmer S, Fox D, Woolacott N, Spackman E. (2015). Graduated compression stockings for the prevention of deep-vein thrombosis in postoperative surgical patients: a systematic review and economic model with a value of information analysis. Health Technology Assessment, 19(98), 1-220. https://doi.org/10.3310/hta19980
  • Walker L, Lamont S. (2008). The use of antiembolic stockings. Part 2: a clinical audit. British Journal of Nursing, 17(1), 32-36. https://doi.org/10.12968/bjon.2008.17.1.28058
  • Winslow EH, Brosz DL. (2008). Graduated compression stockings in hospitalized postoperative patients: correctness of usage and size. American Journal of Nursing, 108(9), 40-50; quiz 50-41. https://doi.org/10 .1097/01.NAJ.0000334973.82359.11
  • Wooditch A, Johnson NJ. Solymosi R, Medina Ariza J, Langton S. (2021). Measures of association for nominal and ordinal variables. In A Beginner’s Guide to Statistics for Criminology and Criminal Justice Using R (pp. 209-225). Cham: Springer International Publishing.
  • Xu Y, Wang W, Zhen K, Zhao J. (2020). Healthcare professionals' knowledge, attitudes, and practices regarding graduated compression stockings: a survey of China's big-data network. BMC Health Services Research, 20(1), 1078. https://doi.org/10.1186/s12913-020-05933-9
  • Yurdugül H. (2005, September 28-30). Using content validity indexes for content validity in scale development studies. The XIV. National Educational Sciences Congress, Denizli. http://yunus.hacettepe .edu.tr /~yurdugul/3/indir/PamukkaleBildiri.pdf.
Toplam 37 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Cerrahi Hastalıklar Hemşireliği
Bölüm Araştırma
Yazarlar

Esra Cantürk 0000-0001-8983-966X

Mevlüde Karadağ 0000-0003-3258-6459

Erken Görünüm Tarihi 4 Haziran 2024
Yayımlanma Tarihi 30 Ağustos 2024
Gönderilme Tarihi 17 Haziran 2023
Yayımlandığı Sayı Yıl 2024 Cilt: 7 Sayı: 2

Kaynak Göster

APA Cantürk, E., & Karadağ, M. (2024). Assessment of Information Needs, Practices, and Challenges Encountered by Patients in Postoperative Period Regarding the Use of Anti-Embolism Stockings. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi, 7(2), 313-323. https://doi.org/10.38108/ouhcd.1316090