Journal of Korean Academy of Nursing Administration (간호행정학회지)

Korean Academy of Nursing Administration (한국간호행정학회)
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Adaptation and Effects of the Evidence-based IPC Nursing Protocol on Prevention of Postoperative Venous Thromboembolism

외과적 수술 후 정맥혈전색전증 예방을 위한 근거기반 IPC(Intermittent Pneumatic Compression) 간호프로토콜의 수용개작 및 효과

  • Kim, Nam Yong (Department of Nursing, Honam University) ;
  • Kim, Eun A (Department of Nursing, Honam University) ;
  • Sim, Jae Yeun (Department of Nursing, Chonnam National University Hospital) ;
  • Jung, Soon Hee (Department of Nursing, Chonnam National University Hospital) ;
  • Kim, Hye Young (Department of Nursing, Chonnam National University Hwasun Hospital) ;
  • Jang, Eun Hee (Department of Nursing, Chonnam National University Hwasun Hospital) ;
  • Shin, Jee Hye (Department of Nursing, Chonnam National University Hwasun Hospital)
  • 김남영 (호남대학교 간호학과) ;
  • 김은아 (호남대학교 간호학과) ;
  • 심재연 (전남대학교병원 간호부) ;
  • 정순희 (전남대학교병원 간호부) ;
  • 김혜영 (화순전남대학교병원 간호부) ;
  • 장은희 (화순전남대학교병원 간호부) ;
  • 신지혜 (화순전남대학교병원 간호부)
  • Received : 2016.12.13
  • Accepted : 2017.01.12
  • Published : 2017.01.31
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Abstract

Purpose: This study was conducted to adapt the standardized evidence-based nursing protocol using the IPC (intermittent pneumatic compression) intervention to prevent venous thromboembolism in surgical patients. Further, an investigation was done to measure knowledge on prevention of venous thromboembolism, surrogate incidence of venous thromboembolism and to assess IPC compliance in the study patients compared with those in surgical patients who underwent IPC intervention due to previous clinical experience. Methods: An analysis was done of the nine modules suggested by National Evidence-based Healthcare Collaborating Agency (NECA) in the adaptation manual of the clinical practice guideline for protocol adaptation. A nonequivalent control group post test design as a quasi-experiment was used to verify the effect of the IPC protocol. Results: There was a significant difference in knowledge of prevention of venous thromboembolism, IPC application time after intervention and the number of IPC applications between the experimental group (n=50) using the IPC nursing protocol and the control group (n=49). However, the symptoms of deep vein thrombosis and pulmonary thromboembolism were not observed in either the experimental group or the control group after the intervention. Conclusion: Results confirm that the standardized IPC nursing protocol provides effective intervention to prevent venous thromboembolism in surgical patients.

Keywords

References

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