Pagella Patrick, Cipolle Mark, Sacco Eileen, Matula Pat, Karoly Elizabeth, Bokovoy Joanna
Department of Trauma, Lehigh Valley Hospital, Allentown, PA, USA.
Orthop Nurs. 2007 May-Jun;26(3):169-74. doi: 10.1097/01.NOR.0000276967.08023.d8.
Venous thromboembolism (VTE) incidence can be substantially reduced with prophylaxis, which includes pneumatic compression device (PCD) use.
To determine whether patient comfort and satisfaction correlated to compliance in wearing PCDs, patients were randomly assigned to either of two effective calf-high PCDs. Education and handouts were provided to both groups. Patients were given a survey rating their comfort, satisfaction, and compliance. At the conclusion of the study, healthcare providers completed a questionnaire comparing both PCDs.
A total of 65 patients participated. The main significant differences between groups were seen in the patient perceptions questionnaire for two items: "the device was hot" (p = .014) and "device made my legs sweat" (p = .029). The PCD that provided more comfort and satisfaction was worn for a greater amount of time, 85% vs. 81%, respectively.
Results suggest that patients are more compliant with a PCD that promotes patient comfort when worn.
通过预防措施可大幅降低静脉血栓栓塞症（VTE）的发病率，其中包括使用气动压缩装置（PCD）。
为确定患者的舒适度和满意度是否与佩戴PCD的依从性相关，将患者随机分配至两种有效的小腿高度PCD中的任意一种。两组均提供了教育资料和手册。患者接受了一项调查，对其舒适度、满意度和依从性进行评分。在研究结束时，医疗服务提供者完成了一份比较两种PCD的问卷。
共有65名患者参与。两组之间的主要显著差异体现在患者认知问卷中的两个项目上：“装置很热”（p = 0.014）和“装置让我的腿出汗”（p = 0.029）。提供了更高舒适度和满意度的PCD被佩戴的时间更长，分别为85%和81%。
结果表明，患者对于佩戴时能提升舒适度的PCD依从性更高。
