Ayhan Hatice, Iyigun Emine, Ince Selami, Can Mehmet Fatih, Hatipoglu Sevgi, Saglam Mutlu
Department of Surgical Nursing, School of Nursing, Gulhane Military Medical Academy, Ankara, Turkey.
Department of Radiology, Gulhane Military Medical Academy, Ankara, Turkey.
J Clin Nurs. 2015 Aug;24(15-16):2247-57. doi: 10.1111/jocn.12866. Epub 2015 May 11.
To compare the comfort levels of patients regarding the use of three different graduated compression stockings and to analyse the efficacies of the graduated compression stockings in relation to patient comfort and compliance in prevention of postoperative deep vein thrombosis.
Graduated compression stockings are very important with other prophylaxis methods in postoperative deep vein thrombosis prophylaxis. In meta-analyses and systematic review studies, it was reported that knee-length and thigh-length graduated compression stockings had similar efficacies. However, there is no randomised study in literature regarding the patient problems and levels of comfort with the use of graduated compression stockings of different sizes and pressures.
A randomised clinical trial design.
A total of 219 patients were randomised into three groups (n = 73 in each group). Group I was given low-pressure, knee-length graduated compression stockings, group II was given low-pressure, thigh-length graduated compression stockings and group III was given moderate-pressure, knee-length graduated compression stockings. The level of patients comfort regarding the graduated compression stockings and occurrence of deep vein thrombosis were examined.
The vast majority of the patients (79·5%) in group III and 52·1% of the patients in group II stated experiencing problems during the use of the graduated compression stockings (p < 0·001). The graduated compression stockings were reported by the patients as being very comfortable in the group I (p < 0·001). No findings of thrombosis were observed in any of the groups.
The low-pressure, knee-length graduated compression stockings are as effective as the other graduated compression stockings of different pressures and sizes in the postoperative deep vein thrombosis prophylaxis, and the patients have fewer problems while using these graduated compression stockings with a high satisfaction.
The combined use of pharmacological, mechanical and physical methods and patient education is effective in the prevention of postoperative deep vein thrombosis. The use of low-pressure, knee-length graduated compression stockings in clinical practice may be recommended, as the patients have fewer problems while using these graduated compression stockings with a high satisfaction.
比较患者使用三种不同的梯度压力弹力袜的舒适度，并分析梯度压力弹力袜在预防术后深静脉血栓形成方面与患者舒适度及依从性相关的疗效。
梯度压力弹力袜在术后深静脉血栓形成的预防中与其他预防方法非常重要。在荟萃分析和系统评价研究中，据报道膝长和大腿长的梯度压力弹力袜具有相似的疗效。然而，文献中没有关于不同尺寸和压力的梯度压力弹力袜使用时患者问题和舒适度水平的随机研究。
随机临床试验设计。
总共219名患者被随机分为三组（每组n = 73）。第一组给予低压膝长梯度压力弹力袜，第二组给予低压大腿长梯度压力弹力袜，第三组给予中压膝长梯度压力弹力袜。检查患者对梯度压力弹力袜的舒适度水平和深静脉血栓形成的发生情况。
第三组绝大多数患者（79.5%）和第二组52.1%的患者表示在使用梯度压力弹力袜期间遇到问题（p < 0.001）。患者报告第一组的梯度压力弹力袜非常舒适（p < 0.001）。在任何一组中均未观察到血栓形成的迹象。
低压膝长梯度压力弹力袜在预防术后深静脉血栓形成方面与其他不同压力和尺寸的梯度压力弹力袜一样有效，并且患者在使用这些梯度压力弹力袜时问题较少，满意度较高。
药理学、机械和物理方法以及患者教育的联合使用在预防术后深静脉血栓形成方面是有效的。临床实践中可推荐使用低压膝长梯度压力弹力袜，因为患者在使用这些梯度压力弹力袜时问题较少，满意度较高。
Zotero 插件