Executive Offices, Princess Royal University Hospital, King's College Hospital NHS Foundation Trust, Farnborough, UK
Centre for Implementation Science, Health Services and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
BMJ Open. 2020 Sep 3;10(9):e037036. doi: 10.1136/bmjopen-2020-037036.
Venous thromboembolism (VTE) is a potentially fatal complication of hospitalisation. Intermittent pneumatic compression (IPC) is one approach to reducing the likelihood of a VTE. Adherence to IPC is known to be inadequate though the reasons for this remain unclear. This systematic review explores factors that affect adherence to IPC in the inpatient context.
Information sources-EMBASE, MEDLINE and PsycINFO were searched for literature between January 1960 and May 2019. Eligibility criteria-studies were included if they focused on inpatient care and examined factors affecting adherence to IPC devices.
Included studies-a total of 20 out of 1476 studies were included. Synthesis of results-eight factors were identified that affected adherence: patient discomfort (n=8), healthcare professionals' knowledge and behaviours (n=6), mobilisation (n=6), equipment supply and demand (n=3), the use of guidelines (n=3), intensive care context (n=2), computer-assisted prescribing (n=2) and patients' knowledge of IPC (n=1).
Overall while the evidence base is quite limited, a number of factors were shown to affect adherence to IPC. These findings could be used to inform future research and quality improvement efforts to increase adherence in this very important, but currently under-researched area.
静脉血栓栓塞症（VTE）是住院治疗的潜在致命并发症。间歇性气动压迫（IPC）是降低 VTE 发生可能性的一种方法。尽管人们知道对 IPC 的依从性不足，但原因尚不清楚。本系统评价探讨了影响住院环境中 IPC 依从性的因素。
信息来源——1960 年 1 月至 2019 年 5 月，检索了 EMBASE、MEDLINE 和 PsycINFO 中的文献。纳入标准——如果研究专注于住院护理并检查了影响 IPC 设备依从性的因素，则纳入研究。
纳入的研究——共有 1476 项研究中的 20 项被纳入。结果综合——确定了影响依从性的八个因素：患者不适（n=8）、医护人员的知识和行为（n=6）、活动（n=6）、设备供应和需求（n=3）、使用指南（n=3）、重症监护环境（n=2）、计算机辅助处方（n=2）和患者对 IPC 的了解（n=1）。
总体而言，尽管证据基础相当有限，但有一些因素被证明会影响 IPC 的依从性。这些发现可用于为未来的研究和质量改进工作提供信息，以增加这一非常重要但目前研究不足的领域的依从性。
