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김화순 ( Kim Hwa-Soon ) - 인하대학교
조옥민 ( Cho Ok-Min ) - 인하대학교병원
김지선 ( Kim Ji-Sun ) - 인하대학교병원
장해옥 ( Jang Hai-Ok ) - 인하대학교병원
김여경 ( Kim Yeo-Kyeong ) - 인하대학교병원
김설희 ( Kim Seol-Hee ) - 인하대학교병원
민효남 ( Min Hyo-Nam ) - 인하대학교병원
곽경선 ( Kwak Kyung-Sun ) - 인하대학교병원
홍기천 ( Hong Kee-Chun ) - 인하대학교
김장용 ( Kim Jang-Yong ) - 가톨릭대학교
정준호 ( Chung Joon-Ho ) - 연세대학교
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Abstract
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Purpose: The purpose of this pilot study was to investigate the effects of mechanical interventions for deep vein thrombosis (DVT) prophylaxis in surgical intensive care unit (SICU) patients.
Methods: The participants were assigned to the intermittent pneumatic compression (IPC) and graduated compression stocking (GCS) intervention. Patients who met the criteria were selected for comparison from our previous study. Data for 140 patients were included in the final analysis.
Results: The mean age was 57.5 (±15.7) and 61.4 % were men. About forty-seven percent of the participants were 61 years or over. In the second duplex scan, 3, 2 and 1 critically ill patients developed deep vein thrombosis in the control, GCS, and IPC groups, respectively. Incidences of DVT were 6.0%, 5.0%, and 2.0% for the control, GCS, and IPC groups, respectively. This difference was not significant. Relative risks of no intervention were 3.0 and 1.2 compared with IPC and GCS application. There were no significantly different variables among the three groups before the intervention except for diagnosis on admission.
Conclusion: Although it may difficult to conclude that mechanical prophylaxis effectively prevents DVT among SICU patients because there was no statistical significance in this study, but incidence rates among the three groups differed greatly. The findings reveal that further study should be conducted with larger samples and randomized controlled trial for SICU patients.
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KeyWords
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항혈전스타킹, 간헐적공기압박기, 중환자간호, 정맥혈전
Compression stocking, Intermittent pneumatic compression devices, Critical care, Venous thrombosis
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원문 및 링크아웃 정보
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등재저널 정보
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