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김남영 ( Kim Nam-Yong ) - 호남대학교 간호학과
김은아 ( Kim Eun-A ) - 호남대학교 간호학과
심재연 ( Sim Jae-Yeun ) - 전남대학교병원 간호부
정순희 ( Jung soon-Hee ) - 전남대학교병원 간호부
김혜영 ( Kim Hye-Young ) - 화순전남대학교병원 간호부
장은희 ( Jang Eun-Hee ) - 화순전남대학교병원 간호부
신지혜 ( Shin Jee-Hye ) - 화순전남대학교병원 간호부
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Abstract
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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.
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KeyWords
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근거기반간호, 실무지침, 주기적 공기압박기구, 정맥혈전색전증, 외과적 수술
Evidence-based nursing, Practice guideline, Intermittent pneumatic compression devices, Venous thromboembolism, Surgical procedures operative
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원문 및 링크아웃 정보
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등재저널 정보
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