J Korean Acad Nurs Adm.  2017 Jan;23(1):63-75. 10.11111/jkana.2017.23.1.63.

Adaptation and Effects of the Evidence-based IPC Nursing Protocol on Prevention of Postoperative Venous Thromboembolism

Affiliations
  • 1Department of Nursing, Honam University, Korea. umberto@honam.ac.kr
  • 2Department of Nursing, Chonnam National University Hospital, Korea.
  • 3Department of Nursing, Chonnam National University Hwasun Hospital, Korea.

Abstract

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.

Keyword

Evidence-based nursing; Practice guideline; Intermittent pneumatic compression devices; Venous thromboembolism; Surgical procedures operative

MeSH Terms

Compliance
Evidence-Based Nursing
Evidence-Based Practice
Humans
Incidence
Intermittent Pneumatic Compression Devices
Nursing Assessment*
Nursing*
Pulmonary Embolism
Venous Thromboembolism*
Venous Thrombosis
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