A prospective study of nurse and patient education on compliance with sequential compression devices

作者: David Stewart , Nia Zalamea , Ken Waxman , Rob Schuster , Michael Bozuk

DOI: 10.1177/000313480607201018

关键词: Health educationNurse educationStatistical significanceMedicineMEDLINEPhysical therapyPatient educationVenous thrombosisIntensive careNursingProspective cohort study

摘要: Sequential compression devices (SCD) have become the most common form of prophylaxis against formation deep venous thrombosis (DVT) among surgical patients. However, compliance with SCD has traditionally been poor. The aim this study was to assess affect patient and nurse education by surgeons on compliance. This a prospective involving single teaching hospital. Compliance checked twice daily. main outcomes were rates use before after education. Nurses not aware study. Surgical floors had history resident attending interactions regarding SCD, whereas nonsurgical did not. A handout that emphasized importance also given patients units. Before education, units rate 61.5 per cent, 48 cent rate. difference significant (P = 0.014). After nursing busiest floor, ward increased 65 statistical significance 0.515). unit's daily experience is important factor in their use. Focused lectures may incremental value.

参考文章(4)
George Velmahos, James Bonar, Anurag Jindal, Kurtis Campbell, David Chang, Deborah Baker, Judy Phillips, Edward E. Cornwell, Compliance with sequential compression device prophylaxis in at-risk trauma patients: a prospective analysis. American Surgeon. ,vol. 68, pp. 470- 473 ,(2002)
Anthony J. Comerota, Mira L. Katz, John V. White, Why does prophylaxis with external pneumatic compression for deep vein thrombosis fail American Journal of Surgery. ,vol. 164, pp. 265- 268 ,(1992) , 10.1016/S0002-9610(05)81083-9
Marc D. Silverstein, John A. Heit, David N. Mohr, Tanya M. Petterson, W. Michael O'Fallon, L. Joseph Melton, Trends in the incidence of deep vein thrombosis and pulmonary embolism: a 25-year population-based study. JAMA Internal Medicine. ,vol. 158, pp. 585- 593 ,(1998) , 10.1001/ARCHINTE.158.6.585