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Original Article

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

Nam Yong Kim1, Eun A Kim1, Jae Yeun Sim2, Soon Hee Jung2, Hye Young Kim3, Eun Hee Jang3, Jee Hye Shin3
Journal of Korean Academy of Nursing Administration 2017;23(1):63-75.
Published online: January 31, 2017

1Department of Nursing, Honam University, Korea.

2Department of Nursing, Chonnam National University Hospital, Korea.

3Department of Nursing, Chonnam National University Hwasun Hospital, Korea.

Corresponding author: Kim, Eun A. Department of Nursing, Honam University, 417 Eodeung-daero, Gwangsan-gu, Gwangju 62399, Korea. Tel: +82-62-940-5551, Fax: +82-62-940-5042, umberto@honam.ac.kr
• Received: December 13, 2016   • Revised: January 9, 2017   • Accepted: January 12, 2017

Copyright © 2017 Korean Academy of Nursing Administration

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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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.
  • Key Words: Evidence-based nursing; Practice guideline; Intermittent pneumatic compression devices; Venous thromboembolism; Surgical procedures operative
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Table 1

Research Process

jkana-23-63-i001.jpg

IPC=Intermittent Pneumatic Compressure.

Table 2

Evidence-based IPC Nursing Protocol to Prevent Postoperative VTE

jkana-23-63-i002.jpg

VTE=Venous thromboembolism; IPC=Intermittent pneumatic compressure; DVT=Deep vein thrombosis; PTE=Pulmonary thromboendarterectomy.

Table 3

Verification of Homogeneity and General Characteristics of Participants (N=99)

jkana-23-63-i003.jpg

*Fisher's exact test; Exp.=Experimental group; Cont.=Control group.

Table 4

Homogeneity Test of Dependent Variables on Pretest (N=99)

jkana-23-63-i004.jpg

*Fisher's exact test; Exp.=Experimental group; Cont.=Control group; DVT=Deep vein thrombosis; PE=Pulmonary embolism.

Table 5

Difference in Dependent Variables between Two Groups (N=99)

jkana-23-63-i005.jpg

Exp.=Experimental group; Cont.=Control group; DVT=Deep vein thrombosis; PE=Pulmonary embolism.

Figure & Data

References

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    • Comparison of Internal Marketing, Job Satisfaction and Customer Orientation of Nurses by Size of Medical Care Institution; Small-medium Hospitals and General Hospitals
      Eun Su Do, Mi Ye Kim
      Journal of Korean Academy of Nursing Administration.2012; 18(1): 56.     CrossRef

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    Adaptation and Effects of the Evidence-based IPC Nursing Protocol on Prevention of Postoperative Venous Thromboembolism
    J Korean Acad Nurs Adm. 2017;23(1):63-75.   Published online January 31, 2017
    DOI: https://doi.org/10.11111/jkana.2017.23.1.63
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    • Citation for the content below
    Adaptation and Effects of the Evidence-based IPC Nursing Protocol on Prevention of Postoperative Venous Thromboembolism
    J Korean Acad Nurs Adm. 2017;23(1):63-75.   Published online January 31, 2017
    DOI: https://doi.org/10.11111/jkana.2017.23.1.63
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    Adaptation and Effects of the Evidence-based IPC Nursing Protocol on Prevention of Postoperative Venous Thromboembolism
    Adaptation and Effects of the Evidence-based IPC Nursing Protocol on Prevention of Postoperative Venous Thromboembolism

    Research Process

    IPC=Intermittent Pneumatic Compressure.

    Evidence-based IPC Nursing Protocol to Prevent Postoperative VTE

    VTE=Venous thromboembolism; IPC=Intermittent pneumatic compressure; DVT=Deep vein thrombosis; PTE=Pulmonary thromboendarterectomy.

    Verification of Homogeneity and General Characteristics of Participants (N=99)

    *Fisher's exact test; Exp.=Experimental group; Cont.=Control group.

    Homogeneity Test of Dependent Variables on Pretest (N=99)

    *Fisher's exact test; Exp.=Experimental group; Cont.=Control group; DVT=Deep vein thrombosis; PE=Pulmonary embolism.

    Difference in Dependent Variables between Two Groups (N=99)

    Exp.=Experimental group; Cont.=Control group; DVT=Deep vein thrombosis; PE=Pulmonary embolism.
    Table 1 Research Process

    IPC=Intermittent Pneumatic Compressure.

    Table 2 Evidence-based IPC Nursing Protocol to Prevent Postoperative VTE

    VTE=Venous thromboembolism; IPC=Intermittent pneumatic compressure; DVT=Deep vein thrombosis; PTE=Pulmonary thromboendarterectomy.

    Table 3 Verification of Homogeneity and General Characteristics of Participants (N=99)

    *Fisher's exact test; Exp.=Experimental group; Cont.=Control group.

    Table 4 Homogeneity Test of Dependent Variables on Pretest (N=99)

    *Fisher's exact test; Exp.=Experimental group; Cont.=Control group; DVT=Deep vein thrombosis; PE=Pulmonary embolism.

    Table 5 Difference in Dependent Variables between Two Groups (N=99)

    Exp.=Experimental group; Cont.=Control group; DVT=Deep vein thrombosis; PE=Pulmonary embolism.

    Table 1

    Table 2

    Table 3

    Table 4

    Table 5

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