DOI QR코드

DOI QR Code

Discomfort on Wearing Thigh-Length Compression Stockings in Orthopedic Surgical Patients

정형외과 수술환자의 대퇴길이 압박스타킹 착용 불편감

  • Received : 2012.07.02
  • Accepted : 2012.08.14
  • Published : 2012.08.31

Abstract

Purpose: This study aimed to investigate the degree of discomfort and to identify factors related with discomfort in patients wearing thigh-length compression stockings after orthopedic surgery. Methods: The participants were 105 patients wearing thigh-length compression stockings after orthopedic surgery at two hospitals in B city. Data were collected by the scale of discomfort in wearing compression stockings from July 5 to October 20, 2011. Results: Mean score of discomfort on wearing compression stockings was significantly higher at post-op. day 3 than day 1 (t=-2.30, p=.004). Discomfort scores for 'itching skin' and 'tightened leg' items were higher than others. There was significant difference in discomfort at post-op. day 1 according to surgical regions. The total score of discomfort at post-op. day 3 was positively related with the body mass index (r=.20, p=.041). Conclusion: Wearing thigh-length compression stockings to prevent deep vein thrombosis may cause physical and psychological discomfort for orthopedic surgical patients. To reduce discomfort in wearing compression stockings, nurses need to intervene discomfort and problems related to the stockings post-operatively.

Keywords

References

  1. Anderson, D. R., O'Brien, B. J., Levine, M. N., Roberts, R., Wells, P. S., & Hirsh, J. (1993). Efficacy and cost of low-molecular weight heparin compared with standard heparin for the prevention of deep vein thrombosis after total hip arthroplasty. Annals of Internal Medicine, 119(11), 1105-1112. https://doi.org/10.7326/0003-4819-119-11-199312010-00008
  2. Byrne, B. (2001). Deep vein thrombosis prophylaxis: The effectiveness and implications of using below-knee or thigh-length graduated compression stockings. Heart and Lung: The Journal of Critical Care, 30(4). 277-284.
  3. Binns, M., & Pho, R. (1990). Femoral vein occlusion during hip arthroplasty. Clinical Orthopaedics and Related Research, June (255), 168-172.
  4. Cho, M. H., & Lee, K. J. (1992). A study of perceived discomfort of intensive care unit patient. Journal Korean Society of Adult Nursing, 4(2), 209-223.
  5. Cho, W. S., Kim, M. Y., Seol, E. S., Shin, H. K., & Choi, Y. R. (2005). The effect of elastic stocking application after total knee arthroplasty. Journal Korean Knee Society, 17(1), 64-68.
  6. Choi, G. S., Woo, S. W., Kim, D. H., Hur, J., Chun, W., Kang, H. J., et al. (2004). Deep vein thrombosis at lower extremities in severe burn patients. Journal Korean Society Vascular surgery, 20(1), 106-110.
  7. Choi, D. O. (2009). Knowledge and care performance of nurse at a local hospital for deep vein thrombosis. Unpublished master's thesis, Donga University, Busan.
  8. Edwards, L. M. (2003). Why patients do not comply with compression bandaging. British Journal of Nursing, 12(11 suppl), S5-S10. https://doi.org/10.12968/bjon.2003.12.Sup2.11327
  9. Han, S. S., & Lee, S. C. (2006). Statistical analysis of nursing and health(SPSS)(2nd ed.). Seoul: Hyunmoonsa.
  10. Huh, S. (2009). Venous thromboembolism: Prophylaxis and proper management in surgical patients introduction. Journal Korean Society Vascular surgery, 25(1), 79-81.
  11. Jeong, K. I. (2001). The effect of an information using computer program on the reduction of anxiety in coronary angiogram subjects. Unpublished master's thesis, Chonnam University, Kwangju.
  12. Johnson, G. Jr., Kupper, C., Farrar, D. J., & Swallow, R. T. (1982). Graded compression stockings. Archives Surgery, 117(1), 69-72. https://doi.org/10.1001/archsurg.1982.01380250047011
  13. Kim, J. S. (2006). Complications after hip arthroplasty: Deep vein thrombosis. The Journal of the Korean Hip Society, 18(4), 305-311.
  14. Kim, T. W. (2010). Deep vein thrombosis after knee arthroplasty: Correlation between incidence and factors. Unpublished master's thesis, Busan University, Busan.
  15. Kim, Y. S., & Lee, B. S. (2006). Effects of the application of elastic compression stockings on edema and pain of lower extremities in hospital nurses. The Journal of Korean Nursing Administration Academic Society, 12(3), 415-423.
  16. Kim, J. S., Kim, H. J., Woo, Y. H., Lym, J. Y., & Lee, C. H. (2009). Effects on changes in femoral vein blood flow velocity with the use of lower extremity compression for critical patients with brain injury. Journal of Korean Academy of Nursing, 39(2), 288-298. https://doi.org/10.4040/jkan.2009.39.2.288
  17. Lee, C. H. (2010). Patient's perception on bracing after spinal surgery. Unpublished master's thesis, Yeungnam University, Daegu.
  18. Nam, G. E. (2011). Effect of the application of elastic compression stockings on edema and pain of lower extremities in operation nurses. Unpublished master's thesis, Chungang University, Seoul.
  19. No, J. H. (2010). Assessment of risk factors and prophylactic treatment in Korean patients with the venous thromboembolism. Unpublished master's thesis, Ewha University, Seoul.
  20. Onorati, D., Rossi, G. G., & Idiazabal, G. (2003). Effect or elastic stockings on edema related to chronic venous insufficiency. Journal des Maladies Vasculaires, 28(1), 21-23.
  21. Park, A. R. (2009). Predicting factors on patients discomfort after coronary angiography. Unpublished master's thesis, Chonnam University, Kwangju.
  22. Pack, J. C., Kang, H., & Lim, S. W. (1994). A comparison of spinal anesthesia and general anesthesia for total hip arthroplasty. The Journal of the Korean Society of Anesthesiologists, 27(8), 990-995. https://doi.org/10.4097/kjae.1994.27.8.990
  23. Planes, A. Vochelle, N., & Fagola, M. (1990). Total hip replacement and deep vein thrombosis. A venographic and necropsy study. The Journal of Bone and Joint Surgery. British Volume, 72(1), 9-13.
  24. Sachdeva, A., Dalton, M., Amaragiri, S. V., & Lees, T. (2010). Elastic compression stockings for prevention of deep vein thrombosis. Cochrane Database of Systematic reviews (Online), 7(7), CD001484
  25. Sung, Y. B. (2004). Prophylaxis of deep vein thrombosis following hip arthroplasty in the affirmative. Journal Korean Hip Society, 16(2), 234-243.
  26. Swedborg, I. (1984). Effect of treatment with an elastic sleeve and intermittent pneumatic compression in post-mastectomy patients with lymphodema of the arm. Scandinavian journal of rehabilitation medicine, 16(1), 35-41.
  27. The Standards Task Force of the American Society of Colon and Rectal Surgeons (2000). Practice parameters for the prevention of venous thromboembolism. Diseases of the Colon & Rectum, 43(8), 1037-1047. https://doi.org/10.1007/BF02236547
  28. Westrich, G. H., & Sanchez, P. M. (2002). Prevention and treatment of thromboembolic disease: An overview. Instructional Course Lectures, 51, 471-480.
  29. Winslow, E, H., & Brosz, D. L. (2008). Graduated compression stockings in hospitalized postoperative patient correctness of usage and size. American Journal of Nursing, 108(9), 40-50.
  30. Yim, S. J., Woo, S. H., & Byun, I. W. (2007). The effects of foot pump on prevention of deep vein thrombosis following total knee arthroplasty. The Journal of the Korean Hip Society, 19(2), 135-141.

Cited by

  1. Knowledge, Health Belief, and Preventive Behavioral Intention related to Venous Thromboembolism (VTE) of the Patients with Lower Limb Musculoskeletal System Disorders vol.19, pp.4, 2013, https://doi.org/10.5977/jkasne.2013.19.4.531