Postoperativ anvendelse af antiemboli strömper - patientanvendelse, - praksis og - information
Engelsk titel: Postoperative use of antiembolism stockings - patient`s use, - practice and information
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Författare:
Cameron U
;
Pedersen PU
Språk: Dan
Antal referenser: 20
Dokumenttyp:
Artikel
UI-nummer: 99085286
Sammanfattning
Antiembolism stockings (AES) are
used as a part of thromboembolic
prophylaxis among ortophaedic patients.
The effect of the stockings is well
documented, but a relevant factor as
to the effectiveness of the prophylaxis
are how and to what extend patients
comply after discharge according to
recommendations? The design is descriptive
and includes 161 patients. The
patients had had surgery due to a hip
fracture (acute patients) or a knee – or
hip replacement (elective patients). 3
months after surgery the patients
received a structural questionnaire.
Results: 89% had continued using
AES. 11% of the patients had stopped
using AES immediately after discharge.
83% of the patients had used
AES minimum 4 weeks, 68% minimum
8 weeks and 29% more than 12
weeks. More of the acute patients than
elective patients had stopped using
AES within 4 weeks (p<0,01). 79% of
the patients had one or several inconveniences
in relation to using AES.
10% of the patients had stopped using
AES due to inconveniences. The
inconveniences often mentioned by the
patients were, AES was too warm
(58%), AES slides down ( (49%) and
AES was too tight (50%). 77% of the
patients had needed assistance after
discharge in using AES. 63% had
received this assistance from public
community care.
Conclusion: Patients have a high
degree of acceptance of AES according
to known risk of thromboembolism.
But more of the acute patients
stop using AES within 4 weeks after
discharge and some patients continue
using AES beyond recommendation. A
high number of patients state they
have inconveniences using AES.
Inconveniences which can mean patients
have doubtful effect of AES or
stop using the stockings.