The Effect of Information on the Use of Anti-embolic Stockings on Discharge Readiness and Satisfaction With Nursing Care in Patients Undergoing Vein Surgery
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 60
- 主要终点
- Readiness for Discharge
研究概览
简要总结
The aim of this study was to investigate the effect of information given to patients undergoing vein surgery regarding the use of anti-embolic stockings on their readiness for discharge and satisfaction with nursing care.
详细描述
Today, with the widespread use of evidence-based practices in nursing care, it is recommended that mechanical prophylaxis methods be widespread in preventing venous thromboembolism in patients. In particular, evaluating whether the clinical presentations of patients are suitable for these methods, applying mechanical prophylaxis safely and effectively, and informing patients about the subject for the home care process are among the basic responsibilities of nurses. The nurse who will provide the training should know all the practices that the patient will perform on how to care for himself/herself at home, explain them to the patient in an appropriate language, and first demonstrate them in person. Before providing training, nurses should provide training after passing a scale. The cheapest, most accessible and most frequently applied method among mechanical prophylaxis methods is the use of anti-embolic stockings, also known as elastic stockings. Elastic pressure stockings are widely used in the postoperative period. These stockings are effective by reducing endothelial damage, venous stasis and hypercoagulation processes that are effective in the emergence of venous thromboembolism. Before using these stockings, it is also the responsibility of the nurses to evaluate whether the patients have a possible allergy related to the stockings or a disease such as neuropathy or arterial insufficiency that would prevent the use of the stockings, to inform the patient about important points such as using the stockings individually, to be suitable for the person's leg size, to be wrinkle-free when worn or to be worn while lying down with the feet elevated, and to monitor the negative effects such as ischemia, numbness, and injuries that may occur during the use process. The nurse should be proactive in informing the patient about the use of anti-embolic stockings, which is one of the mechanical methods used to prevent venous stasis after vein surgery in patients, to ensure that they use them correctly, and to motivate the patient. In this context, the patient should be well informed in order to support the use of anti-embolic stockings at home starting from the post-operative period and to maintain compliance. The information headings should cover the purpose of anti-embolic stockings, frequency of use, and things to consider during use. No study has been found in the literature regarding the use of anti-embolic stockings in patients undergoing vein surgery, and it is thought that this study will increase the readiness for discharge and satisfaction levels of patients undergoing vein surgery by informing them.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Having had vein surgery
排除标准
- •Having hearing/vision/mental problems
- •Having been diagnosed with a psychological illness (schizophrenia, depression)
- •Having any of the contraindications for the use of anti-embolic stockings in the patient (the patient has peripheral arterial disease or bypass grafts, peripheral neuropathy or other causes of sensory impairment, heart failure, pulmonary or leg edema, poor skin condition due to dermatitis/diabetes/venous ulcers, allergy or sensitivity to the materials in the stockings, and leg deformities that prevent the stockings from fitting properly)
研究组 & 干预措施
Training on the use of anti-embolic stockings
Information will be provided on the use of anti-embolic stockings. During the information session, an educational material titled "Use of Anti-Embolic Stockings" will be prepared by the researcher for the patients. The content of the training will be created to cover the purpose of using anti-embolic stockings, how to use them, and the points to be considered during use. The training is expected to take approximately 20 minutes. The training will be given face-to-face in the patient room by the researcher. The created training material will be evaluated in terms of content and form by 1 specialist in the field of Cardiovascular Surgery and 4 specialists in the field of Surgical Diseases Nursing using the "Nursing Education Material Evaluation Tool" (HEMDA) and expert opinions will be obtained. The content of the training material will be finalized in line with the opinions received.
干预措施: Patient Education on the Use of Anti-Embolic Stockings (Behavioral)
Usual care
Control group patients will receive routine nursing care in the clinic.
结局指标
主要结局
Readiness for Discharge
时间窗: Immediately after the intervention
Readiness for discharge will be assessed with the Discharge Readiness Scale. : The scale consists of 8 questions and 4 sub-dimensions as personal status, knowledge, coping, and expected support. The questions in the scale are assessed between '0=not ready' and '10=completely ready'. A total of 0-80 points can be obtained from the scale according to the answers given to the questions, and an increase in the score indicates that the level of readiness of the patients for discharge increases. In the scale dimension scores, a score of 7 and above is assessed as the patient is ready for discharge, and a score below 7 is assessed as not ready for discharge.
Nursing care satisfaction
时间窗: Immediately after the intervention
Nursing care satisfaction will be assessed with the Nursing Care Satisfaction Scale. The 19 items in the scale are 5-point Likert type and aim to define patients' satisfaction with various aspects of nursing care. The scoring used to determine the degree of satisfaction includes the following statements: 1- Not at all satisfied, 2- Rarely satisfied, 3- Satisfied, 4- Very satisfied, 5- Completely satisfied. The scale has no cut-off point. The patient's satisfaction with nursing care is assessed with the scale as long as the patient stays in the patient's room. The score evaluation is made on a 0-100 score by adding the scores of all items on the scale and converting them to 100. It is reported that a total score of 100 indicates satisfaction with all aspects of nursing care. A high total score also indicates high patient satisfaction.
Readiness for Discharge
时间窗: Immediately after the intervention
Readiness for discharge will be assessed with the Discharge Readiness Scale. : The scale consists of 8 questions and 4 sub-dimensions as personal status, knowledge, coping, and expected support. The questions in the scale are assessed between '0=not ready' and '10=completely ready'. A total of 0-80 points can be obtained from the scale according to the answers given to the questions, and an increase in the score indicates that the level of readiness of the patients for discharge increases. In the scale dimension scores, a score of 7 and above is assessed as the patient is ready for discharge, and a score below 7 is assessed as not ready for discharge.
Nursing care satisfaction
时间窗: Immediately after the intervention
Nursing care satisfaction will be assessed with the Nursing Care Satisfaction Scale. The 19 items in the scale are 5-point Likert type and aim to define patients' satisfaction with various aspects of nursing care. The scoring used to determine the degree of satisfaction includes the following statements: 1- Not at all satisfied, 2- Rarely satisfied, 3- Satisfied, 4- Very satisfied, 5- Completely satisfied. The scale has no cut-off point. The patient's satisfaction with nursing care is assessed with the scale as long as the patient stays in the patient's room. The score evaluation is made on a 0-100 score by adding the scores of all items on the scale and converting them to 100. It is reported that a total score of 100 indicates satisfaction with all aspects of nursing care. A high total score also indicates high patient satisfaction.
次要结局
未报告次要终点
研究者
Ezgi Arslan
PhD, Research Assisstant (Principal Investigator)
Aydin Adnan Menderes University