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임상적 징후와 정규 교환에 의한 말초정맥관 교환이 정맥염과 혈류감염 발생에 미치는 영향
윤지선(Yun, Ji Seon),김은옥(Kim, Eun Ok),서유선(Seo, Yu Sun),고은아(Koh, Eun Ah),이수열(Lee, Su Yeol),장주희(Jang, Joo Hee),김한나(Kim, Han Nah),김연희(Kim, Yeon Hee) 한국근거기반간호학회 2016 근거와 간호 Vol.4 No.1
Purpose: The purpose of this study is to compare the efficacy of the current evidence based practice on peripheral venous catheter replacement. Methods: After ethics approval, 140 patients (480 intravenous devices) were enrolled in our survey. Data were analyzed by statistical methods such as t-test, frequency analysis, χ2 square, Fisher’s exact test, Kaplan-Meier survival analysis using SPSS 21 program. Results: First, the average number of inserted peripheral venous catheters in the experimental group was 2.7 (3.0 in the control group), the number of days of maintenance of the peripheral venous catheters was 3.0 days (1.8 in the control group), and the maximum maintenance day of the peripheral venous catheter was 8 days. Second, there were no differences in the incidence of phlebitis and bloodstream infection between the two groups. Third, the risk of phlebitis in the experimental group increased sharply from the 6th day after insertion of peripheral venous catheter. Conclusion: As a result of this study, peripheral venous catheter replacement by clinical signs is recommended, and after 6 days, side effects should be carefully observed. We propose an iterative study on the effect of clinical signs on peripheral venous catheter replacement by expanding the number of patients.
수술 후 환자에서 심부정맥 혈전증 예방을 위한 무릎형 항혈전 스타킹과 허벅지형 항혈전 스타킹의 효과 비교
윤지선(Ji Seon Yun),김은옥(Eun Ok Kim),박희정(Hee Jung Park),문경혜(Kyoung Hye Moon),서유선(Yu Sun Seo),김이영(Lee Young Kim),김연희(Yeon Hee Kim) 한국근거기반간호학회 2013 근거와 간호 Vol.1 No.1
Purpose: Anti-Embolic Stockings (AES) are a valuable means of thromboprophylaxis but it is unclear whether knee or thigh length AES are more effective. The aim of this evidence-based practice activity was to compare knee and thigh length AES after a surgical operation and to examine the effects of each stockings. Methods: RISS, KISS, KoreaMed, PubMed, Ovid and The Cochrane Library were searched to identify relevant original articles. As a result, there was no difference in the prevention of Deep Vein Thrombosis (DVT) between the two groups. But since there is uncertainty, we conducted a non-randomized controlled clinical trial. Data were collected from June, 2013 to September, 2013. Survey and observational data were collected on 57 patients who agreed to participate in the study. Results: There was no difference between knee versus thigh length antiembolic stocking groups in the surrogate outcomes including calf edema, Homan s sign, leg pain of numerical rating scale(NRS) 5 or more, hot flashes leg, and color change in applied site of stocking. And skin complications did not occur in both groups. Conclusion: Knee length AES should be regarded as the stockings of choice for the prevention of DVT in surgical patients. Indeed, they have similar effectiveness as thigh length AES but with better tolerability and lower cost.