인공고관절치환술 후 노인환자의 심부정맥혈전증 예방을 위한 간호프로토콜 개발

The Development of Nursing Protocol for Deep-Vein Thrombosis Prevention in Elderly Patient after Total Hip Arthropathy

Purpose: The Purpose of tjis study was to the development of deep-vein thrombosis prevention nursing protocol in elderly patient after total hip arthropathy. Method: Method: A review of the literature and analysis of existing statutes and regulations were used to develop the deep-vein thrombosis prevention nursing protocol. To test the validity of this preliminary protocol, eight experts were selected from academia and clinical practice to review the protocol. The initial protocol was finalized after it had been reviewed by experts and tested for clinical validity in orthopedic surgery unit of C hospital. Result: The developed protocol is made systematically. Validity of clinical outcome, incidence of deep vein thrombosis when applying the protocol, the direct medical costs, length of stay, Homan s sign incidence decreased degree of swelling (p = <.001) were significantly decreased. The protocol was divided into five phases such as surgery the day before, the day of surgery, the second day after surgery, and at discharge, and was consisted of total fifteen items. Conclusion: This protocol should contribute to improvements in systematic and efficient nursing care of elderly patient after total hip arthroplasty for deep-vein thrombosis prevention nursing.