Featured Research

from universities, journals, and other organizations

Compression Stockings Incorrectly Used In 29 Percent Of Patients

Date:
August 23, 2008
Source:
American Journal of Nursing
Summary:
Graduated compression stockings were used incorrectly in 29 percent of the patients and sized incorrectly in 26 percent of the patients according to new research. These stockings play an important role in preventing the formation of deep vein clots that can result in pulmonary complications and death.

An original study, published in the September issue of the American Journal of Nursing (AJN), revealed that graduated compression stockings were used incorrectly in 29% of the patients and sized incorrectly in 26% of the patients.

These stockings play an important role in preventing the formation of deep vein clots that can result in pulmonary complications and death.

"Problems with the use and sizing of graduated compression stockings are common throughout the country and this study is one of the first to systematically analyze the problems and recommend ways to improve practice," said Elizabeth H. Winslow, PhD, RN, FAAN, Research Consultant, Presbyterian Hospital of Dallas, TX and lead author of the study. "Based on the study findings, we recommend that knee-length stockings be the standard length used and that the education of nurses and patients about the proper use of stockings be improved."

This study and previous research found that problems with use and size were more common with the thigh-length stockings and in overweight patients. More patients who had thigh-length stockings found them uncomfortable than did those who had knee-length stockings, and 20% of patients did not understand the stockings' purpose. This lack of understanding may play a role in patients not wearing them correctly.

Graduated compression stockings are not elastic support stockings. They were developed based on research showing the optimal amount of graded compression for promoting blood flow and reducing the risk of thrombosis. When fitted and used properly, they increase blood flow velocity, reduce the risk of venous wall dilation and intimal tear, improve venous valve function and may reduce coagulability, all of which lead to reduced risk of venous thrombosis, a blood clot that forms in the vein.

Many studies conducted over the past three decades have shown that graduated compression stockings, used alone or in combination with other external compression devices or medications, significantly reduce the rate of deep-vein thrombosis in post-surgical patients. Research conducted in the 1980s and 1990s suggested that thigh-and knee-length compression stockings are equally effective in reducing deep-vein thrombosis but there are few recent studies.

"A lot can be done to optimize the benefits of graduated compression stockings and minimize adverse effects," said Debra Brosz, MSN, RN, ONC, NEA-BC, a researcher at Presbyterian Hospital of Dallas and coauthor of the study. "Knee length stockings have many practical advantages over thigh length in that they lower the risk of problems and health care costs. The improper use and sizing of these stockings and the deficiencies in patient education are important health care issues."

The Study

The researchers used a comparative, descriptive design to study 142 hospitalized postoperative patients. The sample included (119) women and (23) men; the mean age was 57 years (range 18 to 97 years.) Most of the patients (53%) had gynecological surgery. A total of 58 patients (41%) had knee, hip, ankle or foot surgery and (6%) had abdominal, back, shoulder or plastic surgery.

Thirty-seven patients had thigh-length and 105 had knee-length stockings. To be eligible, patients had to be hospitalized surgical patients 18 years or older; have had surgery within the previous 14 days; have a physician's order for graduated compression stockings; have the stockings in place at the time of the study and be in stable condition. The researchers assessed patients' skin, measured their legs, and determined whether there were any problems with the stockings' use. They then compared leg measurements to the manufacturer's sizing chart to determine whether the correct-size stockings had been applied. They also asked patients to rate the comfort of the stockings and to describe their purpose.


Story Source:

The above story is based on materials provided by American Journal of Nursing. Note: Materials may be edited for content and length.


Cite This Page:

American Journal of Nursing. "Compression Stockings Incorrectly Used In 29 Percent Of Patients." ScienceDaily. ScienceDaily, 23 August 2008. <www.sciencedaily.com/releases/2008/08/080820163107.htm>.
American Journal of Nursing. (2008, August 23). Compression Stockings Incorrectly Used In 29 Percent Of Patients. ScienceDaily. Retrieved October 21, 2014 from www.sciencedaily.com/releases/2008/08/080820163107.htm
American Journal of Nursing. "Compression Stockings Incorrectly Used In 29 Percent Of Patients." ScienceDaily. www.sciencedaily.com/releases/2008/08/080820163107.htm (accessed October 21, 2014).

Share This



More Health & Medicine News

Tuesday, October 21, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

CDC Revamps Ebola Guidelines After Criticism

CDC Revamps Ebola Guidelines After Criticism

Newsy (Oct. 21, 2014) The Centers for Disease Control and Prevention have issued new protocols for healthcare workers interacting with Ebola patients. Video provided by Newsy
Powered by NewsLook.com
WHO: Ebola Vaccine Trials to Start a in January

WHO: Ebola Vaccine Trials to Start a in January

AP (Oct. 21, 2014) Tens of thousands of doses of experimental Ebola vaccines could be available for "real-world" testing in West Africa as soon as January as long as they are deemed safe in soon to start trials, the World Health Organization said Tuesday. (Oct. 21) Video provided by AP
Powered by NewsLook.com
First-Of-Its-Kind Treatment Gives Man Ability To Walk Again

First-Of-Its-Kind Treatment Gives Man Ability To Walk Again

Newsy (Oct. 21, 2014) A medical team has for the first time given a man the ability to walk again after transplanting cells from his brain onto his severed spinal cord. Video provided by Newsy
Powered by NewsLook.com
CDC Issues New Ebola Guidelines for Health Workers

CDC Issues New Ebola Guidelines for Health Workers

Reuters - US Online Video (Oct. 21, 2014) The U.S. Centers for Disease Control and Prevention has set up new guidelines for health workers taking care of patients infected with Ebola. Linda So reports. Video provided by Reuters
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins