Yun-Hee Kim | 2 Articles |
Purpose
This study aimed to identify the characteristics and efficacy of Intermittent Pneumatic Compression (IPC) interventions for preventing Venous Thromboembolism (VTE) in critically ill patients. Methods: The CENTRAL, Embase, OVID, CINAHL, KMbase, KoreaMed, and KoreaScience databases were searched from January 7 to 11, 2023. The search included all records from the inception of each database up to January 2023, with publication language restrictions to English and Korean. Three reviewers independently carried out the entire process, which included data search, quality assessment, and data extraction. Results: Out of 1066 articles, six Randomized Controlled Trials (RCTs) were included. One of the four studies that reported on the incidence of DVT, and one of the six studies that measured the incidence of Pulmonary Embolism (PE), found that IPC alone was effective in reducing the incidence of DVT and PE. One of the four studies that reported on VTE incidence demonstrated a significant reduction in VTE incidence with a triple intervention of IPC, anticoagulants, and elastic compression stockings compared to a combined intervention of anticoagulants and graduated compression stockings. Four studies that reported data on the incidence of bleeding reported no effect on reducing bleeding. Conclusion: Our findings suggest that IPC interventions may reduce the incidence of DVT as a preventive strategy in critically ill patients. Further RCTs are necessary to evaluate the effect of IPC interventions on DVT prevention in this patient population and to provide robust evidence for critical care nursing.
Purpose
The aim of this study was to identify the knowledge structure of nursing research on heart failure in Korea. Methods Fifty-two studies published in Korea and 41 published abroad by domestic researches from 1988 to 2019, were included. Meaningful morphemes from the abstracts were extracted and refined, and co-occurrence matrix was generated. Using Phython 3.7 for edge weight, degree centrality, closeness centrality, and betweenness centrality and Gephi 0.9.2 for visualization, 571 keywords were analyzed. Results The core keywords were “patient”, “heart failure”, “symptom”, “function”, “quality of life”, “self-care”, and “intervention”. The sociogram identified “patient”, “heart failure”, and “symptom” as the largest node, and the edge weight between the keywords was the highest. From 1988 to 2019, keywords such as “patient”, “heart failure”, and “symptom” ranked the highest. Especially, from 2016 to 2019, “quality of life”, “NYHA”, and “medication” ranked lower, but “cognition”, “health literacy”, “behavior”, “self-efficacy”, “man”, “woman”, and “age” newly appeared or ranked higher. Conclusion It is recommended that Korean heart failure nursing researchers conduct researches related to self-care for symptom management of heart failure patients, especially on nursing interventions. In addition, nursing researchers should conduct studies on the cognition and health literacy related to self-care of the elderly patients with heart failure Citations Citations to this article as recorded by
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