Journal List > J Korean Acad Nurs Adm > v.23(1) > 1051944

Kim, Kim, Sim, Jung, Kim, Jang, and Shin: Adaptation and Effects of the Evidence-based IPC Nursing Protocol on Prevention of Postoperative Venous Thromboembolism



This study was conducted to adapt the standardized evidence-based nursing protocol using the IPC (intermittent pneumatic compression) intervention to prevent venous thromboembolism in surgical patients. Further, an investigation was done to measure knowledge on prevention of venous thromboembolism, surrogate incidence of venous thromboembolism and to assess IPC compliance in the study patients compared with those in surgical patients who underwent IPC intervention due to previous clinical experience.


An analysis was done of the nine modules suggested by National Evidence-based Healthcare Collaborating Agency (NECA) in the adaptation manual of the clinical practice guideline for protocol adaptation. A nonequivalent control group post test design as a quasi-experiment was used to verify the effect of the IPC protocol.


There was a significant difference in knowledge of prevention of venous thromboembolism, IPC application time after intervention and the number of IPC applications between the experimental group (n=50) using the IPC nursing protocol and the control group (n=49). However, the symptoms of deep vein thrombosis and pulmonary thromboembolism were not observed in either the experimental group or the control group after the intervention.


Results confirm that the standardized IPC nursing protocol provides effective intervention to prevent venous thromboembolism in surgical patients.

Figures and Tables

Table 1

Research Process


IPC=Intermittent Pneumatic Compressure.

Table 2

Evidence-based IPC Nursing Protocol to Prevent Postoperative VTE


VTE=Venous thromboembolism; IPC=Intermittent pneumatic compressure; DVT=Deep vein thrombosis; PTE=Pulmonary thromboendarterectomy.

Table 3

Verification of Homogeneity and General Characteristics of Participants (N=99)


*Fisher's exact test; Exp.=Experimental group; Cont.=Control group.

Table 4

Homogeneity Test of Dependent Variables on Pretest (N=99)


*Fisher's exact test; Exp.=Experimental group; Cont.=Control group; DVT=Deep vein thrombosis; PE=Pulmonary embolism.

Table 5

Difference in Dependent Variables between Two Groups (N=99)


Exp.=Experimental group; Cont.=Control group; DVT=Deep vein thrombosis; PE=Pulmonary embolism.


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