[Survey of nurses about compression therapy of acute deep venous thrombosis. Field study in Saxony-Anhalt].
BACKGROUND
In clinical practice, the compression therapy is an established method for the treatment of acute deep vein thrombosis (DVT). The aim of this study was to clarify the extent to which current guidelines and results of studies done in the field for the treatment of acute DVT--particularly compression therapy--are implemented in clinical practice.


METHODS
All hospitals in Saxony-Anhalt using primary diagnosis and therapy for DVT (n = 34) were informed about a survey in 2007 and the nursing staff of angiology and internistical wards in these hospitals was asked to take part. The collection of data was done with the help of a questionnaire that had been designed and tested for its validity in a specialised hospital. 510 questionnaires were distributed. The response rate of questionnaires was 69 percent.


RESULTS
79 percent of the nursing staff of internistical wards in Saxony-Anhalt and 94 percent of the nursing staff of angiology wards said that patients with acute DVT have initially received a compression bandage. Significant deficits were visible in transferring the knowledge of evidence-based medicine and nursing regarding techniques of compression bandage. The recommended Fischer-Bandage was only put on in exceptional cases in internistical wards (3 percent) and Angiology (2 percent). Compression stockings were not a suitable method into the treatment of acute deep vein thrombosis of Angiology. 21 percent of the nursing staff of internistical wards said that they have initially applied compression stockings.


CONCLUSIONS
The treatment of acute DVT is important in clinical practice. The compression bandage should be effectively put on the leg. The quality of care and long-term compliance of the patients could be increased this way, leading to prevention of post thrombotic syndrome (PTS) and reduction the duration of patients stay in the clinics.
Thieme
Dorothea
D
Berufsfachschule for Krankenpflege am Klinikum Coburg. dorotheathieme@web.de
Langer
Gero
G
Behrens
Johann
J
D000208:Acute Disease; D003299:Cooperative Behavior; D004059:Diffusion of Innovation; D055318:Evidence-Based Nursing / Q000592:standards*; D005858:Germany; D019983:Guideline Adherence / Q000592:standards / Q000706:statistics & numerical data*; D006801:Humans; D007318:Inservice Training; D033183:Interdisciplinary Communication; D011785:Quality Assurance, Health Care / Q000592:standards; D013041:Specialties, Nursing; D053828:Stockings, Compression / Q000592:standards*; D020246:Venous Thrombosis / Q000451:nursing*