Photoplethysmography-based assessment of varicose vein-related risk factors,exercise health beliefs,and venous refill time in healthcare professionals working in operating rooms and outpatient clinics
Restricted accessResearch articleFirst published online December, 2024
Photoplethysmography-based assessment of varicose vein-related risk factors,exercise health beliefs,and venous refill time in healthcare professionals working in operating rooms and outpatient clinics
Impaired venous return is observed in healthcare professionals who spend long periods standing and sitting. This descriptive cross-sectional study was conducted to evaluate varicose vein-related risk factors, exercise health beliefs, and venous refill time in healthcare professionals working in operating rooms and outpatient clinics by photoplethysmography.
Method
The study sample consisted of 100 healthcare professionals without a diagnosis of peripheral venous insufficiency. Data were collected using a descriptive characteristics form, the Health Belief Model Scale for Exercise, the Short-Form McGill Pain Questionnaire, and photoplethysmography.
Result
This study found that OR nurses had shorter venous refill times and experienced more pain due to prolonged standing, despite their high health beliefs about exercise.
Conclusion
Healthcare professionals working in operating rooms should be screened for venous insufficiency and trained regarding the practices to prevent venous insufficiency, such as lying down, elevating legs, and using elastic stockings.
Cires-DrouetRSFangyangLRosenbergerS, et al.High prevalence of chronic venous disease among health care workers in the United States. J. Vasc. Surg2020; 8(2): 224–230, Venous and lymphatic disorders. DOI: 10.1016/j.jvsv.2019.10.017.
2.
PanpikoonTWedsartBTreesitT, et al.Duplex ultrasound findings and clinical classification of lower extremity chronic venous insufficiency in a Thai population. J. Vasc. Surg2019; 7(3): 349–355, Venous and lymphatic disorders 2019. DOI: 10.1016/j.jvsv.2018.08.012.
3.
TüchsenFKrauseNHannerzH, et al.Standing at work and varicose veins. Scand J Work Environ Health2000; 26: 414–420.
4.
KroegerKOseCRudofskyG, et al.Risk factors for varicose veins. Int Angiol2004; 23: 29–34.
5.
KabalcıMKültürT. ChronicVenous Insufficiency and Current Treatment Options. Middle East Journal Of Medicine2017; 9(4): 191–197.
6.
GloviczkiPComerotaAJDalsingMC, et al.The care of patients with varicose veins and associated chronic venous diseases: clinical practice guidelines of the Society for Vascular Surgery and the American Venous Forum. J. Vasc. Surg2011; 53(5 Suppl): 2s–48s.
7.
VolkmannEFalkAHolmJ. Effect of varicose vein surgery on venous reflux scoring and plethysmographic assesment of venous function. Eur J Vasc Endovasc Surg2008; 36: 731–737.
8.
YounYJLeeJ. Chronic venous insufficiency and varicose veins of the lower extremities. Korean J Intern Med2018; 34: 269–283.
9.
AkbulutBTokMUçanH, et al.Comman Venous System disor-ders;Prevalance, risk factors and management. Anatol J Clin İnvestig2009; 3(1): 113–119.
BennSMooreZPattonD, et al.What is the prevalence of chronic venous disease among health care workers? A scoping review. Int Wound J2023; 20: 3821–3839. Advance online publication. DOI: 10.1111/iwj.14222.
12.
DikenAYalçınkayaAAksoyE. Prevalence, presentation and occupational risk factors of chronic venous disease in nurses. Phlebology2015; 31(2): 111–117.
13.
ObiebiIPMoetekeNSEzeGU, et al.How mindful of their own health are healthcare professionals? perception and practice of personnel in a tertiary hospital in Nigeria. Ghana Med. J2020; 54(4): 215–224.
14.
MelzackR. The Short-Form McGill Pain Questionnaire. Pain1987; 30(2): 191–197.
15.
BiçiciB. Investigation of the validity and reliability of the mcgill Short formula for pain duration. Bornova, Turkiye: Ege University Institute Of Health Sciences Nursing Fundamentals Masters Thesis, 2010.
16.
VillarOAlvaradoPVegaM, et al.Factor struc-ture and internal reliability of an exercise health belief model scale in a Mexican popula-tion. BMC Public Health2017; 17(1): 229.
17.
YılmazMDKartalASağlığıH. Egzersiz Sağlık İnanç Modeli Ölçeği’nin geçerlik ve güvenirlik çalışması.The Validity And Reilability Study Of The Exercise Health Belief Model Scale. Yıldırım Beyazit Law Journal2021; 42(1)–61.
18.
KelechiTJBonhamPA. Measuring venous insufficiency objectively in the clinical setting. J Vasc Nurs2008; 26(3): 67–73. DOI: 10.1016/j.jvn.2008.05.002.
19.
CetinCSerbestMOErcanS, et al.An evaluation of The lower extrem-ity muscle Strength of Patients With Chronic Venous Insufficiency. Phlebology2016; 31: 203–208.
20.
SantlerBGoergeT. Chronic venous insufficiency - a review of pathophysi-ology, diagnosis, and treatment. J Dtsch Dermatol Ges2017; 15(5): 538–556. DOI: 10.1111/ddg.13242.
21.
YunMJKimYKKangDM, et al.A Study on Prevalence and Risk Factors for Varicose Veins in Nurses at a University Hospital. Safe-ty and Health at Work2018; 9(1): 79–83. DOI: 10.1016/j.shaw.2017.08.005.
22.
LurieFRookeTWGloviczkiP, et al.Evaluation Of Venous Function by Indirect Nanivasive Tests (ple-thysmography). In: Handbook Of Venous Disorders: Guidelines of the American Venous Forum. 3rd Ed. Boca Raton: CRC Press, 2008, pp. 156–159.
PappasPDuranWNHobsonRW. Pathology and Cellubar Physiology of chronic ve-nous insufficiency. In: GloviczkiPYaoJS (eds). Handbook of Venous Disorders. Znd ed.NewYork, NY: Arnold, 2001, pp. 58–67.
25.
PadbergF. The Physiology And Hemodynamic Of The Normal Venous Circulation. In: GloviczkiPYaoJs (eds). Handbook Of Venous Disorders. 2nd. Ed.New York, Ny: Arnold, 2001, pp. 25–35.
26.
CarpentierPHMaricqHRBiroC, et al.Prevalence, risk fac-tors, and clinical patterns of chronic venous disorders of lower limbs: A population-based study in France. J Vasc Surg2004; 40(4): 650–659.
27.
Łastowiecka-MorasE. How posture influences venous blood flow in the lower limbs: re-sults of a study using photoplethysmography. Int J Occup Saf Ergon2017; 23(2): 147–151. DOI: 10.1080/10803548.2016.1256938.
28.
KostasTIIoannouCVDrygiannakisI, et al.Chronic venous disease progression and modification of predisposing fac-tors. J Vasc Surg2010; 51: 900e7.
29.
BisharaRASigelBRoccoK, et al.Deterioration of venous function in normal lower extremities during daily activity. J Vasc Surg1986; 3(5): 700–706. DOI: 10.1016/0741-5214(86)90032-7.
30.
NicolaidesANLabropoulosN. Burden and suffering in chronic venous disease. Adv Ther2019; 36(1–4): 20190213. DOI: 10.1007/s12325-019-0882-6.
31.
FranzAWann-HanssonC. Patients’ experiences of living with varicose veins and man-agement of the disease in daily life. J Clin Nurs2016; 25(733–741): 20151028. DOI: 10.1111/jocn.13023.
32.
TüchsenFHannerzHBurrH, et al.Prolonged standing at work and hospitalisa-tion due to varicose veins: a 12 year prospective study of the Danish population. Occup Environ Med2005; 62(12): 847–850. DOI: 10.1136/oem.2005.020537.
33.
SalmonJBoothMLPhongsavanP, et al.Promoting physical activity participation among children and adolescents. Epidemiologic Reviews2007; 29(1): 144–159. DOI: 10.1093/epirev/mxm010.
34.
ErcanSÇetinCYavuzT, et al.Effects of isokinetic calf muscle ex-ercise program on muscle strength and venous function in patients with chronic venous insufficiency. Phelobology2018; 33(4): 261–266.
35.
ÖzdemirÖÇAltındağEAvcıF., et al.Kronik venöz yet-mezlik. Türkiye Klinikleri J Health Sci2016; 1(2): 125–138.
36.
DaviesJBullRFarrellyI, et al.Improving the calf pump using home-based ex-ercises for patients with chronic venous disease. Wounds UK2008; 4(3): 48–55.
37.
BackTLPadbergFTArakiCT, et al.Limited range of motion is a significant factor in venous ulceration. J Vasc Surg1995; 22(5): 519–523.
38.
ÖztürkHÖztürkŞY. Alt Extremite Venöz Doppler Ultrasonografik İnceleme Yapılan Hastaların Özellikleri. Van Tıp Dergisi2014; 21(4): 193–196.
