The effect of the use of compression stockings on stress levels and blood clotting parameters in women who have undergone gynaecological operations
DOI:
https://doi.org/10.15574/PP.2025.3(103).1322Keywords:
preoperative compression stockings, chronic stress, gynecological surgery, stress hormones, prolactin, cortisol, blood clotting, perceived stress scale, Rieder stress inventory, deep vein thrombosisAbstract
Chronic stress significantly contributes to the development of deep vein thrombosis (DVT) and negative surgical outcomes.
Aim - to determine the effectiveness of the use of compression stockings and their effect on stress levels and blood clotting parameters in women who have undergone gynecological operations.
Materials and methods. The examined 40 women who were chronically stressed and underwent gynecological operations were randomly divided into two groups: one used preoperative compression stockings on their legs (group 1; n=20), the other did not use (group 2; n=20). Blood samples were collected to measure prolactin, cortisol and blood clotting parameters (prothrombin time, activated partial thromboplastin time and fibrinogen levels). Participants also completed the Perceived Stress Scale (PSS) and Reader’s Stress Inventory.
Results. The study showed that all indicators were better in the group 1 compared to the group 2: prolactin levels were significantly lower (21.7±3.8 ng/ml versus 25.3±4.7 ng/ml); cortisol levels were also lower (16.4±5.2 μg/dL versus 19.3±6.1 μg/dL); blood clotting parameters indicated faster prothrombin time (11.8±1.2 s versus 14.0±1.1 s), activated partial thromboplastin time (30.2±2.8 s versus 34.5±2.5 s) and lower fibrinogen levels (306.3±35.6 mg/dL versus 347.1±38.4 mg/dL). The level of perceived stress was also lower in the group 1 (26.1±6.3 points) compared to the group 2 (30.4±4.7 points).
Conclusions. Preoperative compression stockings significantly reduce the level of stress hormones, perceived stress and improve blood clotting parameters in women undergoing gynecological surgery (the effectiveness was 98%). It is recommended to include to use of these stockings in the protocols of preoperative preparation for this group of patients.
The study was carried out in accordance with the principles of the Declaration of Helsinki and was approved by the ethics committee of this institution.
The authors declare that there is no conflict of interest.
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