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护理学报 ›› 2023, Vol. 30 ›› Issue (8): 7-11.doi: 10.16460/j.issn1008-9969.2023.08.007

• 研究生园地 • 上一篇    下一篇

护士深静脉血栓形成风险知识与预防实践现状及影响因素分析

潘姝丞1a, 卞丽芳1b, 骆华芳2, 黄旭叶1c, 黄昉芳1d, 曾颖1e, 王薇1a   

  1. 1.浙江大学医学院附属第一医院 a.护理部;b.肝胆胰外科;c.结直肠外科;d.重症医学科;e.胃肠外科,浙江 杭州 310003;
    2.义乌市中心医院 骨二科,浙江 义乌 322000
  • 收稿日期:2022-09-28 发布日期:2023-05-12
  • 通讯作者: 王薇（1965-）,女,浙江杭州人,博士,博士研究生导师,主任护师。E-mail：wangw2005@zju.edu.cn
  • 作者简介:潘姝丞（1995-）,女,江西南昌人,硕士,博士研究生在读。
  • 基金资助:
    浙江省医药卫生科技计划项目（2020KY111）

Knowledge and practice of nurses on deep vein thrombosis risk and prophylaxis: a cross-sectional survey

PAN Shu-cheng1a, BIAN Li-fang1b, LUO Hua-fang2, Huang Xu-ye1c, HUANG Fang-fang1d, ZENG Yi1e, WANG Wei1a   

  1. 1a. Dept. of Nursing Administration; 1b. Dept. of Hepatobiliary and Pancreatic Surgery; 1c. Dept. of Colorectal Surgery; 1d. Dept. of Critical Care Medicine; 1e. Dept. of Gastrointestinal Surgery, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China;
    2. Dept. of Orthopedics, Yiwu Central Hospital, Yiwu 322000, China
  • Received:2022-09-28 Published:2023-05-12

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摘要： 目的 调查护士深静脉血栓形成风险知识与预防实践现状,并分析其影响因素。方法 采用方便抽样法,2022年5—6月抽取浙江省某3所三级医院959名临床护士作为研究对象。应用经本土化调适后的中文版深静脉血栓形成风险知识与预防实践测评问卷对其进行调查。采用多重线性回归分析护士深静脉血栓形成风险知识与预防实践的影响因素。结果 本组护士深静脉血栓形成风险知识分数为（29.75±3.10）分,准确率87.5%;预防实践分数为（69.08±7.82）分。其风险知识多重线性回归结果显示：受教育程度、N级护士、所在科室、曾接受静脉血栓栓塞症（含）或深静脉血栓形成培训种类、是否有静脉血栓栓塞症（含）或深静脉血栓形成培训需求5个变量进入回归方程（P<0.001）;其预防实践多重线性回归结果显示：所在科室、是否曾接受静脉血栓栓塞症或深静脉血栓形成相关培训、静脉血栓栓塞症或深静脉血栓形成培训种类、培训效果评价4个变量进入回归方程（P<0.001）。结论 护士深静脉血栓形成风险知识与预防实践水平总体较好,其中风险因素是深静脉血栓形成风险知识的薄弱环节。护士受教育程度、不同护士层级、不同科室、是否曾接受静脉血栓栓塞症或深静脉血栓形成相关培训、培训种类、培训效果评价是影响护士深静脉血栓形成风险知识与预防实践的因素。医院管理者应注重加强护士对深静脉血栓形成风险因素的认知水平,同时改善医院静脉血栓栓塞相关防范管理制度及培训效果,进一步提高护士深静脉血栓形成风险知识与预防实践水平。

关键词: 静脉血栓栓塞症, 深静脉血栓形成, 护士, 风险, 影响因素

Abstract: Objective To investigate the knowledge and practice of nurses on deep vein thrombosis (DVT) risk and prophylaxis. Methods Convenient sampling was used to select 959 clinical nurses from 3 tertiary hospitals in Zhejiang province from May and June 2022. Nurses were investigated by using the Chinese version of Knowledge and Practice of Nurses on DVT Risk and Prophylaxis. Multiple linear regression was used to analyze the influencing factors. Results The score of nurses' knowledge on DVT risk was 29.75±3.10, with an overall accuracy rate of 87.5%. The score of nurses' practice of DVT prophylaxis was 69.08±7.82. Multiple linear regression showed that education background, classification of nursing levels, clinical departments, previous DVT-related training type, and need for further training on DVT were influencing factors of nurses' risk knowledge of DVT (P<0.001). While nurses' practice of DVT prophylaxis were influenced by clinical departments, previous DVT-related training, DVT-related training type, and training effect assessment(P<0.001). Conclusion The recruited nurses' knowledge and practice on DVT risk and prophylaxis are generally good, but they have inadequate knowledge on DVT risk factors. Education background, classification of nursing levels, clinical departments, previous DVT-related training type, and training effect assessment are influence factors. Strengthened nurses' knowledge on DVT risk factors, and improved DVT prevention system and training effect are beneficial to promote the knowledge and practice of nurses on DVT risk and prophylaxis.

Key words: venous thromboembolism, deep vein thrombosis, nurse, risk, analysis

中图分类号: 

  • R47
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