基于患者参与患者安全理念下的卧床患者静脉血栓知信行调查  

Investigation of venous thrombosis in bedridden patients based on the concept of patient safety

作　　者：韩珂[1] 韩莲英[1] 倪丹[1] 蔡燕婷[1] 濮琦琳[1] 梁娟[1] 宋丹 陈燕[1] HAN Ke;HAN Lianying;NI Dan;CAI Yanting;PU Qilin;LIANG Juan;SONG Dan;CHEN Yan(Department of Nursing,the Fourth Affiliated Hospital of NanChang University,Jiangxi Province,Nanchang330003,China)

机构地区：[1]南昌大学第四附属医院护理部,江西南昌330003

出　　处：《中国当代医药》2022年第3期124-126,130,共4页China Modern Medicine

基　　金：江西省卫生计生委科技计划项目(20185304)。

摘　　要：目的探讨基于患者参与患者安全理念下的卧床患者预防静脉血栓知信行的现状。方法采用目的抽样法选取2018年1月至2019年12月南昌大学第四附属医院收治的221例符合标准的卧床患者,进行面对面问卷调查。结果卧床患者静脉血栓预防知识得分为(23.18±2.35)分,卧床患者参与血栓预防意愿得分为(30.21±7.76)分,卧床患者参与血栓预防行为得分为(37.62±5.54)分,不同的人口学特征会影响患者知信行得分。结论卧床患者静脉血栓知识水平较低,且低学历人群及住院时间较短的患者明显低于其他人群;参与预防意愿和行为均处于较高水平为中等水平,医务人员应加强宣教,提高患者对静脉血栓的认知,促进患者主动参与血栓预防,从而降低住院期间的静脉血栓发生率。Objective To explore the prevention of venous thrombosis in bedridden patients based on the concept of patient safety.Methods A total of 221 bedridden patients who were admitted to the Fourth Affiliated Hospital of Nanchang University from January 2018 to December 2019 were selected,for face-to-face questionnaires were conducted.Results The knowledge score for venous thrombosis prophylaxis in bedridden patients was(23.18±2.35),the willingness score for bedridden patients to participate in thromboprophylaxis was(30.21±7.76),the score for bedridden patients participating in thromboprophylaxis behavior was scored(37.62±5.54),different demographic characteristics can affect patient confidence scores.Conclusion The knowledge level of bedridden patients about venous thrombosis is low,and the patients with low education level and short hospitalization time are significantly lower than other groups of people.The willingness and behavior of bedridden patients to participate in prevention of venous thrombosis were at moderate level.Medical personnel should strengthen education,improve patients′cognition of venous thrombosis,and promote patients to take the initiative to participate in the prevention of venous thrombosis,so as to reduce the incidence of venous thrombosis during hospitalization.

关 键 词：患者参与患者安全 老年卧床患者 静脉血液栓塞 

分 类 号：R473.74[医药卫生—护理学]