外科护士静脉血栓栓塞症预防知信行现状及影响因素  

Factors and current status of surgical nurses′ knowledge, beliefs and behaviors on venous thromboembolism prophylaxis

作　　者：李欣[1] 孙超[1] 邵欣[2] 罗家音 王宁[4] 王德慧[5] 胡慧秀[1] Li Xin;Sun Chao;Shao Xin;Luo Jiayin;Wang Ning;Wang Dehui;Hu Huixiu(Department of Nursing,Beijing Hospital National Center for Geriatrics Research Institute of Geriatrics,Chinese Academy of Medical Sciences,Beijing 100730,China;Intensive Care Unit,Beijing Hospital National Center for Geriatrics Research Institute of Geriatrics,Chinese Academy of Medical Sciences,Beijing 100730,China;Department of Vascular Surgery,Beijing Hospital National Center for Geriatrics Research Institute of Geriatrics,Chinese Academy of Medical Sciences,Beijing 100730,China;Sterilization and Supply Center,Beijing Hospital National Center for Geriatrics Research Institute of Geriatrics,Chinese Academy of Medical Sciences,Beijing 100730,China;Department of Obstetrics,Beijing Hospital National Center for Geriatrics Research Institute of Geriatrics,Chinese Academy of Medical Sciences,Beijing 100730,China)

机构地区：[1]北京医院护理部、国家老年医学中心、中国医学科学院老年医学研究院,北京100730 [2]北京医院重症监护室科、国家老年医学中心、中国医学科学院老年医学研究院,北京100730 [3]北京医院血管外科国家老年医学中心、中国医学科学院老年医学研究院,北京100730 [4]北京医院消毒供应中心、国家老年医学中心、中国医学科学院老年医学研究院,北京100730 [5]北京医院产科、国家老年医学中心、中国医学科学院老年医学研究院,北京100730

出　　处：《国际护理学杂志》2023年第23期4267-4275,共9页international journal of nursing

基　　金：中央高水平医院临床科研业务费资助(BJ-2019-194)。

摘　　要：目的调查北京市某三级甲等医院外科护士对预防静脉血栓栓塞症(Venous Thromboembolism, VTE)知信行的现状, 并分析其影响因素, 为后期VTE预防干预措施的制定与实施提供参考依据。方法于2022年5月, 采用自制的VTE知信行调查问卷对北京市某三甲医院13个外科临床科室的321名护理人员开展问卷调查。结果共调查321名护士, 其中VTE预防知识、态度、行为总均分分别为(0.77±0.26)分、(3.04±1.29)分、(4.11±0.83)分。多元线性回归分析显示:工作后接受过VTE培训是知识维度的影响因素(调整后R2=0.178);自我报告VTE的了解程度和工作后接受过VTE培训是态度维度的影响因素(调整后R2=0.066);自我报告VTE的了解程度、工作后接受过VTE培训和在骨科工作是行为维度(调整后R2=0.146)和问卷总分(调整后R2=0.193)的影响因素。结论某三甲医院外科护士缺乏预防VTE相关知识且VTE相关预防措施执行率较低, 但预防VTE态度积极, 医院应加强VTE预防相关知识培训, 提高VTE评估能力, 构建VTE防治体系。Objective To investigate the current status and analyze the related factors for knowledge,beliefs and behaviors towards prevention of Venous Thromboembolism(VTE)among surgical nurses in this hospital,so as to provide reference for the implementation of VTE prevention in the future.Methods In May 2022,the survey was conducted among 321 nurses in 13 surgical clinical departments using self-made VTE knowledge,beliefs and behaviors questionnaire.Results A total of 321 nurses were investigated.The grand average score of VTE prevention knowledge,beliefs and behaviors was respectively(0.77±0.26)score,(3.04±1.29)score,(4.11±0.83)score.The results of multiple regression analysis showed that VTE training during work was the influencing factor of knowledge(adjusted R2=0.178).Meanwhile,Self-reported knowledge of VTE and having received VTE training after work were influences on the attitude dimension(adjusted R2=0.066).Self-reported knowledge of VTE,having received VTE training after work,and working in orthopedics were influential factors for the behavioral dimension(adjusted R2=0.146)and total questionnaire score(adjusted R2=0.193).Conclusions The knowledge and practice for VTE prevention of nurses is lack.But the attitude is positive.The hospitals should strengthen the training of knowledge for VTE prevention,so as to improve the ability of VTE evaluation and build VTE prevention as well as treatment system.

关 键 词：外科护士 静脉血栓栓塞症 预防 知信行 横断面研究 

分 类 号：R473.5[医药卫生—护理学]