慢性原发性ITP患者静脉血栓形成认知影响因素及与预防行为的相关性  

Influencing factors of venous thrombosis cognition in patients with chronic primary ITP and its correlation with preventive behavior

作　　者：尹珍珍 徐熙妍 王秀娟[1] 韩春霞[1] YIN Zhenzhen;XU Xiyan;WANG Xiujuan;HAN Chunxia(The First Department of Hematology,the First Affiliated Hospital of Xinjiang Medical University,Xinjiang Uygur Autonomous Regin,Urumqi830054,China)

机构地区：[1]新疆医科大学第一附属医院血液病一科,新疆乌鲁木齐830054

出　　处：《中国医药导报》2025年第8期99-103,共5页China Medical Herald

基　　金：新疆维吾尔自治区自然科学基金项目(2021D01C333)。

摘　　要：目的 分析慢性原发性免疫性血小板减少症(ITP)患者静脉血栓形成(VT)认知影响因素及与预防行为的相关性。方法 选取2022年1月至2024年3月新疆医科大学第一附属医院收治的296例慢性原发性ITP患者作为研究对象,采用自制《ITP患者VT认知调查问卷》和《ITP患者VT预防行为调查问卷》评价VT认知水平和预防行为。采用Pearson相关分析慢性原发性ITP患者VT认知总分与预防行为评分相关性。采用多元线性回归分析VT认知影响因素。结果 慢性原发性ITP患者VT认知总分和预防行为评分分别为(20.16±4.45)分和(47.02±5.88)分。Pearson相关分析显示,VT认知总分与预防行为评分呈正相关(r=0.517,P<0.01)。多元线性回归分析显示,年龄(B=-1.320)、民族(B=-1.090)、文化程度高中/中专和大专及以上(B=2.098、4.103)、居住地(B=-1.511)、病程5~10年和>10年(B=2.350、3.359)和VT培训情况(B=-1.803)是慢性原发性ITP患者VT认知总分的影响因素(P<0.05)。结论 慢性原发性ITP患者VT认知处于中等水平。年龄≥60岁、少数民族、文化程度低、居住地在农村、病程短和未接受过VT培训的患者VT认知水平低,临床上应当关注重点人群,加强VT培训,以提高慢性原发性ITP患者VT知识水平。Objective To analyze influencing factors of venous thrombosis(VT)cognition in patients with chronic primary immune thrombocytopenia(ITP)and its correlation with preventive behavior.Methods A total of 296 patients with chronic primary ITP from the First Affiliated Hospital of Xinjiang Medical University from January 2022 to March 2024 were selected as research subjects.Self-made VT Cognition Survey Questionnaire for ITP Patients and Prevention Behavior Survey Questionnaire for ITP Patients were used to evaluate level of VT cognition and prevention behavior.Pearson correlation was used to examine the correlation between the total score of VT cognition and the score of preventive behavior in chronic primary ITP patients.Multiple linear regression was used to investigate influencing factors for VT cognition.Results The total score of VT cognition and preventive behavior score in chronic primary ITP patients were(20.16±4.45)points and(47.02±5.88)points respectively.Pearson correlation analysis showed that total score of VT cognition was positively correlated with the score of preventive behavior(r=0.517,P<0.01).Multiple linear regression showed that age(B=-1.320),ethnicity(B=-1.090),education level of high school or vocational school and junior college and above(B=2.098,4.103),place of residence(B=-1.511),disease duration of 5-10 years and>10 years(B=2.350,3.359),and VT training status(B=-1.803)were influencing factors for total score of VT cognition in chronic primary ITP patients(P<0.05).Conclusion VT cognition in chronic primary ITP patients is at a moderate level.Patients with age≥60 years old,ethnic minorities,low educational level,residing in rural areas,short disease duration,and those who have not received VT training have low VT cognition level.In clinical practice,attention should be paid to key populations and VT training should be strengthened to improve VT knowledge level in chronic primary ITP patients.

关 键 词：慢性原发性免疫性血小板减少症 静脉血栓形成 认知水平 预防行为 影响因素 

分 类 号：R558.3[医药卫生—血液循环系统疾病]