摘要
目的了解创伤骨科术后患者下肢DVT预防的知信行现状及其影响因素,为完善创伤骨科术后下肢DVT的行为干预策略提供参考依据。方法采取便利抽样方法,选取2019年1—4月在某三级甲等医院创伤骨科住院的150例骨科术后患者,采用一般人口学资料调查表、骨科患者下肢DVT预防知信行调查量表进行调查。运用SPSS 18.0统计软件进行数据分析。结果150例患者下肢DVT预防的知信行总分为(77.78±8.16)分,其中知识(14.44±4.03)分,信念(54.21±5.34)分,行为(8.09±1.46)分。单因素分析显示,不同年龄、文化程度、职业及手术部位的患者下肢DVT预防的知识得分差异有统计学意义(F值分别为2.075、14.829、10.312、7.406;P<0.05);不同手术部位的患者信念得分差异有统计学意义(F=9.765,P<0.05);不同文化程度、手术部位和主要照护者的患者行为得分差异有统计学意义(F值分别为3.151、4.178、2.810;P<0.05)。多因素分析显示,文化程度及职业是知识得分的主要影响因素,文化程度与主要照护者是行为得分的主要影响因素。结论创伤骨科术后患者下肢DVT预防的知信行受文化程度、职业及主要照护者影响,患者相关知识缺乏,预防态度积极,行为依从性相对较高。
Objective To understand the current status of the knowledge-attitude-practice of lower extremity deep venous thrombosis(DVT)prevention in patients after traumatic orthopedic surgery and its influencing factors,and to provide a reference for improving the behavioral intervention strategies.Methods A convenient sampling method was adopted to select 150 orthopedic patients who were hospitalized in the Traumatic Orthopedics Department of a Class A tertiary hospital from January to April 2019.The general demographic data questionnaire and the lower extremity DVT development knowledge-attitude-practice questionnaire were used to collect data.Data analysis was performed using SPSS 18.0 statistical software.Results The total score of knowledge-attitude-practice for DVT prevention in 150 patients was(77.78±8.16),with knowledge(14.44±4.03),attitude(54.21±5.34),and practice(8.09±1.46).Univariate analysis showed that ages,education levels,occupations,and surgical sites had statistically significant impact on knowledge scores for lower extremity DVT prevention(F=2.075,14.829,10.312,7.406;P<0.05);surgical sites had statistically significant impact on attitude scores(F=9.765,P<0.05);educational levels,surgical sites and caregivers had statistically significant impact on practice scores(F=3.151,4.178,2.810;P<0.05).Multivariate analysis showed that education levels and occupation were the main influencing factors of knowledge score,and education and primary caregivers were the main influencing factors of practice score.Conclusions The knowledge-attitude-practice of DVT prevention in patients after traumatic orthopedic surgery are affected by education level,occupation and primary caregiver.Patients lack relevant knowledge while having positive prevention attitude,and relatively high behavioral compliance.
作者
童年
李珍
秦梅兰
秦月兰
Tong Nian;Li Zhen;Qin Meilan;Qin Yuelan(Department of Nursing,Hunan Provincial People's Hospital and the First Affiliated Hospital of Hunan Normal University,Changsha 410005,China)
出处
《中华现代护理杂志》
2020年第2期168-172,共5页
Chinese Journal of Modern Nursing
关键词
静脉血栓形成
下肢
手术后并发症
创伤骨科
深静脉血栓
知信行
预防
影响因素
Venous thrombosis
Lower extremity
Post-surgery complications
Traumatic orthopedics
Deep venous thrombosis
Knowledge-attitude-practice
Prevention
Influencing factors
