摘要
目的了解妊娠期妇女静脉血栓栓塞症(venous thromboembolism,VTE)预防的知信行现状并分析其影响因素。方法采用便利抽样法,于2022年10月至2023年3月,在湖南省某三甲医院产科门诊抽取符合纳入标准的259名妊娠期妇女作为研究对象,采用一般资料调查表和孕产妇VTE预防知信行调查问卷进行调查,对妊娠期妇女VTE预防的知识、态度和行为得分进行Pearson相关性分析。将单因素分析中有意义的变量作为自变量,将妊娠期妇女VTE预防的知识、态度和行为得分作为因变量,采用输入法分别进行多元线性回归分析。结果妊娠期妇女VTE预防的知信行总得分为(168.69±37.64)分,总得分率为64.88%,其中知识维度的得分为(79.07±24.96)分,得分率为58.57%;态度维度的得分为(62.98±10.58)分,得分率为78.73%;行为维度的得分为(26.63±7.78)分,得分率为59.17%。多因素分析结果显示,既往VTE病史、接受VTE预防的宣教史是妊娠期妇女VTE预防的知识和态度得分的主要影响因素(均P<0.05),文化程度、既往VTE病史、接受VTE预防的宣教史和产次是妊娠期妇女VTE预防的行为得分的主要影响因素(均P<0.05)。结论妊娠期妇女VTE预防的态度较好,但知识和行为尚存在不足,在开展健康宣教时,应多关注既往VTE病史的妊娠期妇女,重视整个妊娠期的持续性、个性化的血栓预防管理。
Objective To understand the status quo of knowledge,attitude and practice(KAP)on venous thromboembolism(VTE)prevention in pregnant women and analyze its influencing factors,so as to provide scientific basis for clinical prevention and management of VTE in pregnant women.Methods From October 2022 to March 2023,259 pregnant women were selected as the research objects in the obstetrics clinic of a ClassⅲGrade A hospital in Hunan Province.The general information questionnaire and the VTE prevention knowledge,attitude and practice questionnaire of pregnant women were used to investigate the current status and influencing factors of VTE prevention knowledge,attitude and practice of pregnant women.Correlation analysis was performed through Pearson correlation coefficient(PPC)test and multiple linear regression.Results The total score of knowledge,attitude and practice of VTE prevention in pregnant women was(168.69±37.64),with a total scoring rate of 64.88%,and the score of knowledge dimension was(79.07±24.96),with a scoring rate of 58.57%;The score of attitude dimension was(62.98±10.58),with a scoring rate of 78.73%;The score of behavior dimension was(26.63±7.78),with a scoring rate of 59.17%.Multivariate analysis showed that previous history of VTE and education history of VTE prevention were the main influencing factors of knowledge and attitude scores of VTE prevention in pregnant women(all P<0.05).Education level,previous history of VTE,history of receiving education on VTE prevention and delivery times were the main influencing factors of VTE prevention behavior score in pregnant women(all P<0.05).Conclusion Pregnant women have a good attitude to VTE prevention,but their knowledge and behavior are still insufficient.More attention should be paid to pregnant women with a history of VTE and continuous and personalized thrombosis prevention and management during the whole pregnancy.
作者
彭小蓉
莫伟
李琴
吴雅琴
李兰
Peng Xiaorong;Mo Wei;Li Qin;Wu Yaqin;Li Lan(The First Affiliated Hospital of Hunan Normal University,Hunan Changsha 410000;Department of Interventional Vascular Surgery,Hunan Provincial People's Hospital(the First Afiliated Hospital of Hunan Normal University),Hunan Changsha 410000;Hunan College of Foreign Studies,Hunan Changsha 410000,China)
出处
《中华介入放射学电子杂志》
2024年第3期274-280,共7页
Chinese Journal of Interventional Radiology：electronic edition
