Status investigation of knowledge-attitude-practice of deep vein thrombosis in medical professionals in orthopedics_West China Medical Journal

Authors：

ZHU Juan ¹ ,  NING Ning ¹ , CHEN Kang ^1,2 , ZHU Hongyan ¹ , LI Chengyan ¹ , LI Ye ¹ , LI Peifang ¹

1. Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Department of Spine, Nuclear Industry 416 Hospital, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

NING Ning, Email: gkningning@126.com

Keywords：

Deep vein thrombosis; Medical staff; Knowledge-attitude-practice; Investigation

DOI：

10.7507/1002-0179.201808012

Video：

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Objective To investigate the status of the knowledge, attitudes and intervention behaviors in medical professionals in the prevention and treatment of deep vein thrombosis (DVT), and explore the weak links in knowledge-attitude-practice of DVT. Methods From December 2017 to February 2018, a convenient sampling method was used to extract 158 medical professionals out of 204 medical professionals from Department of Orthopedics, West China Hospital of Sichuan University. The questionnaire included the general information and basic situation of DVT learning, the knowledge of DVT, intervention attitude and implementation of preventive measures. The survey involved orthopedic doctors, nurses, rehabilitation therapists and nutrition managers. Results A total of 158 questionnaires were distributed and 150 valid questionnaires were completed. The effective questionnaire recovery rate was 94.9%. The mean score of basic knowledge of DVT was 6.45±1.83, the mean score of risk factors was 13.29±3.38, the mean score of intervention attitudes was 9.57±0.78, and the mean score of prevention implementation was 23.33±5.85. Conclusions The knowledge-practice of DVT intervention in orthopedic medical staff is moderate, and the attitude of DVT intervention is better among medical staff. There are various characteristics and weaknesses in knowledge-practice. It is necessary to regularly carry out knowledge about DVT among medical staff to improve the professional level of medical staff to prevent and treat DVT.

Citation： ZHU Juan, NING Ning, CHEN Kang, ZHU Hongyan, LI Chengyan, LI Ye, LI Peifang. Status investigation of knowledge-attitude-practice of deep vein thrombosis in medical professionals in orthopedics. West China Medical Journal, 2018, 33(12): 1500-1506. doi: 10.7507/1002-0179.201808012 Copy

1.	Olaf M, Cooney R. Deep venous thrombosis (DVT). Emerg Med Clin North Am, 2017, 35(4): 743-770.
2.	Falckytter Y, Francis CW, Johanson NA, et al. Prevention of VTE in orthopedic surgery patients. Chest, 2012, 141(Part Ⅱ): 400-412.
3.	Wolf JM, Digiovanni CW. A survey of orthopedic surgeons regarding DVT prophylaxis in foot and ankle trauma surgery. Orthopedics, 2004, 27(5): 504-508.
4.	Liew NC, Moissinac K, Gul Y. Postoperative venous thromboembolism in Asia: a critical appraisal of its incidence. Asian J Surg, 2003, 26(3): 154-158.
5.	郑明香. 综合护理干预对预防下肢骨折手术术后并发深静脉血栓形成的影响. 中国医药导报, 2014, 11(36): 115-118.
6.	姜香云, 吴佳倩, 张亚珥, 等. 医护一体化管理降低人工髋关节置换术患者深静脉血栓发生率的实践. 中国护理管理, 2014, 14(5): 550-552.
7.	刘广秀. 健康教育联合 PDCA 循环在预防髋、膝关节置换术后下肢深静脉血栓形成中的应用. 齐鲁护理杂志, 2016, 22(8): 24-26.
8.	姜英, 张纳, 汤海祥, 等. 外科护士预防术后患者下肢深静脉血栓形成的知信行调查. 中国护理管理, 2014, 14(10): 1086-1089.
9.	王灵晓, 刘翠青, 张瑞英. 骨科病房预防下肢深静脉血栓形成的护理现状调查. 护理管理杂志, 2013, 13(7): 489-490.
10.	朱晶, 林美珍, 周春姣. 广州市 6 家三级甲等医院护士对深静脉血栓认知、态度和行为现状调查. 当代医学, 2016, 22(29): 6-8.
11.	刘晓涵, 吴燕燕, 卢根娣. 上海市三级甲等综合性医院外科护士预防患者静脉血栓栓塞症的知信行现状调查. 解放军护理杂志, 2014, 31(12): 1-5.
12.	邱贵兴, 戴尅戎, 杨庆铭, 等. 预防骨科大手术后深静脉血栓形成的专家建议—深静脉血栓形成预防座谈会纪要. 中华骨科杂志, 2005, 25(10): 636-640.
13.	齐典文, 张国川, 扈文海, 等. 骨转移癌患者下肢深静脉血栓形成的危险因素分析. 中华肿瘤杂志, 2014, 36(6): 469-472.
14.	尚小鹏, 马金栋, 马居风, 等. 骨创伤后深静脉血栓形成的危险因素分析. 中华创伤杂志, 2012, 28(12): 1088-1091.
15.	李奉玲, 蒋国路, 李姗姗, 等. 医务人员静脉血栓栓塞症知信行现状及影响因素分析. 中国医药导报, 2017, 14(20): 40-43.
16.	崔英, 吴淑花, 孙继红. 临床护士对深静脉血栓形成的认识及预防护理现状调查. 护理研究, 2009, 23(9): 2374-2376.
17.	乔安花, 徐喆玥, 丁小萍, 等. 骨科大手术后 VTE 高危患者健康教育现状及需求调查研究. 上海护理, 2018, 18(6): 43-45.
18.	陈国珍, 郑婉婷, 庞惠娟, 等. 健康教育路径对下肢深静脉血栓患者的影响. 国际护理学杂志, 2018, 32(8): 1813-1815.
19.	Sagi HC, Ahn J, Ciesla D, et al. Venous thromboembolism prophylaxis in orthopaedic trauma patients: a survey of ota member practice patterns and ota expert panel recommendations. J Orthop Trauma, 2015, 29(10): e355-e362.
20.	Cardoso LF, Krokoscz DV, de Paiva EF, et al. Results of a venous thromboembolism prophylaxis program for hospitalized patients. Vasc Health Risk Manag, 2016, 12(12): 491-496.

1. Olaf M, Cooney R. Deep venous thrombosis (DVT). Emerg Med Clin North Am, 2017, 35(4): 743-770.
2. Falckytter Y, Francis CW, Johanson NA, et al. Prevention of VTE in orthopedic surgery patients. Chest, 2012, 141(Part Ⅱ): 400-412.
3. Wolf JM, Digiovanni CW. A survey of orthopedic surgeons regarding DVT prophylaxis in foot and ankle trauma surgery. Orthopedics, 2004, 27(5): 504-508.
4. Liew NC, Moissinac K, Gul Y. Postoperative venous thromboembolism in Asia: a critical appraisal of its incidence. Asian J Surg, 2003, 26(3): 154-158.
5. 郑明香. 综合护理干预对预防下肢骨折手术术后并发深静脉血栓形成的影响. 中国医药导报, 2014, 11(36): 115-118.
6. 姜香云, 吴佳倩, 张亚珥, 等. 医护一体化管理降低人工髋关节置换术患者深静脉血栓发生率的实践. 中国护理管理, 2014, 14(5): 550-552.
7. 刘广秀. 健康教育联合 PDCA 循环在预防髋、膝关节置换术后下肢深静脉血栓形成中的应用. 齐鲁护理杂志, 2016, 22(8): 24-26.
8. 姜英, 张纳, 汤海祥, 等. 外科护士预防术后患者下肢深静脉血栓形成的知信行调查. 中国护理管理, 2014, 14(10): 1086-1089.
9. 王灵晓, 刘翠青, 张瑞英. 骨科病房预防下肢深静脉血栓形成的护理现状调查. 护理管理杂志, 2013, 13(7): 489-490.
10. 朱晶, 林美珍, 周春姣. 广州市 6 家三级甲等医院护士对深静脉血栓认知、态度和行为现状调查. 当代医学, 2016, 22(29): 6-8.
11. 刘晓涵, 吴燕燕, 卢根娣. 上海市三级甲等综合性医院外科护士预防患者静脉血栓栓塞症的知信行现状调查. 解放军护理杂志, 2014, 31(12): 1-5.
12. 邱贵兴, 戴尅戎, 杨庆铭, 等. 预防骨科大手术后深静脉血栓形成的专家建议—深静脉血栓形成预防座谈会纪要. 中华骨科杂志, 2005, 25(10): 636-640.
13. 齐典文, 张国川, 扈文海, 等. 骨转移癌患者下肢深静脉血栓形成的危险因素分析. 中华肿瘤杂志, 2014, 36(6): 469-472.
14. 尚小鹏, 马金栋, 马居风, 等. 骨创伤后深静脉血栓形成的危险因素分析. 中华创伤杂志, 2012, 28(12): 1088-1091.
15. 李奉玲, 蒋国路, 李姗姗, 等. 医务人员静脉血栓栓塞症知信行现状及影响因素分析. 中国医药导报, 2017, 14(20): 40-43.
16. 崔英, 吴淑花, 孙继红. 临床护士对深静脉血栓形成的认识及预防护理现状调查. 护理研究, 2009, 23(9): 2374-2376.
17. 乔安花, 徐喆玥, 丁小萍, 等. 骨科大手术后 VTE 高危患者健康教育现状及需求调查研究. 上海护理, 2018, 18(6): 43-45.
18. 陈国珍, 郑婉婷, 庞惠娟, 等. 健康教育路径对下肢深静脉血栓患者的影响. 国际护理学杂志, 2018, 32(8): 1813-1815.
19. Sagi HC, Ahn J, Ciesla D, et al. Venous thromboembolism prophylaxis in orthopaedic trauma patients: a survey of ota member practice patterns and ota expert panel recommendations. J Orthop Trauma, 2015, 29(10): e355-e362.
20. Cardoso LF, Krokoscz DV, de Paiva EF, et al. Results of a venous thromboembolism prophylaxis program for hospitalized patients. Vasc Health Risk Manag, 2016, 12(12): 491-496.

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