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.	鄭明香. 綜合護理干預對預防下肢骨折手術術后并發深靜脈血栓形成的影響. 中國醫藥導報, 2014, 11(36): 115-118.
6.	姜香云, 吳佳倩, 張亞珥, 等. 醫護一體化管理降低人工髖關節置換術患者深靜脈血栓發生率的實踐. 中國護理管理, 2014, 14(5): 550-552.
7.	劉廣秀. 健康教育聯合 PDCA 循環在預防髖、膝關節置換術后下肢深靜脈血栓形成中的應用. 齊魯護理雜志, 2016, 22(8): 24-26.
8.	姜英, 張納, 湯海祥, 等. 外科護士預防術后患者下肢深靜脈血栓形成的知信行調查. 中國護理管理, 2014, 14(10): 1086-1089.
9.	王靈曉, 劉翠青, 張瑞英. 骨科病房預防下肢深靜脈血栓形成的護理現狀調查. 護理管理雜志, 2013, 13(7): 489-490.
10.	朱晶, 林美珍, 周春姣. 廣州市 6 家三級甲等醫院護士對深靜脈血栓認知、態度和行為現狀調查. 當代醫學, 2016, 22(29): 6-8.
11.	劉曉涵, 吳燕燕, 盧根娣. 上海市三級甲等綜合性醫院外科護士預防患者靜脈血栓栓塞癥的知信行現狀調查. 解放軍護理雜志, 2014, 31(12): 1-5.
12.	邱貴興, 戴尅戎, 楊慶銘, 等. 預防骨科大手術后深靜脈血栓形成的專家建議—深靜脈血栓形成預防座談會紀要. 中華骨科雜志, 2005, 25(10): 636-640.
13.	齊典文, 張國川, 扈文海, 等. 骨轉移癌患者下肢深靜脈血栓形成的危險因素分析. 中華腫瘤雜志, 2014, 36(6): 469-472.
14.	尚小鵬, 馬金棟, 馬居風, 等. 骨創傷后深靜脈血栓形成的危險因素分析. 中華創傷雜志, 2012, 28(12): 1088-1091.
15.	李奉玲, 蔣國路, 李姍姍, 等. 醫務人員靜脈血栓栓塞癥知信行現狀及影響因素分析. 中國醫藥導報, 2017, 14(20): 40-43.
16.	崔英, 吳淑花, 孫繼紅. 臨床護士對深靜脈血栓形成的認識及預防護理現狀調查. 護理研究, 2009, 23(9): 2374-2376.
17.	喬安花, 徐喆玥, 丁小萍, 等. 骨科大手術后 VTE 高危患者健康教育現狀及需求調查研究. 上海護理, 2018, 18(6): 43-45.
18.	陳國珍, 鄭婉婷, 龐惠娟, 等. 健康教育路徑對下肢深靜脈血栓患者的影響. 國際護理學雜志, 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. 鄭明香. 綜合護理干預對預防下肢骨折手術術后并發深靜脈血栓形成的影響. 中國醫藥導報, 2014, 11(36): 115-118.
6. 姜香云, 吳佳倩, 張亞珥, 等. 醫護一體化管理降低人工髖關節置換術患者深靜脈血栓發生率的實踐. 中國護理管理, 2014, 14(5): 550-552.
7. 劉廣秀. 健康教育聯合 PDCA 循環在預防髖、膝關節置換術后下肢深靜脈血栓形成中的應用. 齊魯護理雜志, 2016, 22(8): 24-26.
8. 姜英, 張納, 湯海祥, 等. 外科護士預防術后患者下肢深靜脈血栓形成的知信行調查. 中國護理管理, 2014, 14(10): 1086-1089.
9. 王靈曉, 劉翠青, 張瑞英. 骨科病房預防下肢深靜脈血栓形成的護理現狀調查. 護理管理雜志, 2013, 13(7): 489-490.
10. 朱晶, 林美珍, 周春姣. 廣州市 6 家三級甲等醫院護士對深靜脈血栓認知、態度和行為現狀調查. 當代醫學, 2016, 22(29): 6-8.
11. 劉曉涵, 吳燕燕, 盧根娣. 上海市三級甲等綜合性醫院外科護士預防患者靜脈血栓栓塞癥的知信行現狀調查. 解放軍護理雜志, 2014, 31(12): 1-5.
12. 邱貴興, 戴尅戎, 楊慶銘, 等. 預防骨科大手術后深靜脈血栓形成的專家建議—深靜脈血栓形成預防座談會紀要. 中華骨科雜志, 2005, 25(10): 636-640.
13. 齊典文, 張國川, 扈文海, 等. 骨轉移癌患者下肢深靜脈血栓形成的危險因素分析. 中華腫瘤雜志, 2014, 36(6): 469-472.
14. 尚小鵬, 馬金棟, 馬居風, 等. 骨創傷后深靜脈血栓形成的危險因素分析. 中華創傷雜志, 2012, 28(12): 1088-1091.
15. 李奉玲, 蔣國路, 李姍姍, 等. 醫務人員靜脈血栓栓塞癥知信行現狀及影響因素分析. 中國醫藥導報, 2017, 14(20): 40-43.
16. 崔英, 吳淑花, 孫繼紅. 臨床護士對深靜脈血栓形成的認識及預防護理現狀調查. 護理研究, 2009, 23(9): 2374-2376.
17. 喬安花, 徐喆玥, 丁小萍, 等. 骨科大手術后 VTE 高危患者健康教育現狀及需求調查研究. 上海護理, 2018, 18(6): 43-45.
18. 陳國珍, 鄭婉婷, 龐惠娟, 等. 健康教育路徑對下肢深靜脈血栓患者的影響. 國際護理學雜志, 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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Status investigation of knowledge-attitude-practice of deep vein thrombosis in medical professionals in orthopedics

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