St Mary's Medical Center, Blue Springs, Missouri, USA.
J Wound Ostomy Continence Nurs. 2011 Nov-Dec;38(6):648-54. doi: 10.1097/WON.0b013e31822efc86.
This study was designed to evaluate patient responses to a patient education handout on post-thrombotic syndrome prevention based on the Health Belief Model.
This quasi-experimental pilot study involved a patient survey to be completed after reviewing a patient education handout.
A convenience sample of 25 patients with deep vein thrombosis confirmed by venous Doppler assessment with a lower extremity deep vein thrombosis admitted to a Midwestern community hospital was identified. Seven patients were excluded and 5 declined participation; 13 completed the survey patients. Subjects were older than 18 years and able to read and understand English. Patients with hospice or palliative care service or life expectancy less than 6 months were excluded.
Subjects were provided with the post-thrombotic syndrome (PTS), patient education handout, and the PTS patient education survey. The PTS patient education handout consisted of a 1-page informational sheet based on PTS and Health Belief Model literature. The 24-item PTS Patient Education Survey required approximately 15 minutes to complete; items included demographic information, questions regarding previous deep vein thrombosis and Likert scale opinion statements regarding PTS based on Health Belief Model components. Patients meeting inclusion criteria were approached by the investigator, invited to participate in the study, and offered the option of having the investigator collect the survey or return in an addressed, stamped envelope.
Respondents tended to agree that PTS was a serious condition and that it would negatively affect their life, primarily in relation to comfort and the ability to engage in leisure activities. Ten participants (76.9%) acknowledged that they were susceptible to PTS, and that elastic graduated compression stockings were effective. The most commonly cited barrier to wearing the stockings was difficulty with application. Five patients (38.5%) agreed that they had the ability to prevent PTS and 9 (69.2%) indicated that they intended to wear the stockings.
Patient education for post-thrombotic syndrome prevention based on the Health Belief Model resulted in self-reported intention to comply with recommendations to wear graduated elastic compression stockings. Compliance may be enhanced by specifically addressing individual risk factors and barriers to stocking application.
本研究旨在根据健康信念模型评估患者对深静脉血栓后综合征预防患者教育手册的反应。
本准实验性初步研究包括一项患者调查，在查看患者教育手册后完成。
从一家中西部社区医院接受静脉多普勒评估证实患有下肢深静脉血栓形成的深静脉血栓形成患者中确定了 25 例方便样本。排除了 7 例患者，5 例拒绝参与；13 例完成了调查患者。受试者年龄在 18 岁以上，能够阅读和理解英语。排除了临终关怀或姑息治疗服务或预期寿命少于 6 个月的患者。
为患者提供深静脉血栓后综合征（PTS）、患者教育手册和 PTS 患者教育调查。PTS 患者教育手册由基于 PTS 和健康信念模型文献的 1 页信息表组成。24 项 PTS 患者教育调查大约需要 15 分钟完成；项目包括人口统计学信息、关于先前深静脉血栓形成的问题以及基于健康信念模型组成部分的 PTS 李克特量表意见陈述。符合纳入标准的患者由研究者接触，邀请他们参与研究，并提供由研究者收集调查或返回贴有地址和邮票的信封的选择。
受访者倾向于同意 PTS 是一种严重的疾病，会对他们的生活产生负面影响，主要是在舒适度和从事休闲活动的能力方面。10 名参与者（76.9%）承认他们易患 PTS，且弹性分级压缩袜有效。穿着袜子最常被提到的障碍是应用困难。5 名患者（38.5%）同意他们有能力预防 PTS，9 名患者（69.2%）表示他们打算穿袜子。
基于健康信念模型的深静脉血栓后综合征预防患者教育导致自我报告遵守建议穿着分级弹性压缩袜的意愿。通过具体解决个人风险因素和袜子应用障碍，可能会提高依从性。
