Lee Jung-Ah, Donaldson Jill, Drake Diane, Johnson Linda, van Servellen Gwen, Reed Preston L, Mulnard Ruth A
Program in Nursing Science, University of California, Irvine, Irvine, CA, USA.
Mission Hospital, St. Joseph Health System, Mission Viejo, CA, USA.
Geriatr Nurs. 2014 Sep-Oct;35(5):374-80. doi: 10.1016/j.gerinurse.2014.05.004. Epub 2014 Jul 8.
Patient education about venous thromboembolism (VTE) prevention is needed to prevent complications and costly re-hospitalization. Nurses are uniquely positioned to provide vital education as patients transition from the inpatient setting to after discharge. Still, little is known about patient knowledge deficits and those of their caregivers. The purpose of this study was to explore VTE prevention knowledge in a sample of older hip fracture patients and family caregivers. At the time of hospital discharge, surveys were completed by hip fracture surgery patients (≥65; n=30) and family caregivers (n=30). Participants reported needs for more prophylactic anticoagulation and side effects education. Mean education satisfaction was 3.49 out of 5 among patients and 3.83 among caregivers. Focused patient education regarding the wisdom of VTE prevention, potential risks involved, and patient and caregiver roles in advocating for better prevention measures is needed for these patients at risk for hospital readmission secondary to VTE.
为预防并发症和昂贵的再次住院,需要对患者进行静脉血栓栓塞症(VTE)预防教育。在患者从住院环境过渡到出院后,护士处于独特的地位来提供至关重要的教育。然而,对于患者及其护理人员的知识缺陷了解甚少。本研究的目的是在一组老年髋部骨折患者及其家庭护理人员中探索VTE预防知识。在出院时,髋部骨折手术患者(≥65岁;n = 30)和家庭护理人员(n = 30)完成了调查。参与者报告需要更多关于预防性抗凝和副作用的教育。患者的平均教育满意度为3.49(满分5分),护理人员为3.83分。对于这些有因VTE而再次住院风险的患者,需要针对VTE预防的必要性、潜在风险以及患者和护理人员在倡导更好预防措施方面的作用进行有针对性的患者教育。