Ma Yu-Fen, Xu Yuan, Chen Ya-Ping, Wang Xiao-Jie, Deng Hai-Bo, He Yu, Wu Xin-Juan
Chinese Academy of Medical Sciences & Peking Union Medical College, Peking Union Medical College Hospital, Beijing, China.
Medicine (Baltimore). 2018 Apr;97(14):e0338. doi: 10.1097/MD.0000000000010338.
Venous thromboembolism (VTE) is a common vascular disorder with high mortality and morbidity. Clinical nurses are a pivotal group that can serve as first-line health care providers. Lack of knowledge about VTE is an important barrier to effective nursing performance. This study aimed to determine nurses' knowledge of VTE prophylaxis through a nationwide survey across China, to understand gaps between current knowledge, and guidelines, and to help improve clinical nursing.The survey included 5 topics with 68 items on VTE, including basic knowledge, risk assessment, basic prophylaxis, physical prophylaxis, and pharmacological prophylaxis.The survey was distributed to 106 AAA-grade hospitals throughout China; 5218 valid questionnaires were submitted for analysis. There were 5097 women and 121 men respondents, with average age 30.29 ± 8.60 years. The average rate of correct responses regarding VTE knowledge was 59.90 ± 15.63%; 77.81% of subjects answered more than half of the survey items correctly. Better knowledge about thromboprophylaxis was observed among nurses who were more highly educated, more experienced, had received continuing education, intensive care unit (ICU), and lead nurses. Correct response rates were 68.39 ± 17.03%, 60.35 ± 21.01%, 75.51 ± 22.85%, 41.72 ± 17.47%, and 46.01 ± 21.22% for basic knowledge, risk assessment, basic prophylaxis, physical prophylaxis, and pharmacological prophylaxis, respectively.Respondents showed satisfactory results regarding basic prophylaxis, basic knowledge, and risk assessment for VTE; respondents had poorer knowledge regarding physical and pharmacological prophylaxis. Better mastery of knowledge about thromboprophylaxis was observed among nurses who were more highly educated, more experienced, had received continuous education, ICU, and lead nurses.This study suggested that nurse trainers should develop comprehensive educational programs that focus on low correct rate aspects. Higher-level continuous education could improve nurses' knowledge of thromboprophylaxis.
静脉血栓栓塞症（VTE）是一种常见的血管疾病，死亡率和发病率都很高。临床护士是作为一线医疗保健提供者的关键群体。缺乏VTE知识是有效护理工作的一个重要障碍。本研究旨在通过在中国进行的一项全国性调查来确定护士对VTE预防的知识，了解当前知识与指南之间的差距，并帮助改善临床护理。该调查包括5个主题，共68个关于VTE的问题，包括基础知识、风险评估、基本预防、物理预防和药物预防。该调查分发给了中国各地的106家三级甲等医院；共提交了5218份有效问卷进行分析。有5097名女性和121名男性受访者，平均年龄为30.29±8.60岁。关于VTE知识的正确回答平均率为59.90±15.63%；77.81%的受试者正确回答了一半以上的调查问题。在受教育程度更高、经验更丰富、接受过继续教育、在重症监护病房（ICU）工作以及担任护士长的护士中，观察到对血栓预防有更好的了解。基础知识、风险评估、基本预防、物理预防和药物预防的正确回答率分别为68.39±17.03%、60.35±21.01%、75.51±22.85%、41.72±17.47%和46.01±21.22%。受访者在VTE的基本预防、基础知识和风险评估方面表现出令人满意的结果；受访者在物理和药物预防方面的知识较差。在受教育程度更高、经验更丰富、接受过继续教育、在ICU工作以及担任护士长的护士中，观察到对血栓预防知识有更好的掌握。本研究表明，护士培训人员应制定侧重于低正确率方面的综合教育计划。更高层次的继续教育可以提高护士对血栓预防的知识。
