Xu Yaping, Zhao Jing, Chen Yuzhao
Department of Bone and Joint Surgery, China-Japan Friendship Hospital, 2 Yinghua Dongjie, Hepingli, Chaoyang District, Beijing, 100029, China.
Department of Trauma Orthopedics, China-Japan Friendship Hospital, Beijing, China.
J Orthop Surg Res. 2018 Apr 24;13(1):98. doi: 10.1186/s13018-018-0813-2.
Venous thromboembolism (VTE) is the third leading cause of cardiovascular-associated death worldwide, and VTE prevention is one of the top patient safety strategies that hospitals can adopt. This study aimed to understand patients' perceptions of VTE prevention related to major orthopedic surgery in order to guide the clinical practice of medical staff and improve patient quality of life. Patients undergoing major orthopedic surgery should receive interventions to prevent VTE. To encourage patient participation, these interventions should be patient-centered. However, few studies have examined the perceptions of VTE prevention among patients undergoing major orthopedic surgery.
Participants were purposively selected from among patients undergoing major orthopedic surgery in the orthopedic department of a level-three, class-A hospital in Beijing, China. Data were collected through in-depth semi-structured interviews, and findings were based on a thematic content analysis. All interviews were held during each patient's hospital stay.
From eight patients who participated, the following themes were identified: (1) unclear understanding of VTE, (2) poor understanding of the severity of postoperative VTE, and (3) poor understanding of VTE prevention.
There are weak links in clinical care related to VTE prevention. We should aim to more completely understand patients' needs, strengthen the health education provided to patients, and improve patient adherence to preventative measures.
静脉血栓栓塞症（VTE）是全球心血管相关死亡的第三大原因，VTE预防是医院可采用的首要患者安全策略之一。本研究旨在了解患者对与骨科大手术相关的VTE预防的看法，以指导医务人员的临床实践并提高患者生活质量。接受骨科大手术的患者应接受预防VTE的干预措施。为鼓励患者参与，这些干预措施应以患者为中心。然而，很少有研究调查过接受骨科大手术患者对VTE预防的看法。
研究对象是从中国北京一家三甲医院骨科接受骨科大手术的患者中有意选取的。通过深入的半结构化访谈收集数据，并基于主题内容分析得出研究结果。所有访谈均在每位患者住院期间进行。
从参与研究的8名患者中，确定了以下主题：（1）对VTE认识不清，（2）对术后VTE严重程度了解不足，（3）对VTE预防了解不足。
在与VTE预防相关的临床护理方面存在薄弱环节。我们应致力于更全面地了解患者需求，加强对患者的健康教育，并提高患者对预防措施的依从性。
