Department of Orthopedics, China-Japan Friendship Hospital, 2 Yinghua Dongjie, Hepingli, Chaoyang District, Beijing, 100029, China.
Bone Necrosis and Joint Preservation Reconstruction Center, China-Japan Friendship Hospital, Beijing, China.
BMC Health Serv Res. 2020 Nov 25;20(1):1078. doi: 10.1186/s12913-020-05933-9.
The accurate identification of venous thromboembolism prophylaxis implementation barriers is an important part of prophylaxis prevention. However, in China, data to help identify these barriers is limited. This study has two objectives: 1) to determine the knowledge, attitudes, and practices (KAPs) of healthcare professionals regarding graduated compression stockings (GCS) since the launch of the National Program for the Prevention and Management of Pulmonary Embolism (PE) and Deep Venous Thrombosis (DVT) in October 2018 and 2) to identify the obstacles and assist the program.
This was a cross-sectional study of 5070 healthcare professionals in China. We used exploratory factor and reliability analyses to evaluate the researcher-designed questionnaire's reliability and validity. The formal questionnaire, which included demographic data, knowledge, attitudes, and clinical practice patterns, was distributed to healthcare professionals.
Of the 5070 respondents, 32.5% had a good knowledge of GCS, 78.5% had a positive attitude towards their use, and 34.0% exhibited normative behavior when applying them. The KAPs of healthcare professionals towards GCS were significantly correlated with one another. Binary logistic regression suggested that the training received by healthcare professionals was an important factor affecting their knowledge regarding GCS usage.
The training provided for the use of GCS in China cannot meet medical staff needs and deserves more attention from policy makers. This represents an obstacle for venous thromboembolism prophylaxis, which restricts the effective implementation of the National Program for Prevention and Management of PE and DVT.
准确识别静脉血栓栓塞症（VTE）预防实施障碍是预防工作的重要组成部分。然而，在中国，用于识别这些障碍的数据有限。本研究有两个目的：1）自 2018 年 10 月启动全国肺栓塞和深静脉血栓形成（DVT）预防和管理计划以来，确定医疗保健专业人员对梯度压力弹力袜（GCS）的知识、态度和实践（KAP）；2）确定障碍并协助该计划。
这是一项在中国的 5070 名医疗保健专业人员的横断面研究。我们使用探索性因素和可靠性分析来评估研究人员设计的问卷的可靠性和有效性。正式问卷包括人口统计学数据、知识、态度和临床实践模式，分发给医疗保健专业人员。
在 5070 名受访者中，32.5%对 GCS 有很好的了解，78.5%对其使用持积极态度，34.0%在应用时表现出规范行为。医疗保健专业人员对 GCS 的 KAP 彼此之间显著相关。二元逻辑回归表明，医疗保健专业人员接受的培训是影响他们对 GCS 使用知识的重要因素。
中国提供的 GCS 使用培训不能满足医务人员的需求，值得政策制定者更多关注。这是 VTE 预防的一个障碍，限制了全国肺栓塞和深静脉血栓形成预防和管理计划的有效实施。
