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希腊公立医院护士深静脉血栓形成的发生率及其对健康相关生活质量的影响:一项多中心研究。

Incidence of Deep Vein Thrombosis and Its Effect on Health-Related Quality of Life Among Nurses of Greek Public Hospitals: A Multicenter Study.

机构信息

Laboratory of Physiology-Pharmacology, Department of Nursing, Faculty of Health Sciences, University of Peloponnese, Tripoli, Greece.

General Hospital of Nikaia "Agios Panteleimon", Nikaia, Greece.

出版信息

Adv Exp Med Biol. 2021;1337:37-45. doi: 10.1007/978-3-030-78771-4_5.

Abstract

BACKGROUND

Vein thrombosis (VTE) is a collective term for deep vein thrombosis (DVT) and pulmonary embolism (PE). The aim of this study was to investigate the impact of DVT and its association with health-related quality of life among Greek nurses.

METHODS

This is a multicenter descriptive correlation study. The sample of the study was nursing staff working in Greek public hospitals. The diagnosis of DVT was set by Hicks's clinical criteria.

RESULTS

The study included 6304 nurses with a mean age of 47.4 ± 4.9 years. Diagnosed by a physician, DVT had 544 (8.6%) participants. The mean score of the overall dimension of physical health-related quality of life was 68.1 ± 21.9 and the overall score of mental health scale was 53.3 ± 10.4. The odds of DVT occurrence increased dramatically for female gender (CI: 27.76, 95% CI: 8.12-94.89, p = 0.001). Increased odds were found also for advanced age (CI: 1.21, 95% CI: 1.09-1.33, p = 0.001), advanced BMI (CI: 1.06, 95% CI: 1.02-1.10, p = 0.001), and smoking (CI: 2.72, 95% CI: 1.51-4.90, p = 0.001). Moreover, previous pregnancy (CI: 1.66, 95% CI: 1.21-2.29, p = 0.002), work experience (CI: 1.13, 95% CI: 1.03-1.23, p = 0.008), and Rhesus (CI: 2.55, 95% CI: 1.11-5.84, p = 0.027) were found to be risk factors for DVT.

CONCLUSIONS

Nurses are potentially a professional group for developing deep vein thrombosis, and given the high incidence found in this study, as well as the lower proportion of nurses who were undiagnosed while meeting the clinical criteria of Hick, it is essential for nurses to check their lower extremities for DVT annually.

摘要

背景

静脉血栓栓塞症(VTE)是深静脉血栓形成(DVT)和肺栓塞(PE)的统称。本研究旨在探讨希腊护士中 DVT 的发生情况及其与健康相关生活质量的关系。

方法

这是一项多中心描述性相关性研究。研究对象为在希腊公立医院工作的护理人员。DVT 的诊断依据是 Hicks 的临床标准。

结果

本研究共纳入 6304 名护士,平均年龄为 47.4±4.9 岁。经医生诊断,有 544 名(8.6%)参与者患有 DVT。生理健康相关生活质量的总体维度平均得分为 68.1±21.9,心理健康量表的总体得分为 53.3±10.4。女性发生 DVT 的几率显著增加(CI:27.76,95%CI:8.12-94.89,p=0.001)。高龄(CI:1.21,95%CI:1.09-1.33,p=0.001)、较高的 BMI(CI:1.06,95%CI:1.02-1.10,p=0.001)和吸烟(CI:2.72,95%CI:1.51-4.90,p=0.001)也会增加 DVT 的发病几率。此外,既往妊娠(CI:1.66,95%CI:1.21-2.29,p=0.002)、工作经验(CI:1.13,95%CI:1.03-1.23,p=0.008)和 Rh 因子(CI:2.55,95%CI:1.11-5.84,p=0.027)是 DVT 的危险因素。

结论

护士是深静脉血栓形成的高危职业人群,鉴于本研究发现的高发病率,以及符合 Hick 临床标准但未被诊断出的护士比例较低,护士每年检查下肢是否存在 DVT 至关重要。

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