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2021年埃塞俄比亚西北部阿姆哈拉地区综合专科医院护士关于预防深静脉血栓形成(DVT)的知识、认知实践及其相关因素:一项横断面研究

Nurses' Knowledge, Perceived Practice, and their Associated Factors regarding Deep Venous Thrombosis (DVT) Prevention in Amhara Region Comprehensive Specialized Hospitals, Northwest Ethiopia, 2021: A Cross-Sectional Study.

作者信息

Yohannes Senay, Abebe Tarkie, Endalkachew Kidist, Endeshaw Destaw

机构信息

Department of Surgical Nursing, School of Nursing, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.

Department of Comprehensive Nursing, School of Nursing, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.

出版信息

Crit Care Res Pract. 2022 Mar 16;2022:7386597. doi: 10.1155/2022/7386597. eCollection 2022.

Abstract

INTRODUCTION

Deep venous thrombosis is a preventable and treatable cause of death among hospitalized patients. Nurses' knowledge and proper assessment can play a major role in improving deep venous thrombosis prevention care.

OBJECTIVE

To assess the knowledge, practice, and associated factors towards deep venous thrombosis prevention among nurses working at Amhara region hospitals.

METHODS

Institutional-based cross-sectional study was conducted among nurses working at Amhara region comprehensive specialized hospitals, Northwest, Ethiopia, from April 1 to 30, 2021. A simple random sampling technique was used to select 423 samples. A structured pretested self-administered questionnaire was used to collect data. Data were entered in epi-info version 7, analyzed using SPSS version 25, and presented by frequencies, percentages, and tables. Bivariable and multivariable logistic regression was computed, and value < 0.05 was considered to identify statistically significant factors.

RESULT

Good knowledge and practice of nurses towards DVT prevention were 55.6% and 48.8%, respectively. Working at the medical ward [AOR 3.175, 95% CI (1.42, 7.11)], having a BSc degree [AOR = 3.248(1.245, 8.469)], Master's degree [AOR = 3.48, 95% CI (1.22, 9.89)], obtaining a formal training about deep venous thrombosis [AOR = 1.59; 95% CI (1.03, 2.47)], and working experience of ≥11 years [AOR = 2.11; 95% CI (1.07, 4.16)] were associated with good knowledge of nurses on the prevention of deep venous thrombosis. While having good knowledge about deep venous prevention AOR = 1.75; 95% CI (1.15, 2.65)] and working experience ≥11 years [AOR = 3.44; 95% CI (1.45, 8.13)] were significantly associated with nurses' practice about deep venous thrombosis prevention.

CONCLUSION

Knowledge and practice of the nurses regarding the prevention of deep venous thrombosis were found to be inadequate. Therefore, providing training, creating a conducive environment for sharing of experience, and upgrading the academic status of nurses are measures to scale up the knowledge and practice of nurses regarding deep venous thrombosis prevention.

摘要

引言

深静脉血栓形成是住院患者中可预防和可治疗的死亡原因。护士的知识和正确评估在改善深静脉血栓形成预防护理方面可发挥重要作用。

目的

评估阿姆哈拉地区医院护士对深静脉血栓形成预防的知识、实践及相关因素。

方法

2021年4月1日至30日,在埃塞俄比亚西北部阿姆哈拉地区综合专科医院工作的护士中开展了一项基于机构的横断面研究。采用简单随机抽样技术选取423个样本。使用经过预测试的结构化自填式问卷收集数据。数据录入Epi-Info 7版本,使用SPSS 25版本进行分析,并通过频率、百分比和表格呈现。计算双变量和多变量逻辑回归,P值<0.05被认为可确定具有统计学意义的因素。

结果

护士对深静脉血栓形成预防的良好知识和实践分别为55.6%和48.8%。在内科病房工作[AOR 3.175,95%CI(1.42,7.11)]、拥有理学学士学位[AOR = 3.248(1.245,8.469)]、硕士学位[AOR = 3.48,95%CI(1.22,9.89)]、接受过关于深静脉血栓形成的正规培训[AOR = 1.59;95%CI(1.03,2.47)]以及工作经验≥11年[AOR = 2.11;95%CI(1.07,4.16)]与护士对深静脉血栓形成预防的良好知识相关。而对深静脉预防有良好知识[AOR = 1.75;95%CI(1.15,2.65)]和工作经验≥11年[AOR = 3.44;95%CI(1.45,8.13)]与护士深静脉血栓形成预防实践显著相关。

结论

发现护士关于深静脉血栓形成预防的知识和实践不足。因此,提供培训、营造有利于经验分享的环境以及提升护士的学术地位是扩大护士关于深静脉血栓形成预防的知识和实践的措施。

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Deep vein thrombosis and pulmonary embolism.深静脉血栓形成和肺栓塞。
Lancet. 2016 Dec 17;388(10063):3060-3073. doi: 10.1016/S0140-6736(16)30514-1. Epub 2016 Jun 30.

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