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约旦护士对静脉血栓栓塞症非药物预防措施的执行情况。

Compliance of non-pharmacological preventive practice of venous thromboembolism among Jordanian nurses.

机构信息

Nursing Department, AL-Ghad International College for Applied Medical Sciences, Jeddah, Saudi Arabia.

Atilim University School of Health Sciences, Nursing Department Kizilcasar Mahallesi, Turkey.

出版信息

Medicine (Baltimore). 2022 Nov 4;101(44):e31189. doi: 10.1097/MD.0000000000031189.

Abstract

Many practices, such as non-pharmacological preventive practices, have demonstrated significant improvement and reduced the venous thromboembolism incidence. This study aims at investigating the compliance with non-pharmacological preventive practice of venous thromboembolism guidelines among Jordanian intensive care and medical and surgical nurses. Descriptive and cross-sectional with the non-participant observational design was used. This study recruited 271 registered nurses in adult medical-surgical units and intensive care units of 12 different government hospitals in Jordan's middle and north regions. The observational checklist included 10 preventive practices based on the non-pharmacological preventive of venous thromboembolism guidelines. In the observational checklist, the highest score was 20, and the lowest was 0. If the nurse received equal to or higher than (>14) score were classified as sufficient compliance, while insufficient compliance was (≤14) score. The observations period started from September 2019 until March 2020. The participants' overall mean venous thromboembolism compliance score was insufficient compliance (10.6 ± 1.6). The majority of nurses were classified as insufficient compliance 67%. "Doing foot exercise and early ambulation 2 times per day 50.3%" and "checked the integrity of the patient's skin at regular intervals 50.0%" were the highest practices done rightly and completely by half of the participants. The participants who had a bachelor of nursing degree, staff nurse, and works in the intensive care unit, are less experienced and have no previous venous thromboembolism education reported low venous thromboembolism compliance. This study presents expanded compliance regarding venous thromboembolism preventive practices among Jordanian intensive care and medical & surgical nurses, so the policymakers need to develop an initiative to improve nurses' compliance.

摘要

许多实践,如非药物性预防措施,已经证明可以显著改善并降低静脉血栓栓塞的发生率。本研究旨在调查约旦重症监护和内科及外科护士对静脉血栓栓塞预防指南的非药物性预防实践的依从性。采用描述性和横断面非参与性观察设计。本研究招募了 271 名在约旦中部和北部地区 12 家不同政府医院的成人内科和外科病房及重症监护病房工作的注册护士。观察检查表包括基于静脉血栓栓塞预防指南的 10 项预防措施。在观察检查表中,最高得分为 20 分,最低得分为 0 分。如果护士的得分等于或高于(>14 分)则被归类为充分依从,而得分低于(≤14 分)则为不充分依从。观察期从 2019 年 9 月开始,到 2020 年 3 月结束。参与者的整体静脉血栓栓塞依从性平均评分为不充分依从(10.6±1.6)。大多数护士被归类为不充分依从,占 67%。“每天做 2 次足部运动和早期活动 50.3%”和“定期检查患者皮肤完整性 50.0%”是被参与者正确和完全执行的最高的措施。具有护理学士学位、护士和在重症监护病房工作的参与者经验较少,且没有接受过静脉血栓栓塞教育,报告的静脉血栓栓塞依从性较低。本研究表明,约旦重症监护和内科及外科护士的静脉血栓栓塞预防实践的依从性有所提高,因此政策制定者需要制定一项计划来提高护士的依从性。

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