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年龄是导致静脉血栓栓塞症治疗知识匮乏的一个风险因素。

Age is a Risk Factor for Poor Knowledge About Venous Thromboembolism Treatment.

机构信息

Service de Médecine Interne, Hôpital Edouard Herriot, Hospices Civils de Lyon, Lyon, France.

Laboratoire Interuniversitaire de Biologie de la Motricité, Université Claude Bernard Lyon 1, Université de Lyon, Lyon, France.

出版信息

Clin Appl Thromb Hemost. 2024 Jan-Dec;30:10760296241276527. doi: 10.1177/10760296241276527.

Abstract

To limit complications and optimize anticoagulant therapy, some units treating venous thrombo embolism offer a formalized educational program to patients. In our clinic we developed a patient questionnaire to target aspects of patient knowledge about their venous thromboembolism (VTE) disease and their treatment that require reinforcement. The VTE questionnaire, composed of 7 questions, has been proposed to adult patients with a diagnosis of deep venous thrombosis or pulmonary embolism requiring anticoagulant therapy for at least 3 months. Patients who completed the VTE questionnaire between March 2022 and February 2023 were included in the present retrospective study. A poor score was defined as < 5 correct answers. We investigated the factors associated with a poor score on the questionnaire, using univariable and multivariable analysis, in order to better target patients education in our unit. A total of 132 patients were included. The majority were men (56.8%) and the mean (±SD) age was 55.4 (±18.3) years. The total score was < 5 in 43.2% of patients. Those with a poor score most frequently lacked knowledge regarding the treatment; only 22.8% of patients knew of the risk of bleeding, 5.3% the contraindication of non steroidal anti inflammatory drugs NSAIDs, and 19.3% knew of the precautions related to physical activity. In multivariate analysis the only factor associated with poor VTE questionnaire score was age ≥ 55 years (OR 2.61, 95%CI 1.14-5.94). Poor knowledge of venous thrombo embolism concerned older patients and particularly treatment-related aspects.

摘要

为了限制并发症并优化抗凝治疗,一些治疗静脉血栓栓塞症的单位为患者提供了规范化的教育计划。在我们的诊所,我们开发了一种患者问卷,旨在针对患者对静脉血栓栓塞症(VTE)疾病及其治疗的知识方面进行强化。该 VTE 问卷由 7 个问题组成,已向需要抗凝治疗至少 3 个月的深静脉血栓形成或肺栓塞成年患者提出。在 2022 年 3 月至 2023 年 2 月期间完成 VTE 问卷的患者被纳入本回顾性研究。得分为<5 个正确答案的患者被定义为评分差。我们使用单变量和多变量分析来研究与问卷评分差相关的因素,以便在我们的单位更好地针对患者进行教育。共有 132 名患者入选。大多数为男性(56.8%),平均(±SD)年龄为 55.4(±18.3)岁。总评分<5 的患者占 43.2%。评分差的患者最常缺乏治疗方面的知识;只有 22.8%的患者知道出血风险,5.3%的患者知道非甾体抗炎药(NSAIDs)的禁忌,19.3%的患者知道与体育活动相关的预防措施。多变量分析显示,唯一与 VTE 问卷评分差相关的因素是年龄≥55 岁(OR 2.61,95%CI 1.14-5.94)。静脉血栓栓塞知识差的患者为老年患者,特别是与治疗相关的方面。

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