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下肢骨折术后患者对深静脉血栓形成的认知、态度及行为

Knowledge, attitudes, and practices of patients with lower limb fractures post-surgery regarding deep vein thrombosis.

作者信息

Deng Xiongwei, Li Qiang, Weng Meizhi, Yuan Haitao, Wu Hang, Gu Peng, Fan Shaoyong

机构信息

Department of Foot and Ankle Surgery, Nanchang Hongdu Hospital of Traditional Chinese Medicine, Nanchang, 330038, Jiangxi, China.

Discipline of Chinese and Western Integrative Medicine, Jiangxi University of Chinese Medicine, Nanchang, 330004, Jiangxi, China.

出版信息

Sci Rep. 2025 Mar 19;15(1):9520. doi: 10.1038/s41598-025-92632-2.

DOI:10.1038/s41598-025-92632-2
PMID:40108272
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11923059/
Abstract

Deep vein thrombosis (DVT) is a significant postoperative complication in patients with lower limb fractures, potentially leading to life-threatening outcomes such as pulmonary embolism. This study aimed to evaluate the knowledge, attitudes, and practices (KAP) of this high-risk population regarding DVT prevention. A cross-sectional study was conducted at Nanchang Hongdu Hospital of Traditional Chinese Medicine between March 2023 and May 2024. A structured questionnaire collected demographic and KAP data, analyzed using descriptive statistics and structural equation modeling (SEM). Among 442 valid respondents, SEM revealed direct effects of knowledge on attitudes (β = 0.593, P < 0.001) and attitudes on practices (β = 0.746, P < 0.001). Despite proactive practices, patients demonstrated inadequate knowledge and negative attitudes towards DVT. These findings underscore the need for targeted educational interventions to enhance patient understanding and attitudes, ultimately improving preventive behaviors and reducing DVT-related complications.

摘要

深静脉血栓形成(DVT)是下肢骨折患者术后的一种重要并发症,可能导致肺栓塞等危及生命的后果。本研究旨在评估这一高危人群对DVT预防的知识、态度和实践(KAP)。2023年3月至2024年5月期间,在南昌洪都中医医院进行了一项横断面研究。通过结构化问卷收集人口统计学和KAP数据,并使用描述性统计和结构方程模型(SEM)进行分析。在442名有效受访者中,SEM显示知识对态度有直接影响(β = 0.593,P < 0.001),态度对实践有直接影响(β = 0.746,P < 0.001)。尽管有积极的实践,但患者对DVT的知识不足且态度消极。这些发现强调了需要有针对性的教育干预措施,以增强患者的理解和态度,最终改善预防行为并减少与DVT相关的并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90b4/11923059/a7034604d8aa/41598_2025_92632_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90b4/11923059/a7034604d8aa/41598_2025_92632_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90b4/11923059/a7034604d8aa/41598_2025_92632_Fig1_HTML.jpg

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Awareness and associated factors of venous thromboembolism in breast cancer surgical patients: a cross-sectional study.乳腺癌手术患者静脉血栓栓塞症的认知及相关因素:一项横断面研究。
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实践指南:预防静脉血栓栓塞症。
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Nursing assistants' knowledge, attitudes and training needs regarding urinary incontinence in nursing homes: a mixed-methods study.养老院护理助理对尿失禁的知识、态度和培训需求:一项混合方法研究。
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Clinical Presentation and Short- and Long-term Outcomes in Patients With Isolated Distal Deep Vein Thrombosis vs Proximal Deep Vein Thrombosis in the RIETE Registry.RIETE 登记研究中孤立性远端深静脉血栓与近端深静脉血栓患者的临床表现及短期和长期结局。
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