下肢关节置换病人深静脉血栓预防的现状调查

Survey on prevention of deep venous thrombosis among patients under arthroplasy

目的 调查下肢关节置换病人深静脉血栓（DVT）的预防的现状及骨科护士对关节置换病人DVT预防的专科知识水平.方法 对广东省39家医院39名赴港骨科专科护士,采取问卷调查的方法,调查目前临床下肢关节置换病人DVT预防的现状及护士对下肢关节置换病人DVT预防的专科知识水平.结果 39名护士所属的不同的医院中,61.5%的医院没有DVT风险评估和预防方面的指引,也没有常规对关节置换的病人进行DVT的危险评估.在预防方面,只有17.9%的医院有使用弹力袜;20.5%的医院有使用间歇压力泵.69.2%的护士以前从未接受过DVT的专题培训课程.28.2%的护士在临床护理中根据医嘱来选择预防DVT的方法,71.8%的护士根据自己的经验来选择预防DVT的方法.护士的专科知识平均分为40分.结论 所调查的医院对下肢关节置换病人DVT预防的重视不够,没有对此类病人进行相关的危险评估,也没有对护士进行相关的培训.临床骨科护士对下肢关节置换病人DVT的专科知识水平较低.

Objective To investigate the status of deep venous thrombosis （DVT） prevention among patients under arthroplasy, and to evaluate the related knowledge level of nurses.Methods 39 nurse specialists from 39 hospitals were investigated by questionnaires in order to acquaint the status of DVT prevention among patients under arthroplasy and to find out the nurses＇ level on related knowledge.Results 61.5% had no the guideline of DVT, and also didn＇t of patients under arthroplasy among the 39 hospitals which the nurses belonged to; Only 17.9% had gradual compression stocking, 20.5% had sequential compression devices.69.2% nurses didn＇t get correlative training about DVT.71.8% nurses prevented DVT according to their experience, and 28.2% according to doctor＇ s order.The average score of their knowledge test about DVT was only 40.Conclusions The hospitals which were investigated do not pay enough attention to the prevention of DVT , do not evaluate the risk of DVT, and the correlative trainings among nurses are not enough, Nurses＇ knowledge levels about DVT are low.