老年科护士静脉血栓栓塞症预防的知信行现状调查

Investigation on knowledge, attitude and practice about prevention of venous thromboembolism in geriatricnurses

目的了解老年科护士对于静脉血栓栓塞症（VTE）预防的知识、态度和行为现状，为提高其VTE的预防护理水平提供科学依据。方法2017年4—6月采用自行设计的“老年科护士VTE预防知信行调查问卷”对四川省9所三级医院的416名老年科护士进行调查。分析护士vTE预防知信行水平的影响因素，并探讨护士VTE预防知识、态度、行为间的关系。结果416名老年科护士预防VTE的知信行水平总分为（70．42±8．32）分。多元线性回归分析显示护士学历、工作医院级别、职称、是否护理过VTE的患者为知信行总分的影响因素∽’值分别为0．218、-0．238、0．162、-0．127；△R2=0．305）。相关性分析显示老年科护士VTE预防知识、态度、行为三者得分互相呈正相关（P〈0．05）。结论老年科护十对于VrrE的预防态度较为积极，但预防知识水平有待提高，预防行为有待改善。护理管理者应着力提高护士相关知识水平，进而促进其态度的转变和预防行为的改善。

Objective To understand the knowledge, attitude and behavior of nurses in geriatric department on the prevention of venous thromboembolism （VTE）, and to provide scientific basis for improving the prevention level of VTE. Methods From April to June 2017, 416 geriatric nurses from 9 tertiary hospitals in Siehuan Province were investigated by filling out a self-designed questionnaire on knowledge, attitude and behavior related to VTE prevention among geriatric nurses. The influencing factors of VTE prevention knowledge was analyzed, and the relationship among knowledge, attitude and behavior of nurses. Results The total scores of venous thromboembolism prevention related knowledge, attitude and practice of 416 nurses was （70.42 ± 8.32）. Multivariate linear regression analysis showed that nurses＇ educational background, working hospital level, professional title and whether or not to care for patients with VTE were the influencing factors of the total score of knowledge, belief and practice （β′=0.218, -0.238, 0.162, -0.127 ; △R2=0.305）. Correlation analysis indicated that knowledge, attitude and practice are positively correlated （P 〈0.05）. Conclusions The geriatric nurses have a positive attitude towards VTE prevention, but the level of prevention knowledge needs to be improved, and the preventive behavior needs to be improved. Nursing managers should focus on improving the knowledge level of nurses so as to promote the change of attitude and the improvement of preventive behavior.