护士对深静脉血栓的认知程度及其对脑外伤术后深静脉血栓形成的影响

Influencing factors of nurses'cognitive degree of deep venous thrombosis and its influence on deep venous thrombosis after traumatic brain injury operation

目的:探讨护士对深静脉血栓认知程度的影响因素及其对脑外伤术后深静脉血栓形成的影响。方法:对河南科技大学第一附属医院2018年在职的130名护士进行深静脉血栓认知程度的问卷调查,调查内容包括护士的一般资料,深静脉血栓发病机制、风险因素、临床诊疗护理工作,通过分析调查得到的数据判断护士对深静脉血栓认知程度的影响因素。选取该院2018年1~12月的脑外伤术后患者176例,按照对患者实施护理工作的护士深静脉血栓认知程度评分分为两组,认知高水平组91例,认知中低水平组85例,比较两组患者深静脉血栓形成率。结果:不同学历、不同工作年限、不同职称、不同职务的护士深静脉血栓认知程度评分比较差异均有统计学意义;不同年龄、不同科室的护士深静脉血栓认知程度评分比较差异无统计学意义;Logistic回归分析提示学历、工作年限、职务是护士对深静脉血栓认知程度的影响因素。护理工作中,护士认知高水平组的患者脑外伤术后深静脉血栓形成率显著高于认知中低水平组,差异有统计学意义(P<0.05)。结论:学历、工作年限、职务是护士对深静脉血栓认知程度的影响因素,并且其对深静脉血栓认知程度直接影响到脑外伤术后深静脉血栓形成率,临床工作中应该采取干预措施提升护士对深静脉血栓认知程度,降低深静脉血栓形成率,保证患者安全。

Objective To explore the influencing factors of nurses'cognitive degree of deep venous thrombosis and its influence on deep venous thrombosis after traumatic brain injury operation.Methods A questionnaire survey on cognition degree of DVT was conducted among 130 nurses in the Fist Affiliated Hospital of Henan University of Science and Technology in 2018.The survey included general information of nurses,pathogenesis of DVT,risk factors,clinical diagnosis,treatment and nursing work.The influencing factors of cognition degree of nurses on DVT were determined by analyzing the data obtained from the survey.A total of 176 patients with post-traumatic brain injury in the hospital from January to December 2018 were selected and divided into two groups according to the cognitive score of deep vein thrombosis(DVT)of nurses,including 91 patients in the high-cognitive group and 85 patients in the middle-low cognitive group.The incidence of DVT in the two groups was compared.Results There were statistically significant differences in cognitive scores of nurses with different educational backgrounds,working years,professional titles and positions.There was no statistically significant difference in cognitive scores of DVT among nurses of different ages and departments.Logistic regression analysis suggested that education,working years and job titles were the influencing factors for nurses^cognition of DVT.In nursing work,the rate of DVT after traumatic brain injury was significantly higher in patients with high cognitive level of nurses than in patients with low cognitive level,and the difference was statistically significant(P<0.05).Conclusions Educational background,working years and position are the influencing factors of cognition degree of nurses to DVT.The cognition of DVT has direct influence on the formation rate of DVT after traumatic brain injury.In clinical work,intervention measures should be taken to improve nurses"cognition degree of DVT,reduce the formation rate of deep vein thrombosis,and ensure patients safety.