西藏地区护士静脉血栓栓塞症知识现状的多中心调查

A multi-center survey on knowledge of venous thromboembolism among nurses in Tibet

目的了解西藏地区医院护士静脉血栓栓塞症(VTE)知识的掌握情况及其影响因素,旨在为西藏地区VTE防治的护理工作提供指导。方法采用便利抽样的方法,于2019年11—12月对西藏自治区7个市(地区)59所医院的1117名护士采用临床护士VTE知识问卷进行VTE知识调查。采用二项Logistic回归分析探讨护士VTE知识得分是否合格的影响因素。结果1117名西藏地区护士的VTE知识总分为(36.70±15.17)分,其中基础知识维度得分为(7.13±2.99)分,风险评估维度得分为(14.75±7.61)分,基本预防维度得分为(3.92±1.99)分,物理预防维度得分为(4.73±2.62)分,药物预防维度得分为(1.96±1.29)分,发生VTE后处理维度得分为(4.22±2.35)分。西藏地区护士的VTE知识平均得分率为48.94%,护士的知识掌握情况处于中下水平;在预防措施的使用方面,护士的知识掌握不足,其中物理预防得分率为36.38%,药物预防得分率为39.20%。Logistic回归分析显示,职称、医院等级、是否参加过培训是护士VTE知识得分是否合格的独立影响因素(P<0.05)。结论西藏地区护士的VTE知识掌握不足,管理者需对不同特征护士人群以及知识掌握的不足之处开展针对性培训,促进护士将所学有效地应用于临床实践中,保证VTE的护理质量。

Objective To explore the current status and influencing factors of venous thromboembolism(VTE)knowledge among nurses of hospitals in Tibet,so as to provide guidance for VTE nursing in Tibet.Methods From November to December 2019,convenience sampling was used to conduct a VTE knowledge survey of 1117 nurses in 59 hospitals from 7 cities(regions)of the Tibet Autonomous Region using the VTE Knowledge Questionnaire for Clinical Nurses.Binary Logistic regression analysis was used to explore the influencing factors of VTE knowledge scores among nurses.Results Among nurses of the Tibet Autonomous Region,the total VTE knowledge score was(36.70±15.17),of which the basic knowledge dimension score was(7.13±2.99),and the risk assessment dimension score was(14.75±7.61),and the basic prevention dimension score was(3.92±1.99),and the physical prevention dimension score was(4.73±2.62)points,and the drug prevention dimension score was(1.96±1.29),and the VTE post-processing dimension score was(4.22±2.35).The average score rate of VTE knowledge among nurses in Tibet was 48.94%,and the knowledge of nurses was at an intermediate to low level.In the use of preventive measures,nurses had insufficient knowledge,including physical prevention score rate of 36.38%,drug prevention score rate 39.20%.Logistic regression analysis showed that professional title,hospital level,and whether or not they had participated in training were independent factors influencing the qualification of nurses'VTE knowledge score(P<0.05).Conclusions The nurses in Tibet have insufficient knowledge of VTE.Managers need to carry out targeted training for nurses with different characteristics and the deficiencies of knowledge,to promote nurses to apply what they have learned to clinical practice effectively,and to ensure the quality of VTE care.