骨肿瘤围手术期患者血栓预防的知信行调查及影响因素分析

The current status of knowledge-attitude-belief-practice survey and influence factors of the prevention of thrombosis in bone cancer patients for perioperative period

目的描述骨肿瘤围手术期患者血栓预防的知信行现状,探讨其影响因素。方法采用便利抽样法,选取2021年4—7月在广东省某三甲肿瘤专科医院进行手术治疗的骨肿瘤患者,选择一般资料调查表、修订版骨科患者下肢深静脉血栓知信行调查量表进行调查,使用SPSS 25.0软件进行数据分析。结果130例骨肿瘤患者血栓预防知信行总分为(65.45±13.80)分,知识得分为(8.82±7.31)分,信念得分为(48.16±7.71)分,行为得分为(8.48±1.31)分。单因素分析显示:不同付费方式、文化程度、就业情况的骨肿瘤患者血栓预防知信行总分具有统计学意义(P<0.05)。多重线性回归分析显示:文化程度和就业情况是知信行总分的主要影响因素。结论骨肿瘤围手术期患者血栓预防知识相对缺乏,信念和行为水平较高,知信行总分主要受文化程度和就业情况影响,应加强健康教育。

Objective To describe the current status of knowledge-attitude-belief-practice and explore the influence factors of the prevention of thrombosis in bone cancer patients for perioperative period.Methods We adopted a convenient sampling method to select bone cancer patients who recived surgical treatment in a tertiary cancer hospital in Guangdong province from April to July 2021,used the general demographic data questionnaire and revised lower extremity DVT prevention knowledge-attitude-belief-practice questionnaire to collect data.SPSS 25.0 software was used to analyze data.Results The total score of thrombosis prevention knowledge-attitude-belief-practice of 130 bone cancer patients was(65.45±13.80),with knowledge(8.82±7.31),attitude(48.16±7.71)and practice(8.48±1.31).Single factor analysis showed that the total score of thrombosis prevention in bone cancer patients had statistically significant difference on payment method,educational level,occupation([WTBX]P[WTBZ]<0.05).Multiple linear regression analysis showed that educational level and occupation were the main influence factors of total score.Conclusion Perioperative period bone cancer patients lacked knowledge of thrombosis prevention,but had positive attitude and behavior.The total score of thrombosis prevention knowledge-attitude-belief-practice was mainly affected by educational level and occupation,nurses should strengthen health education about thrombosis prevention.