医护人员肿瘤相关静脉血栓栓塞症防治知识知晓度现状及影响因素分析OA
Current status and influencing factors of healthcare professionals'awareness of cancer-associated venous thromboembolism prevention and treatment
目的 探讨医护人员肿瘤相关静脉血栓栓塞症(VTE)防治知识知晓度现状及影响因素.方法 于2024年4月选取宜宾市部分医院83例医护人员进行预调查用于问卷修订,于2024年6月对宜宾市各级医院252例医护人员进行正式问卷调查,收集基本信息、专业背景、职称、科室及医院级别,了解医护人员肿瘤相关VTE防治知识知晓率,采用多因素logistic回归分析肿瘤相关VTE防治知识知晓度的影响因素,探讨不同级别医院、不同科室肿瘤相关VTE防治体系建设情况.结果 预调查结果显示,该调查问卷的Cronbach's α为0.846,重测信度为0.815,分半信度系数为0.798,内容效度为0.905,可用于后续正式调查.三级甲等医院、市级及以上区域、肿瘤专科医护人员肿瘤相关VTE防治知识知晓度得分高于二级甲等及以下医院、乡镇及以下区域和其他科室,差异有统计学意义(P<0.05).多因素logistic回归分析结果显示,医院级别、科室是医护人员肿瘤相关VTE防治知识知晓度的影响因素(P<0.05).三级甲等医院建立肿瘤相关VTE防治流程图、经常或总是使用肿瘤相关VTE评估量表进行风险评估的比例最高,二级甲等及以下医院比例最低,差异有统计学意义(P<0.05).肿瘤专科建立肿瘤相关VTE防治流程图、经常或总是举办肿瘤相关VTE患教会、经常或总是使用肿瘤相关VTE评估量表进行风险评估比例高于其他科室,差异有统计学意义(P<0.05).结论 二级甲等及以下医院应加强肿瘤相关VTE防治体系建设及患者宣教.
Objective To investigate the current status and influencing factors of healthcare profession-als'awareness of cancer-associated venous thromboembolism(VTE)prevention and treatment.Methods In April 2024,a preliminary survey was conducted among 83 healthcare professionals from selected hospitals in Yibin City to revise the questionnaire.In June 2024,an online formal questionnaire survey was administered to 252 healthcare professionals from different levels of hospitals in Yibin City.Basic information,professional background,professional title,department,and level of hospital were collected to assess the awareness rate of cancer-associated VTE prevention and treatment knowledge among healthcare professionals.Multivariate lo-gistic regression analysis was used to identify influencing factors of awareness,and the establishment of canc-er-associated VTE prevention and treatment systems in different hospital levels and departments was ex-plored.Results The preliminary survey showed that the questionnaire had a Cronbach's α of 0.846,test-re-test reliability of 0.815,split-half reliability coefficient of 0.798,and content validity of 0.905,indicating its suitability for the subsequent formal survey.Healthcare professionals in Grade Ⅲ Level A hospitals,munici-pal-level and above regions,and oncology departments had significantly higher awareness scores of cancer-as-sociated VTE prevention and treatment knowledge compared with those in Grade Ⅱ Level A and lower hospi-tals,township-level and below regions,and other departments,the differences were statistically significant(P<0.05).Multivariate logistic regression analysis revealed that hospital level and department were influen-cing factors for healthcare professionals'awareness of cancer-associated VTE prevention and treatment knowledge(P<0.05).Grade Ⅲ Level A hospitals had the highest proportions of establishing cancer-associat-ed VTE prevention and treatment flowcharts and frequently or always using cancer-associated VTE assess-ment scales for risk evaluation,while Grade Ⅱ Level A and lower hospitals had the lowest proportions,with statistically significant differences(P<0.05).Oncology departments had higher proportions of establishing cancer-associated VTE prevention and treatment flowcharts,frequently or always holding patient education sessions on cancer-associated VTE,and frequently or always using cancer-associated VTE assessment scales for risk evaluation compared with other departments(P<0.05).Conclusion Hospitals at Grade Ⅱ Level A and below should strengthen the establishment of cancer-associated VTE prevention and treatment systems and patient education.
江健;钟俐强;江茂琼;汪善兵;李松林;李昭辉;王秋;李婷;陈洁;贾钰铭;雷开键
宜宾市第二人民医院肿瘤科,四川 宜宾 644000宜宾市第二人民医院肿瘤科,四川 宜宾 644000宜宾市第二人民医院肿瘤科,四川 宜宾 644000宜宾市第二人民医院肿瘤科,四川 宜宾 644000珙县人民医院肿瘤科,四川 宜宾 644500宜宾市疾病预防控制中心,四川 宜宾 644000宜宾市第二人民医院肿瘤科,四川 宜宾 644000宜宾市第二人民医院肿瘤科,四川 宜宾 644000宜宾市第二人民医院肿瘤科,四川 宜宾 644000宜宾市第二人民医院肿瘤科,四川 宜宾 644000宜宾市第二人民医院肿瘤科,四川 宜宾 644000
医药卫生
肿瘤相关静脉血栓栓塞症医疗人员知识知晓率防治基层医疗机构
cancer-associated venous thromboembolismhealthcare professionalsknowledge awareness rateprevention and treatmentprimary medical institutions
《重庆医学》 2026 (3)
663-668,6
四川省医学青年创新科研课题计划项目(Q22072).
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