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住院患者静脉血栓栓塞症风险感知的研究进展

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静脉血栓栓塞症(VTE)是住院患者的潜在并发症之一,包括深静脉血栓形成和肺栓塞,早期预防是降低VTE发病率和病死率的关键.目前VTE预防的指南已较成熟,基于指南的基础预防、机械预防、药物预防的有效性均在临床实践中得到了验证,但主要针对于临床医护人员,患者及照顾者对VTE风险的重视度不足,导致其预防依从性低下.风险感知是人们对风险事物和风险特征的感受、认识和理解,可改善健康相关行为、促进相关预防行为的产生.在预防VTE的过程中,患者因素是重要的一环,患者对VTE的风险感知、依从性与预防效果密切相关.了解患者的VTE风险感知是提高其对VTE预防的主观能动性及依从性的重要途径.本文从患者VTE风险感知的现状、评估工具、影响因素、干预策略方面进行综述.目前患者对VTE风险的认知不足,尚缺乏完整且具有针对性的VTE风险感知测评工具,国内学者主要基于健康信念模式理论和知信行理论对患者的VTE感知进行研究,VTE风险感知受患者个人因素(如年龄、文化程度、社会背景)、患病经历、VTE病史、社会支持、主要照顾者等影响,本文主要从医方、患方、网络媒体等方面探讨应对措施,以期提升患者VTE风险感知水平,提高预防依从性,从而为优化患者VTE预防行为结果、降低VTE发生率的干预研究提供参考.
Progress in the study of perceived risk of venous thromboembolism in hospitalised patients
Objective Venous thromboembolism(VTE)is one of the potential complications in hospitalised patients,including deep vein thrombosis and pulmonary embolism,early prevention is the key to reduce the morbidity and mortality of VTE.Current guidelines for VTE prevention is mature,and the effectiveness of guideline-based primary prevention,mechanical prevention,pharmacological prevention have all been validated in clinical practice,but they are mainly aimed at clinical healthcare professionals,patients and caregivers do not pay enough attention to the risk of VTE,which leads to their low adherence to prevention.Risk perception is people's feelings,knowledge and understanding of risky things and risk characteristics,which can improve health-related behaviours and promote the generation of relevant preventive behaviours.In the process of VTE prevention,the patient factor is an important part,and the patient's risk perception of VTE,adherence and the prevention effect are closely related.Understanding patients'VTE risk perception is an important way to improve their subjective initiative and adherence to VTE prevention.This paper reviews the current situation of patients'VTE risk perception,assessment tools,influencing factors,and intervention strategies.Currently,patients'perception of VTE risk is insufficient,and there is a lack of complete and targeted VTE risk perception assessment tools.Domestic scholars have mainly studied patients'VTE perception based on the theory of health belief model and the theory of knowing,believing,and acting,and VTE risk perception is affected by the patients'personal factors(e.g.,age,cultural level,and social background),illness experience,VTE history,social support,and primary caregiver,etc.This report is focus on the influence of medical,patients',and patients'VTE prevention,and we review the current status of VTE risk perception.This paper discusses the response measures from the medical side,the patient side,and the online media in order to improve the level of patients'VTE risk perception and increase the adherence to prevention,so as to provide a reference for the intervention research to optimize the results of patients'VTE prevention behaviours and reduce the incidence of VTE.

Venous thromboembolismRisk perceptionAdherenceComplicationsAssessment toolsSocial support

陈熙、赵玲玲、张晓娟、郭倩、曾小敏

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重庆大学附属肿瘤医院(重庆市,400030)

静脉血栓栓塞症 风险感知 依从性 并发症 评估工具 社会支持

重庆市医药生物技术协会科研育苗项目

cmba2022kyymzkxmH0003

2024

护理实践与研究
河北省儿童医院

护理实践与研究

影响因子:1.354
ISSN:1672-9676
年,卷(期):2024.21(2)
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