摘要
目的:分析高龄骨科住院患者预防静脉血栓的知识-信念-行为(KAP)评分的影响因素。方法:选取65岁以上骨科住院患者750例,采用调查问卷方法,收集患者一般资料及KAP评分。对与KAP评分相关的因素行多重线性回归分析,筛选KAP的独立影响因素。结果:高龄骨科住院患者预防静脉血栓的知识、信念和行为得分分别为(20.27±5.82)分、(32.21±4.96)分和(36.90±5.67)分。年龄越大,患者预防静脉血栓的知识、信念和行为评分越低(P<0.05);学历越高,知识、信念和行为评分越高(P<0.05);损伤部位为上肢关节、韧带,主要照顾者为护工,患者的知识、信念和行为评分较高(P<0.05);住院时间越长,患者的知识评分越高(P<0.05)。经多重线性回归分析,知识评分与年龄、学历和住院时间独立相关,信念评分、行为评分均与年龄、学历和损伤部位独立相关(均P<0.05)。结论:高龄骨科患者预防静脉血栓的知识了解较为欠缺,年龄和学历为影响患者KAP的重要因素,临床中应采取针对性的措施提高患者的知识水平、预防意愿和行为。
Objective: To investigate the knowledge-attitude-practice (KAP) scores and influencing factors of prevention of venous thrombosis in elderly orthopaedic inpatients. Methods: A total of 750 orthopaedic inpatients (over 65 years old) were selected and investigated with general information questionnaire and KAP questionnaire. Results: The scores of knowledge,attitude and practice of patients in preventing venous thrombosis were 20.27±5.82,32.21±4.96,and 36.90±5.67,respectively.The older the age,the lower the scores of knowledge,attitude and practice ( P <0.05).The higher the educational level,the higher the scores of knowledge,attitude and practice ( P <0.05).The longer the hospital days,the higher the knowledge score ( P <0.05).Moreover,patients whose upper limb joints and ligaments were injured or were mainly cared by nursing worker had higher scores of knowledge,attitude and practice ( P <0.05).Multiple linear regression analysis indicated that the age,educational level and hospital days were independently related to the knowledge score,and the age,educational level and injured sits were independently correlated with the attitude score and practice score ( P <0.05). Conclusion: The elderly orthopaedic patients were lack of the knowledge of venous thrombosis prevention.Age and educational level were important factors affecting KAP of patients.Measures should be taken in clinic to improve patients’ knowledge level and willingness to the prevention and behavior.
作者
段秀伟
蒋萍
Duan Xiuwei;Jiang Ping(Department of Orthopedics,Chengdu Western Hospital,Chengdu 610031,China)
出处
《广西医科大学学报》
CAS
2019年第6期924-928,共5页
Journal of Guangxi Medical University
关键词
高龄
骨科
住院患者
知识
信念
行为
elderly
orthopedics
hospitalized patients
knowledge
belief
behavior
