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目的:通过国内多中心调查结果比较分析三级甲等医院非手术科室与手术科室静脉血栓栓塞症(venous thromboembolism,VTE)的预防现状,为国内医院全面开展临床静脉血栓栓塞症的预防护理工作提供指导。方法:采用自行设计问卷,在2015年中华护理学会外科护理学术研讨会上对全国29个省(直辖市、自治区)5 278名护士,其中手术科室护士3 062名,非手术科室护士2 216名进行问卷调查。结果:手术科室的规范化静脉血栓预防流程及VTE风险评估的开展明显优于非手术科室,P值分别为0.042、0.046。手术科室护士的VTE总体知识水平高于非手术科室护士,P=0.001。目前仍缺乏全国同质化的VTE规范预防护理流程。结论:目前国内亟待建立VTE预防护理共识,全面、快速推进临床VTE预防护理工作的标准化、同质化进程,同时提高临床护士的VTE防治水平。
OBJECTIVE: To compare the prevention status of venous thromboembolism (VTE) between non-surgical departments and surgical departments in Grade A hospitals in China with the results of multicentre surveys conducted in China, so as to provide preventive measures for the prevention and treatment of clinical venous thromboembolism guide. Methods: A total of 5 278 nurses from 29 provinces (municipalities and autonomous regions) were enrolled in the 2015 China Nursing Society Surgical Nursing Symposium, including 3 062 nurses in operation departments and 2 216 nurses in non-surgical departments Questionnaire. Results: The standardized venous thromboembolism prevention procedure and VTE risk assessment in surgical departments were significantly better than those in non-surgical departments, with P values of 0.042 and 0.046, respectively. The overall level of VTE knowledge of surgical department nurses was higher than that of non-surgical department nurses, P = 0.001. There is still a lack of nationwide homogenization of VTE normative preventive care processes. Conclusion: At present, there is an urgent need to establish a consensus on prevention and treatment of VTE in our country and to promote the standardization and homogenization of VTE prevention and care in a comprehensive and rapid manner. Meanwhile, the level of prevention and treatment of VTE in clinical nurses should be improved.