| Objective:Based on the knowledge,attitude/belief,practice,KAP,this study compiled the questionnaire on the status quo of knowledge,attitude and practice of prevention and treatment of venous thromboembolism among clinical nurses.Using the questionnaire,a cross-sectional study was carried out in the tertiary general hospitals in Hunan Province to investigate the status quo of knowledge,attitude and practice of prevention and treatment of venous thromboembolism(VTE)among nurses in tertiary general hospitals in Hunan Province and explore its influencing factors,To provide basis for improving the level of knowledge,belief and practice of VTE prevention and treatment among clinical nurses in tertiary general hospitals of Hunan Province.Method:(1)Preparation of questionnaire on the status quo of knowledge,belief and practice of clinical nurses in the prevention and treatment of venous thromboembolism: Based on the KAP theory,the initial item pool of the questionnaire was constructed on the basis of literature review and brainstorming,and the Delphi method was used to conduct two rounds of expert correspondence to determine the items of the questionnaire;Using the convenient sampling method,222 clinical nurses in the third level general hospital of Hunan Province were selected for pre survey,and the items were screened through differentiation analysis,correlation analysis and exploratory factor analysis to form a formal questionnaire;Cronbach coefficient,half reliability,content validity and structure validity were used to test the reliability and validity of the questionnaire.(2)Cross sectional survey on knowledge,belief and practice of VTE prevention and treatment among clinical nurses in tertiary general hospitals in Hunan Province: 3235 clinical nurses from 10 tertiary general hospitals in 5 prefectures,cities and prefectures in Hunan Province were selected by multi-stage sampling method in December,2021,and a cross-sectional survey was conducted by using a self-made questionnaire.In descriptive analysis,the counting data in demographic data are statistically described by frequency and component ratio,and the measurement data conforming to normal distribution are described by mean ± standard deviation.Pearson method was used to analyze the correlation between the scores of each dimension;T-test and analysis of variance were used to compare the scores of knowledge,attitude and behavior in accordance with normal and square difference.Non normal or uneven variance data were analyzed by non parametric test;Bonferroni method was used to compare the statistically significant variables in the analysis of variance;Multiple linear regression analysis was used to explore the influence of different factors on knowledge,attitude and behavior.Results(1)Questionnaire formation results: after expert correspondence and pre survey,the questionnaire finally formed three dimensions of knowledge,attitude and behavior,including 37,25 and 23 items respectively,a total of 85 items.Questionnaire Cronbach ’ α The coefficient was 0.975 and the half reliability was 0.889;The S-cvi of the questionnaire is 0.98,and the I-cvi is between 0.82 and 1.00.The confirmatory factor analysis model fits well.(2)Results of cross-sectional survey on knowledge,belief and practice of VTE prevention and treatment among clinical nurses in tertiary general hospitals in Hunan Province: the average score of VTE prevention and treatment knowledge among clinical nurses in tertiary general hospitals in Hunan Province was(32.23 ± 2.10),and the standardized score was(92.09 ± 5.99);The average score of attitude was(97.46 ± 20.20)and the standardized score was(84.75 ± 17.57);The average behavior score was(97.46 ± 20.20)and the standardized score was(84.75 ± 17.57).The factors influencing the VTE knowledge level of clinical nurses in tertiary general hospitals in Hunan Province are: educational background,hospital level,Department type,training times,VTE prevention and control work carried out by departments;The factors influencing the VTE attitude of clinical nurses in the tertiary general hospitals in Hunan Province are: the number of training,the VTE prevention and treatment work carried out by departments and the types of departments;The factors influencing the VTE behavior level of clinical nurses in the Tertiary General Hospital of Hunan Province are: training times,department types,whether the hospital has established a standardized VTE prevention and control system,whether the Department is equipped with VTE mechanical prevention equipment,the VTE prevention and control work carried out by the Department,and the VTE risk assessment carried out by the Department.Conclusion:(1)The questionnaire on knowledge,belief and practice of prevention and treatment of venous thromboembolism among clinical nurses compiled by this study finally contains 85 items.After testing,the reliability and validity of the questionnaire are good,which can objectively reflect the level of knowledge,belief and practice of VTE prevention and treatment of clinical nurses in Hunan tertiary general hospitals.(2)The overall level of knowledge,belief and practice of VTE prevention and treatment among clinical nurses in the Tertiary General Hospital of Hunan Province is good: nurses have rich basic knowledge of VTE,positive attitude and good behavior.However,in terms of knowledge,the knowledge of VTE prevention is relatively weak;In terms of attitude,the enthusiasm for VTE assessment was slightly lower;In terms of behavior,the executive power of treatment is relatively low.The influencing factors of clinical nurses’ knowledge,belief and practice level of VTE prevention and treatment in Hunan tertiary general hospital include:professional title,highest education background,hospital grade,Department category,training times,construction of hospital VTE prevention and treatment system,development of specialized VTE prevention and treatment work,VTE risk assessment,and allocation of VTE mechanical prevention equipment. |
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