患者报告的障碍在骨科创伤手术后对预防性埃诺沙巴林的坚持
Fayez G Ghazi1, Mara L Schenker2, Randi N Smith3
1Geisel School of Medicine at Dartmouth, USA.
Injury
|June 15, 2024
概括
大多数骨科创伤患者在注射埃诺沙巴林时遇到困难,由于不便和疼痛,报告的坚持率较低. 解决这些障碍对于改善术后结果和降低静脉血栓栓塞的风险至关重要.
科学领域:
- 整形外科手术 整形外科手术
- 药理学 药理学是指药理学的学科.
- 患者的坚持 患者的坚持
背景情况:
- 静脉血栓栓塞 (VTE) 在骨科创伤手术后很常见,尽管有标准的预防措施.
- 埃诺沙巴林注射经常用于高风险患者的静脉瘤预防.
- 患者报告的依从性和对埃诺沙巴林使用的障碍并未得到充分记录.
研究的目的:
- 为了调查患者报告的依从率,放出后埃诺沙巴林预防.
- 识别和描述骨科创伤患者使用enoxaparin.com遇到的障碍.
- 了解这些障碍对遵守和潜在结果差距的影响.
主要方法:
- 半结构面试与50名成年骨科创伤患者进行,这些患者被处方Enoxaparin.
- 收集了关于患者人口统计,流动性和自我报告的坚持的数据.
- 用于识别预防障碍的诱导性主题分析.
主要成果:
- 患者报告的平均坚持率为64.5%,具有显著的可变性.
- 最重要的障碍包括不便 (18名患者),疼痛 (16) 和恐惧 (12).
- 40名患者报告至少有一个障碍,影响了守和潜在的VTE预防.
结论:
- 在骨科创伤患者中,脱离后对埃诺沙巴林的坚持程度较低.
- 鉴定到的障碍物显著阻碍了预防的坚持.
- 改善处方模式和患者参与对于更好的VTE结果至关重要.
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