年龄是关于静脉血栓塞栓症治疗知识不足的危险因素
Judith Catella1,2,3,4, Emeraude Rivoire1,2, Ilham Abejiou1
1Service de Médecine Interne, Hôpital Edouard Herriot, Hospices Civils de Lyon, Lyon, France.
概括
许多患有静脉血栓塞栓症 (VTE) 的患者对其病情和治疗了解甚少. 老年患者,特别是55岁及以上的患者,在VTE知识评估中得分较低的可能性更高.
科学领域:
- 医学教育 医学教育
- 血液学 血液学 血液学
- 患者安全 患者安全
背景情况:
- 正式的患者教育计划对于管理静脉血栓塞栓症 (VTE) 和优化抗凝剂治疗至关重要.
- 需要有针对性的方法来识别VTE患者的知识差距.
- 制定针对患者的具体教育策略可以帮助限制并发症.
研究的目的:
- 开发和验证患者问卷以评估有关静脉血栓塞栓症 (VTE) 和其治疗的知识.
- 确定与患者对静脉动脉突发症和抗凝药治疗知识不佳相关的因素.
- 在临床环境中为目标患者教育策略提供信息.
主要方法:
- 一项回顾性研究涉及132名被诊断患有深静脉血栓症或肺栓塞的成年患者,他们接受了至少3个月的抗凝药治疗.
- 患者在2022年3月至2023年2月期间填写了7个问题的VTE知识问卷.
- 使用单变量和多变量分析来调查与调查问卷得分差相关的因素 (定义为<5个正确答案).
主要成果:
- 43.2%的患者在VTE问卷上获得了较低的分数 (<5个正确答案).
- 关键的知识缺陷包括了解出血风险 (22.8%),NSAID禁忌 (5.3%) 和体力活动预防措施 (19.3%).
- 多变量分析确定年龄≥55岁是唯一与VTE知识得分差相关的重要因素 (OR 2.61).
结论:
- 很大一部分VTE患者对其疾病和治疗的了解很差.
- 老年患者 (≥55岁) 特别容易受到有关VTE管理的知识缺陷的影响.
- 教育干预措施应量身定制,以解决与特定治疗相关的知识差距,重点关注老年患者人口统计学.
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