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임산부의 정맥혈전색전증 관련 지식과 인식 및 발생위험도

Knowledge, Awareness and Risk of Occurrence of Venous Thromboembolism of Perinatal Women

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Purpose: The purpose of this study is to identify knowledge, awareness, and risk of occurrence of venous thromboembolism among pregnant women. Methods: Subjects were 106 pregnant women treated as inpatients and outpatients at a women's health hospital in a metropolitan city February 19–March 22, 2018. Instruments consisted of questionnaires that included knowledge, awareness, and risk of occurrence of venous thromboembolism queries. Collected data were analyzed by t-test, one-way analysis of variance, Mann-Whitney U test and Kruskal-Wallis test. Results: Mean score of subjects' knowledge of venous thromboembolism was 4.47 (0–15), mean score of subjects' awareness of venous thromboembolism was 66.98 (25–100), and mean score of subjects' risk factor of venous thromboembolism was 0.98 (0–44). Conclusions: Pregnant women's level of knowledge and awareness of prevention and risk factors on venous thromboembolism, is significantly low. To raise their awareness of risk symptoms and prevent occurrence of the disease, it is essential for nurses as well as medical staffs to: 1) provide an educational program on venous thromboembolism for patients; 2) assess and monitor pregnant women with a risk factor of venous thromboembolism; and 3) implement proper prophylaxis for patients.

Abstract

Purpose: The purpose of this study is to identify knowledge, awareness, and risk of occurrence of venous thromboembolism among pregnant women. Methods: Subjects were 106 pregnant women treated as inpatients and outpatients at a women's health hospital in a metropolitan city February 19–March 22, 2018. Instruments consisted of questionnaires that included knowledge, awareness, and risk of occurrence of venous thromboembolism queries. Collected data were analyzed by t-test, one-way analysis of variance, Mann-Whitney U test and Kruskal-Wallis test. Results: Mean score of subjects' knowledge of venous thromboembolism was 4.47 (0–15), mean score of subjects' awareness of venous thromboembolism was 66.98 (25–100), and mean score of subjects' risk factor of venous thromboembolism was 0.98 (0–44). Conclusions: Pregnant women's level of knowledge and awareness of prevention and risk factors on venous thromboembolism, is significantly low. To raise their awareness of risk symptoms and prevent occurrence of the disease, it is essential for nurses as well as medical staffs to: 1) provide an educational program on venous thromboembolism for patients; 2) assess and monitor pregnant women with a risk factor of venous thromboembolism; and 3) implement proper prophylaxis for patients.

참고문헌 (30)

  1. Hong J, "Incidence of venous thromboembolism in Korea from 2009 to 2013", PLoS One, 13(1), pp.e0191897~ (2018)
  2. "Health insurance statistics: 298 Salary status by age group by disease classification (total)" (2017)[URL]
  3. Reardon G, "Incidence of venous thromboembolism in nursing home residents", Journal of the American Medical Directors Association, 14(8), pp.578~584 (2013)
  4. James AH, "Venous thromboembolism during pregnancy and the postpartum period : incidence, risk factors, and mortality", American Journal of Obstetric and Gynecology, 194(5), pp.1311~1315 (2006)
  5. Pillai VG, "Principles of critical care in obstetrics: volume II", pp.177~195 (2016), Springer India
  6. Bagaria SJ, "Strategies for diagnosis and prevention of venous thromboembolism during pregnancy", Journal of Pregnancy, 2011, pp.206858~ (2011)
  7. Harrington D, "Preventing and recognizing venous thromboembolism after obstetric and gynecologic surgery", Nursing for Women's Health, 17(4), pp.325~329 (2013)
  8. Goto M, "Safety and efficacy of thromboprophylaxis using enoxaparin sodium after cesarean section : A multi-center study in Japan", Taiwanese Journal of Obstetrics and Gynecology, 54(3), pp.248~252 (2015)
  9. Heit JA, "The epidemiology of venous thromboembolism", Journal of Thrombosis and Thrombolysis, 41(1), pp.3~14 (2016)
  10. Guanella R, "Economic burden and cost determinants of deep vein thrombosis during 2 years following diagnosis : a prospective evaluation", Journal of Thrombosis and Haemostasis, 9(12), pp.2397~2405 (2011)
  11. Bonner L, "Deep vein thrombosis : diagnosis and treatment", Nursing Standard, 28(21), pp.51~58 (2014)
  12. Almodaimegh H, "Awareness of venous thromboembolism and thromboprophylaxis among hospitalized patients : a cross-sectional study", Thrombosis Journal, 15, pp.19~ (2017)
  13. Alzoubi KH, "Awareness of patients who undergo cesarean section about venous thromboembolism prophylaxis", Journal of Vascular Nursing, 31(1), pp.15~20 (2013)
  14. "Thromboprophylaxis during pregnancy, labour and after vaginal delivery" (2004)[URL]
  15. Choi DO, "Knowledge and care performance of nurses at a local hospital for deep vein thrombosis", master, pp.2009
  16. 양혜진, "근골격계 하지손상환자의 정맥혈전색전증 관련 지식과 건강신념 및 예방행동의도", 석사, 간호학과, pp.2013
  17. Moon JS, "A study of instrument development for health belief of Korean adults", pp.1990
  18. "Reducing the risk of venous thromboembolism during pregnancy and the puerperium: green-top guideline No. 37a" (2015)[URL]
  19. 이민영, "Pregnancy-associated pulmonary embolism during the peripartum period: An 8-year experience at a single center", Obstetrics & Gynecology Science, 57(04), pp.260~265 (2014), 대한산부인과학회[DOI]
  20. Ryuji Kawaguchi, "Efficacy and safety of venous thromboembolism prophylaxis with fondaparinux in women at risk after cesarean section", Obstetrics & Gynecology Science, 60(6), pp.535~541 (2017), 대한산부인과학회[DOI]
  21. Jacobsen AF, "Incidence and risk patterns of venous thromboembolism in pregnancy and puerperium-a register-based case-control study", American Journal of Obstetrics and Gynecology, 198(2), pp.233.e1~233.e7 (2008)
  22. 민혜영, "고령임산부의 임신과 출산 건강관리 요구", 여성건강간호학회지, 21(4), pp.332~341 (2015), 한국여성건강간호학회
  23. Abdul Sultan A, "Risk of first venous thromboembolism in pregnant women in hospital: population based cohort study from England", BMJ, 347, pp.f6099~ (2013)
  24. Blondon M, "Pre-pregnancy BMI, delivery BMI, gestational weight gain and the risk of postpartum venous thrombosis", Thrombosis Research, 145, pp.151~156 (2016)
  25. Liston F, "Thromboembolism in the obese pregnant woman", Seminars in Perinatology, 35(6), pp.330~334 (2011)
  26. Virkus RA, "Risk factors for venous thromboembolism in 1.3 million pregnancies: a nationwide prospective cohort", PLoS One, 9(5), pp.e96495~ (2014)
  27. Le Sage S, "Knowledge of venous thromboembolism (VTE) prevention among hospitalized patients", Journal of Vascular Nursing, 26(4), pp.109~117 (2008)
  28. Apenteng PN, "Patients' perceptions and experiences of the prevention of hospital-acquired thrombosis: a qualitative study", BMJ Open, 6(12), pp.e013839~ (2016)
  29. O'Connor DJ, "Incidence and characteristics of venous thromboembolic disease during pregnancy and the postnatal period: a contemporary series", Annals of Vascular Surgery, 25(1), pp.9~14 (2011)
  30. Bayrampour H, "Advanced maternal age and risk perception : a qualitative study", BMC Pregnancy and Childbirth, 12, pp.100~112 (2012)

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