Current situation of nursing management of venous thromboembolism in Wenzhou: An investigation with analysis
CHEN Weiwei1, WANG Hongxia2, CHEN Zimiao3
1.Department of Thoracic Surgery, the People’s Hospital of Pingyang, Wenzhou 325000, China; 2.Department of Nursing, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325015, China; 3.Department of Endocrinology, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325015, China
CHEN Weiwei,WANG Hongxia,CHEN Zimiao. Current situation of nursing management of venous thromboembolism in Wenzhou: An investigation with analysis[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2024, 54(5): 405-409, 412..
Abstract：Objective: To investigate and analyze the current situation of nursing management of venous thromboembolism (VTE) in Wenzhou so as to provide an effective reference for proposing accurate countermeasures. Methods: Based on the VTE nursing quality control data from Wenzhou Nursing Quality Control Center, the current status of VTE nursing management in hospitals of second-class or above in Wenzhou between 2021 and 2022 was investigated, including the bleeding risk assessment rate of VTE moderate-high risk patients, VTE high-risk patient testing rate, VTE related knowledge education rate, VTE education awareness rate and hospital-related VTE incidence rate. And the different years, administrative levels of hospitals, class and type of hospitals were compared and analyzed. Results: Among the 20 medical institutions involved in the survey, in 2021, compared with 2022, the bleeding risk assessment rate of VTE moderate-high risk patients increased from 72.56% to 81.91%, and the examination rate of high-risk patients increased from 77.25% to 85.52%; the education rate of VTE related knowledge increased from 76.54% to 80.71%, the awareness rate of education increased from 72.17% to 76.97%, and the incidence of hospital-associated VTE increased from 2.20% to 2.57%, with all the differences statistically significant (P<0.01). There was significant difference (P<0.01) in VTE nursing management related quality control indicators such as the bleeding risk assessment rate of VTE moderate-high risk patients, VTE high-risk patient testing rate, VTE related knowledge education rate, VTE education awareness rate, hospital related VTE incidence rate. Compared between general hospitals and specialized hospitals, between provincial hospitals and municipal or county-level hospitals, between tertiary hospitals and second-class hospitals.Conclusion: VTE nursing management in Wenzhou has been generally improved in recent years. Provincial hospitals have obvious advantages over prefecture-level or county-level hospitals and tertiary hospitals have obvious advantages over secondary hospitals in VTE nursing management,suggesting that great differences exist in VTE nursing management among various medical institutions. Greater attention and more management measures are needed.
