DOI QR코드

DOI QR Code

Knowledge, Health Belief, and Preventive Behavioral Intention related to Venous Thromboembolism (VTE) of the Patients with Lower Limb Musculoskeletal System Disorders

근골격계 하지손상환자의 정맥혈전색전증 관련 지식과 건강신념 및 예방행동의도

  • 양혜진 (조선대학교 간호학과 대학원) ;
  • 강희영 (조선대학교 의과대학 간호학과)
  • Received : 2013.04.23
  • Accepted : 2013.10.15
  • Published : 2013.11.30

Abstract

Purpose: This study was done to examine the relationship among knowledge, health belief, and preventitive behavioral intention related to venous thromboembolism (VTE) in patients with lower-limb musculoskeletal disorders. Methods: This transversal descriptive study looked at 145 adult patients with lower-limb musculoskeletal disorders, who were hospitalized in C hospital in G city. Data were collected from September 29 to October 6, 2012. Knowledge, health belief and preventitive behavioral intention were measured by structured questionnaires. Date were analyzed by descriptive statistics, one-way ANOVA, independent t-test, and Pearson correlation, using the SPSS program. Results: The mean score of knowledge related to VTE was low. The mean scores of health belief and preventitive behavioral intention related to VTE were moderate or higher than average. Preventitive behavioral intention positively correlated with knowledge, perceived benefit, and health motivation. Whereas, there was a negative correlation between preventitive behavioral intention and perceived barriers. Conclusion: These results suggest that developing a health care program which is able to enhance knowledge, perceived benefit, and health motivation related to VTE and reduce perceived barriers, is essential in order to promote preventitive behaviors.

Keywords

References

  1. Becker, M. H. (1974). The health belief model and personal health behavior. Thorofare, NJ: Charles B Slack, Inc.
  2. Becker, M. H., & Maiman, L. A. (1980). Strategies for enhancing patient compliance. Journal of Community Health, 6, 113-135. https://doi.org/10.1007/BF01318980
  3. Byun, Y. H., & Choi, K. S. (2002). A study on health beliefs and range of motion exercise of impaired physical mobility patients in lower extremity. The Chung-Ang Journal of Nursing, 6(1), 55-60.
  4. Choi, D. O. (2009). Knowledge and care performance of nurses at a local hospital for deep vein thrombosis. Unpublished master's thesis, Dong-A University, Busan.
  5. Findlay, J., Keogh, M., & Cooper, L. (2010). Venous thromboembolism prophylaxis: The role of the nurse. British Journal of Nursing, 19, 1028-1032. https://doi.org/10.12968/bjon.2010.19.16.78190
  6. Geerts, W. H., Pineo, G. F., Heit, J. A., Bergquist, D., Lassen, M. R., Colwell, C. W, et al. (2004). Prevention of venous thromboembolism: The seventh ACCP conference on antithrombotic and thrombolytic therapy. Chest, 126, 338S-400S. https://doi.org/10.1378/chest.126.3_suppl.338S
  7. Golan, D. E., Tashjian, A. H., Armstrong, E. J., & Armstrong, A. W. (2011). Principles of pharmacology: The pathophysiologic basis of drug therapy (3rd ed.). Philadelphia, PA: Lippincott Williams & Wilkins.
  8. Jang, J. H. (2009). VTE prevalence and prophylaxis in surgical patients. Journal of the Korean Society for Vascular Surgery, 25(1), 73-78.
  9. Jang, M. J., Bang, S. M., & Oh, D. (2011). Incidence of venous thromboembolism in Korea: From the Health insurance review and assessment service database. Journal of Thrombosis and Haemostasis, 9(1), 85-91. https://doi.org/10.1111/j.1538-7836.2010.04108.x
  10. Janz, N. K., & Bercker, M. H. (1984). The health belief model : A decade later. Health Education & Behavior, 11(1), 1-47. https://doi.org/10.1177/109019818401100101
  11. Jung, Y. H., & Min, H. S. (2012). Discomfort on wearing thigh-length compression stockings in orthopedic surgical patients. Journal of Muscle and Joint Health, 19, 184-196. https://doi.org/10.5953/JMJH.2012.19.2.184
  12. Kahn, S. R, Kearon, C., Julian, J. A., Mackinnon, B., Kovacs, M. J., Wells, P., et al. (2005). Predictors of the post-thrombotic syndrome during long-term treatment of proximal deep vein thrombosis. Journal of Thrombosis and Haemostasis, 3, 718-723. https://doi.org/10.1111/j.1538-7836.2005.01216.x
  13. Kim, H. S., Cho, O. M., Cho, H. I., & Kim, J. Y. (2012). Risk factors and features of critically Ill patients with deep vein thrombosis in lower extremities. Journal of Korea Academy of Nursing, 42, 396-404. https://doi.org/10.4040/jkan.2012.42.3.396
  14. Kim, J. W., Chung, H. W., & Kim, Y. C. (2012). The incidence of venous thromboembolism in trauma patients with Pelvic or acetabular fracture. Journal of the Korean Fracture Society, 25, 250-256. https://doi.org/10.12671/jkfs.2012.25.4.250
  15. Le Sage, S., McGee, M., & Emed, J. D. (2008). Knowledge of venous thromboembolism (VTE) prevention among hospitalized patients. Journal of Vascular Nursing, 26, 109-117. https://doi.org/10.1016/j.jvn.2008.09.005
  16. Lee, J. S., Kim, T. W., & Suh, J. T. (2010). Deep vein thrombosis after total knee arthroplasty -Correlation between the incidence and clinical risk factors-. Knee Surgery & Related Research, 22, 270-277.
  17. Lee, Y. H., Kim, H. S., & Cho, E. Y. (2002). The influencing factors on health behavior of patients with coronary artery disease. Journal of Korean Academy Nursing, 32(1), 40-49. https://doi.org/10.4040/jkan.2002.32.1.40
  18. Leizorovicz, A. (2007). Epidemiology of post-operative venous thromboembolism in Asian patients. Results of the SMART venography study. Haematologica, 92, 1194-1200. https://doi.org/10.3324/haematol.10819
  19. Lilienfeld, D. E. (2000). Decreasing mortality from pulmonary embolism in the United States, 1979-1996. International Journal of Epidemiology, 29, 465-469. https://doi.org/10.1093/ije/29.3.465
  20. Min, E. S., & Huh, M. H. (2012). Predictors of compliance in hypertensive patients. Journal of Korean Academy of Fundamentals of Nursing, 19, 474-482. https://doi.org/10.7739/jkafn.2012.19.4.474
  21. Moon, J. S. (1990). A study of instrument development for health belief of Korean adults. Unpublished doctoral dissertation, Yonsei University, Seoul.
  22. Piovella, F., Wang, C. J., Lu, H., Lee, K., Lee, L. H., Lee, W. C., et al. (2005). Deep-vein thrombosis rates after major orthopedic surgery in Asia. An epidemiological study based on postoperative screening with centrally adjudicated bilateral venography. Journal of Thrombosis and Haemostasis, 3, 2664- 2670. https://doi.org/10.1111/j.1538-7836.2005.01621.x
  23. Rosenstock, I. M., Strecher V. J., & Becker, M. H. (1988). Social learning theory and the health belief model. Health Education Quarterly, 15, 175–183. https://doi.org/10.1177/109019818801500203
  24. Rowswell, H., & Law, C. (2011). Reducing patients risk of venous thromboembolism. Nursing Times. 107(14), 12-14.
  25. Rudoni, R. R., Jackson, R. E., Godfrey, G. W., Bonfiglo, A. X., Hussey, M. E., & Hauser, A. M. (1998). Use of two-dimensional echocardiography for the diagnosis of pulmonary embolus. The Journal of Emergency Medicine, 16(1), 5-8. https://doi.org/10.1016/S0736-4679(97)00226-6
  26. Shin, K. R., Shin, S. J., Kim, J. S., & Kim, J. Y. (2005). The effects of fall prevention program on knowledge, self-efficacy, and preventive activity realted to fall, and depression of low-income elderly women. Journal of Korean Academy Nursing, 35(1), 104-112. https://doi.org/10.4040/jkan.2005.35.1.104
  27. Song, E. K., Lee, K. B., Seon, J. K., & Kim, J. K. (1999). Deep Vein Thrombosis after Joint Arthroplasty in Lower Extremity. Journal of Korean Orthopedic Association, 34(1), 31-36.
  28. Song, J. H. (2011). Development of userfriendly VTE risk prediction tool. Retrieved November 11, 2012, from http://www.medical-tribune.co.kr/news/articleView.html?idxno=48739
  29. Song, K. Y. (2009). Prevention and treatment of venous thromboembolism (VTE) in cancer patients. Korean Journal of Clinical Oncology, 5(2), 32-40. https://doi.org/10.14216/kjco.09012
  30. Yu, M. C., Kim, K. I., Kim, Y. O., Kim J. M., Kim, T. G., Kim, H. J., et al. (2010). Venous thromboembolism in orthopaedics. Seoul: BMM Korea.

Cited by

  1. Factors related to Endocrine Disruptors Exposing Behaviors in Mothers of Infants vol.23, pp.4, 2017, https://doi.org/10.4069/kjwhn.2017.23.4.256
  2. Clinical nurses’ knowledge and practice of venous thromboembolism risk assessment and prevention in South Korea: a cross-sectional survey vol.26, pp.3-4, 2017, https://doi.org/10.1111/jocn.13424
  3. 영유아 교사에 대한 한국어판 수정된 결핵예방 행동의도 측정도구의 타당도와 신뢰도 vol.17, pp.4, 2013, https://doi.org/10.5392/jkca.2017.17.04.520
  4. Physical activity and related factors to prevent musculoskeletal disorders in blue-collar workers vol.36, pp.1, 2019, https://doi.org/10.14367/kjhep.2019.36.1.43
  5. The Effects of Venous Thromboembolism Prevention Education for Elderly Patients with Total Knee Arthroplasty vol.26, pp.4, 2019, https://doi.org/10.7739/jkafn.2019.26.4.269