Women's Health Nursing (여성건강간호학회지)

Korean Society of Women Health Nursing (한국여성건강간호학회)
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Knowledge, Awareness and Risk of Occurrence of Venous Thromboembolism of Perinatal Women

임산부의 정맥혈전색전증 관련 지식과 인식 및 발생위험도

  • Received : 2019.03.02
  • Accepted : 2019.05.20
  • Published : 2019.06.20
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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.

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References

  1. Hong J, Lee JH, Yhim HY, Choi WI, Bang SM, Lee H, et al. Incidence of venous thromboembolism in Korea from 2009 to 2013. PLoS One. 2018;13(1):e0191897. https://doi.org/10.1371/journal.pone.0191897
  2. Korean Statistical Information Service. Health insurance statistics: 298 Salary status by age group by disease classification (total) [Internet]. Daejeon: Korean Statistical Information Service; 2017 [cited 2017 Dec 27]. Available from: http://kosis.kr/statHtml/statHtml.do?orgId=350&tblId=TX_35001_A061.
  3. Reardon G, Pandya N, Nutescu EA, Lamori J, Damaraju CV, Schein J, et al. Incidence of venous thromboembolism in nursing home residents. Journal of the American Medical Directors Association. 2013;14(8):578-584. https://doi.org/10.1016/j.jamda.2013.02.003
  4. James AH, Jamison MG, Brancazio LR, Myers ER. Venous thromboembolism during pregnancy and the postpartum period: incidence, risk factors, and mortality. American Journal of Obstetric and Gynecology. 2006;194(5):1311-1315. https://doi.org/10.1016/j.ajog.2005.11.008
  5. Pillai VG. DVT and pregnancy. In: Gandhi A, Malhotra N, Malhotra J, Gupta N, Bora NM, editors. Principles of critical care in obstetrics: volume II. Delhi: Springer India; 2016. p. 177-195.
  6. Bagaria SJ, Bagaria VB. Strategies for diagnosis and prevention of venous thromboembolism during pregnancy. Journal of Pregnancy. 2011;2011:206858.
  7. Harrington D. Preventing and recognizing venous thromboembolism after obstetric and gynecologic surgery. Nursing for Women's Health. 2013;17(4):325-329. https://doi.org/10.1111/1751-486X.12051
  8. Goto M, Yoshizato T, Tatsumura M, Takashima T, Ogawa M, Nakahara H, et al. Safety and efficacy of thromboprophylaxis using enoxaparin sodium after cesarean section: A multi-center study in Japan. Taiwanese Journal of Obstetrics and Gynecology. 2015;54(3):248-252. https://doi.org/10.1016/j.tjog.2014.09.008
  9. Heit JA, Spencer FA, White RH. The epidemiology of venous thromboembolism. Journal of Thrombosis and Thrombolysis. 2016;41(1):3-14. https://doi.org/10.1007/s11239-015-1311-6
  10. Guanella R, Ducruet T, Johri M, Miron MJ, Roussin A, Desmarais S, et al. Economic burden and cost determinants of deep vein thrombosis during 2 years following diagnosis: a prospective evaluation. Journal of Thrombosis and Haemostasis. 2011;9(12):2397-2405. https://doi.org/10.1111/j.1538-7836.2011.04516.x
  11. Bonner L, Johnson J. Deep vein thrombosis: diagnosis and treatment. Nursing Standard. 2014;28(21):51-58. https://doi.org/10.7748/ns2014.01.28.21.51.e8222
  12. Almodaimegh H, Alfehaid L, Alsuhebany N, Bustami R, Alharbi S, Alkatheri A, et al. Awareness of venous thromboembolism and thromboprophylaxis among hospitalized patients: a cross-sectional study. Thrombosis Journal. 2017;15:19. https://doi.org/10.1186/s12959-017-0144-2
  13. Alzoubi KH, Khassawneh BY, Obeidat B, Asfoor SS, Al-azzam SI. Awareness of patients who undergo cesarean section about venous thromboembolism prophylaxis. Journal of Vascular Nursing. 2013;31(1):15-20. https://doi.org/10.1016/j.jvn.2012.07.001
  14. Royal College of Obstetricians & Gynaecologists. Thromboprophylaxis during pregnancy, labour and after vaginal delivery [Internet]. London: RCOG; 2004 [cited 2017 Sept 10]. Available from: http://muppet.pbworks.com/f/Thromboprophylaxis_no037.pdf.
  15. Choi DO. Knowledge and care performance of nurses at a local hospital for deep vein thrombosis [master's thesis]. Busan: Dong-A University; 2009. 60 p.
  16. Yang HJ. Knowledge, health belief, and preventive behavioral intention related to venous thromboembolism (VTE) of the patients with lower limb musculoskeletal disorders [master's thesis]. Gwangju: Chosun University; 2013. 39 p.
  17. Moon JS. A study of instrument development for health belief of Korean adults [dissertation]. Seoul: Yonsei University; 1990. 113 p.
  18. Royal College of Obstetricians & Gynaecologists. Reducing the risk of venous thromboembolism during pregnancy and the puerperium: green-top guideline No. 37a [Internet]. London: RCOG; 2015 [cited 2017 Sep 10]. Available from: https://www.rcog.org.uk/en/guidelines-research-services/guidelines/gtg37a/.
  19. Lee MY, Kim MY, Han JY, Park JB, Lee KS, Ryu HM. Pregnancy-associated pulmonary embolism during the peripartum period: an 8-year experience at a single center. Obstetrics and Gynecology Science. 2014;57(4):260-265. https://doi.org/10.5468/ogs.2014.57.4.260
  20. Kawaguchi R, Haruta S, Kobayashi H. Efficacy and safety of venous thromboembolism prophylaxis with fondaparinux in women at risk after cesarean section. Obstetrics and Gynecology Science. 2017;60(6):535-541. https://doi.org/10.5468/ogs.2017.60.6.535
  21. Jacobsen AF, Skjeldestad FE, Sandset PM. Incidence and risk patterns of venous thromboembolism in pregnancy and puerperium-a register-based case-control study. American Journal of Obstetrics and Gynecology. 2008;198(2):233.e1-233.e7. https://doi.org/10.1016/j.ajog.2007.08.041
  22. Min HY, Jeong GH. Advanced aged women's needs for pregnancy and childbirth care. Korean Journal of Women Health Nursing. 2015;21(4):332-341. https://doi.org/10.4069/kjwhn.2015.21.4.332
  23. Abdul Sultan A, West J, Tata LJ, Fleming KM, Nelson-Piercy C, Grainge MJ. Risk of first venous thromboembolism in pregnant women in hospital: population based cohort study from England. BMJ. 2013;347:f6099. https://doi.org/10.1136/bmj.f6099
  24. Blondon M, Harrington LB, Boehlen F, Robert-Ebadi H, Righini M, Smith NL. Pre-pregnancy BMI, delivery BMI, gestational weight gain and the risk of postpartum venous thrombosis. Thrombosis Research. 2016;145:151-156. https://doi.org/10.1016/j.thromres.2016.06.026
  25. Liston F, Davies GA. Thromboembolism in the obese pregnant woman. Seminars in Perinatology. 2011;35(6):330-334. https://doi.org/10.1053/j.semperi.2011.05.017
  26. Virkus RA, Lokkegaard E, Lidegaard O, Langhoff-Roos J, Nielsen AK, Rothman KJ, et al. Risk factors for venous thromboembolism in 1.3 million pregnancies: a nationwide prospective cohort. PLoS One. 2014;9(5):e96495. https://doi.org/10.1371/journal.pone.0096495
  27. Le Sage S, McGee M, Emed JD. Knowledge of venous thromboembolism (VTE) prevention among hospitalized patients. Journal of Vascular Nursing. 2008;26(4):109-117. https://doi.org/10.1016/j.jvn.2008.09.005
  28. Apenteng PN, Fitzmaurice D, Litchfield I, Harrison S, Heneghan C, Ward A, et al. Patients' perceptions and experiences of the prevention of hospital-acquired thrombosis: a qualitative study. BMJ Open. 2016;6(12):e013839. https://doi.org/10.1136/bmjopen-2016-013839
  29. O'Connor DJ, Scher LA, Gargiulo NJ 3rd, Jang J, Suggs WD, Lipsitz EC. Incidence and characteristics of venous thromboembolic disease during pregnancy and the postnatal period: a contemporary series. Annals of Vascular Surgery. 2011;25(1):9-14. https://doi.org/10.1016/j.avsg.2010.04.003
  30. Bayrampour H, Heaman M, Duncan KA, Tough S. Advanced maternal age and risk perception: a qualitative study. BMC Pregnancy and Childbirth. 2012;12:100-112. https://doi.org/10.1186/1471-2393-12-100