关节置换术后患者预防深静脉血栓科普作品的研制

doi:10.3761/j.issn.0254-1769.2024.06.008

摘要/Abstract

摘要：

目的研制基于证据的关节置换术后患者预防深静脉血栓科普作品。方法以国际指南协作网的患者指南制订手册和患者健康教育材料评估工具为指导，采用半结构式访谈明确科普主题，将该主题与相关循证证据进行匹配，对每个主题的相关证据推荐条目进行细化，并转化为患者易懂的语言及其他形式，并由外部评审小组成员（包括医生、护士、患者、科普专家和循证方法学专家）对科普作品质量进行外部评审。结果预防术后深静脉血栓，患者重点关注且亟待解决的问题共提炼出6个科普主题，与22条证据匹配后，形成了关节置换术后预防深静脉血栓健康教育内容体系。依据体系框架及证据内容，根据患者的喜好与需求，创作了科普手册和科普视频，最终外部评审满分率为94%~100%，变异系数为0~0.101。修订和完善后的关节置换术后预防深静脉血栓科普作品包括科普手册和科普视频。科普手册（著作权号：国作登字-2022-L-10159159）与科普视频（著作权号：国作登字-2022-I-10162339）均已申请版权登记。结论关节置换术后预防深静脉血栓科普作品的研制方法科学，为关节置换术后患者预防深静脉血栓及其他科普作品的研制提供了参考。

关键词: 健康教育, 循证护理学, 深静脉血栓, 预防, 科普作品

Abstract:

Objective To develop evidence-based health science popularization works for the prevention of deep vein thrombosis（DVT） in patients after joint replacement. Methods In this study，guided by the Guideline International Network patient guideline formulation manual and Patient Education Materials Assessment Tool，we conducted semi-structured interviews to clarify the health science themes. These themes were matched with relevant evidence，and the relevant evidence recommendation items for each theme were refined. It is translated into easily understandable language and other forms. 12 representatives（doctor，nurse，patient，science popularization expert and evidence-based methodology expert） conducted an external review of the quality of these science popularization works. Results Prevention of post-operative DVT，patients’ main concerns and the most urgent need for action were extracted from a total of 6 scientific topics. After the matching with 22 pieces of evidence，a health education content system for the prevention of DVT after total joint arthroplasty was created. According to the system framework and evidence，as well as the preferences and needs of patients，a popular science manual and popular science video were created，with the final external review rate of 94%~100% and the coefficient of variation of 0~0.101. The revised health science works for the prevention of DVT after joint replacement included popular science manuals-trifolds and popular science videos. The copyright of both popular science manuals（copyright number：Guozuo Dengzi-2022-L-10159159） and popular science videos（copyright number：Guozuo Dengzi-2022-I-10162339） have been registered. Conclusion The method of developing science popularization works on the prevention of DVT in patients after joint replacement is scientific. It can provide a methodological reference for the development of other science popularization works.

Key words: Health Education, Evidence-Based Nursing, Deep Vein Thrombosis, Prevention, Science Popularization Works

王钰, 徐园, 邓海波, 王磊, 王晓杰, 郝玉芳, 朱丽筠, 刘佳, 孙建华, 安然逊, 马玉芬, 吴欣娟. 关节置换术后患者预防深静脉血栓科普作品的研制[J]. 中华护理杂志, 2024, 59(6): 699-705.

WANG Yu, XU Yuan, DENG Haibo, WANG Lei, WANG Xiaojie, HAO Yufang, ZHU Liyun, LIU Jia, SUN Jianhua, AN Ranxun, MA Yufen, WU Xinjuan. Development of health science popularization works for the prevention of deep vein thrombosis in patients after joint replacement[J]. Chinese Journal of Nursing, 2024, 59(6): 699-705.

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