Abstract
Introduction Deep venous thrombosis is a preventable and treatable cause of death among hospitalized patients. Nurses' knowledge and proper assessment can play a major role in improving deep venous thrombosis prevention care. Objective To assess the knowledge, practice, and associated factors towards deep venous thrombosis prevention among nurses working at Amhara region hospitals. Methods Institutional-based cross-sectional study was conducted among nurses working at Amhara region comprehensive specialized hospitals, Northwest, Ethiopia, from April 1 to 30, 2021. A simple random sampling technique was used to select 423 samples. A structured pretested self-administered questionnaire was used to collect data. Data were entered in epi-info version 7, analyzed using SPSS version 25, and presented by frequencies, percentages, and tables. Bivariable and multivariable logistic regression was computed, and P value < 0.05 was considered to identify statistically significant factors. Result Good knowledge and practice of nurses towards DVT prevention were 55.6% and 48.8%, respectively. Working at the medical ward [AOR 3.175, 95% CI (1.42, 7.11)], having a BSc degree [AOR = 3.248(1.245, 8.469)], Master's degree [AOR = 3.48, 95% CI (1.22, 9.89)], obtaining a formal training about deep venous thrombosis [AOR = 1.59; 95% CI (1.03, 2.47)], and working experience of ≥11 years [AOR = 2.11; 95% CI (1.07, 4.16)] were associated with good knowledge of nurses on the prevention of deep venous thrombosis. While having good knowledge about deep venous prevention AOR = 1.75; 95% CI (1.15, 2.65)] and working experience ≥11 years [AOR = 3.44; 95% CI (1.45, 8.13)] were significantly associated with nurses' practice about deep venous thrombosis prevention. Conclusion Knowledge and practice of the nurses regarding the prevention of deep venous thrombosis were found to be inadequate. Therefore, providing training, creating a conducive environment for sharing of experience, and upgrading the academic status of nurses are measures to scale up the knowledge and practice of nurses regarding deep venous thrombosis prevention.
Highlights
Deep venous thrombosis is a preventable and treatable cause of death among hospitalized patients
E study was conducted in Amhara Regional State Referral Hospitals, Northwest, Ethiopia. ere are five government comprehensive specialized hospitals found in Amhara regional state, Northwest, Ethiopia such as University of Gondar Comprehensive Specialized Hospital (UoGCSH), Felegehiwot Comprehensive Specialized Hospital (FHCSH), Tibebegion Specialized Teaching Hospital (TGSTH), Debre Markos Comprehensive Specialized Hospital (DMCSH), and Debre Tabor Comprehensive Specialized Hospital (DTCSH)
Whereas all nurses who were working in selected units or wards at UoGCSRH, FHCSH, TGSTH, DTCSH, DMCSH, and available during the data collection period are included in the study
Summary
Deep venous thrombosis (DVT) is a common and serious pathology among hospitalized patients, which is a potentially preventable and treatable health problem that contributes to patients’ morbidity and mortality [1]. Both deep vein thrombosis (DVT) and pulmonary embolism (PE) are the elements of venous. Deep venous thrombosis (DVT) prevention includes the three arms, pharmacological, mechanical, and general care (early mobilization, exercising, and hydration) of hospitalized patients can reduce the incidence of DVT in both medical and surgical patients significantly [9]. Studies have shown that having a poor level of knowledge and expressed practice of nurses on prevention of deep venous thromboembolism could increase hospitalization and leads to poor health care outcome [9, 12]. This study was aimed to assess the actual gap in knowledge, practice, and its associated factors of DVT prevention among nurses working at Amhara region comprehensive specialized hospitals, Northwest, Ethiopia
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