Fizyoterapi Öğrencilerinin Venöz Tromboemboli Bilgi Düzeylerinin Farkındalık Eğitimi Öncesi ve Sonrası Karşılaştırılması

Yıl 2023, Cilt: 2 Sayı: 3, 131 - 139, 31.12.2023

Burcu Bağcı Arzu Demirgüç Şeyma Tuğçe Erkan Yusuf Çerit Hatice Büşra Delier Pinar Gunel

Öz

Amaç: Bu çalışmanın amacı, fizyoterapi öğrencilerinin Venöz tromboembolizm VTE ile ilişkili mevcut bilgi düzeylerinin değerlendirilmesi ve farklı eğitim yöntemlerinin öğrencilerin VTE bilgi düzeyi üzerine etkisinin karşılaştırılmasıdır. Yöntem: Araştırmaya 48 Fizyoterapi ve Rehabilitasyon Bölümü öğrencisi katılmıştır. Katılan öğrenciler başarı durumlarına göre tabakalı örnekleme yöntemi ile Sunum Grubu (SG) ve Broşür Grubu (BG) olmak üzere iki gruba ayrıldı. Gruplara VTE eğitimi verilmeden önce ve eğitimin hemen sonrasında VTE ile ilgili araştırmacılar tarafından geliştirilen anket uygulandı. Bulgular: VTE’nin en sık nerede görüldüğü, risk faktörleri, semptomları ve komplikasyonlarıyla ilgili bilgi düzeyi gruplar arasında başlangıçta benzerdi (p>0.05). Broşür grubunda son yanıtlarla ilk yanıtlar arasında anlamlı düzeyde fark gözlendi (p<0.05). Eğitimler sonrasında BG’de VTE’ye dair bilgisi olanların oranında artış anlamlı düzeyde idi (p<0.05). Risk faktörleri, semptomlar ve komplikasyonlarla ilgili sorulara verilen yanıtlar kıyaslandığında iki farklı eğitim yöntemi arasında herhangi birinin belirgin bir üstünlüğü gözlenmedi. Sonuç: Sonuçlar fizyoterapist adayı öğrencilerin VTE ile ilgili eğitime ihtiyacı olduğunu gösterdi. Uygun eğitim yönteminin belirlenmesi amacıyla, daha geniş örneklemli çalışmalara ihtiyaç vardır.

Anahtar Kelimeler

Venöz Tromboemboli, Fizyoterapi ve Rehabilitasyon, Eğitim

Etik Beyan

Araştırmaya başlamadan önce Sanko Üniversitesi Klinik Araştırmalar Etik Kurulundan onay alındı (2019/15 numaralı oturum, 2 numaralı karar).

Destekleyen Kurum

Finansal destek: Bu çalışmanın hiçbir sürecinde finansal destek alınmamıştır

Teşekkür

Teşekkür: Çalışmamıza katılan tüm katılımcılara teşekkür ederiz.

Comparison of Venous Thromboembolism Knowledge Levels of Physiotherapy Students Before and After Awareness Training

Öz

Purpose: The aim of this study is to evaluate the current knowledge levels of physiotherapy students related to VTE and to compare the effects of different education methods on the students' level of VTE knowledge. Methods: Physiotherapy and Rehabilitation Department students participating in the research were divided into two groups as Presentation Group (SG) and Brochure Group (BG) by stratified sampling method according to their success. A questionnaire developed by researchers related to VTE was applied before and immediately after VTE training was given to the groups. Result: The level of knowledge about where VTE is most common, risk factors, symptoms, and complications was similar between the groups at baseline (p>0.05). There was a significant difference between the final and first responses in the leaflet group (p<0.05). After the trainings, there was a significant increase in the rate of those who had knowledge of VTE in BG (p<0.05). When the answers to the questions about risk factors, symptoms and complications were compared, no significant superiority was observed between the two training methods. Conclusion: The results showed that prospective physiotherapist students needed training on VTE. In order to determine the appropriate training method, studies with larger samples are needed.

Anahtar Kelimeler

Venous Thromboembolism, Physiotherapy and Rehabilitation, Education

Kaynakça

• 1. Moll S, Mackman N. Venous Thromboembolism: A Need for More Public Awareness and Research Into Mechanisms. Arteriosclerosis, Thrombosis, and Vascular Biology. 2008;28(3):367-9.
• 2. Anderson FA, Wheeler HB, Goldberg RJ, Hosmer DW, Forcier A. The prevalence of risk factors for venous thromboembolism among hospital patients. Archives of Internal Medicine. 1992;152(8):1660-4.
• 3. Hill J, Treasure T. Reducing the risk of venous thromboembolism (deep vein thrombosis and pulmonary embolism) in patients admitted to hospital: summary of the NICE guideline. Heart. 2010;96(11):879-82.
• 4. Cohen AT, Tapson VF, Bergmann J-F, Goldhaber SZ, Kakkar AK, Deslandes B, et al. Venous thromboembolism risk and prophylaxis in the acute hospital care setting (ENDORSE study): a multinational cross-sectional study. The lancet. 2008;371(9610):387-94.
• 5. 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(1):1-8.
• 6. Hodgson L, Emed J. Exploring nurses’ experience with the implementation of the venous thromboembolism prophylaxis protocol. Unpublished master’s thesis. McGill University Montreal; 2007.
• 7. Graham R, Mancher M, Wolman DM, Greenfield S, Steinberg E. Committee on standards for developing trustworthy clinical practice guidelines; institute of medicine. Clinical practice guidelines we can trust. 2011.
• 8. Hillegass E, Puthoff M, Frese EM, Thigpen M, Sobush DC, Auten B. Role of Physical Therapists in the Management of Individuals at Risk for or Diagnosed With Venous Thromboembolism: Evidence-Based Clinical Practice Guideline. Phys Ther. 2016;96(2):143-66.
• 9. Ekwere T, Ino-Ekanem BM, Ekanem A. Venous thromboembolism: awareness and practice of thromboprophylaxis among physicians in a tertiary-care hospital. International Journal of Medicine and Biomedical Research. 2015;4:14-20.
• 10. Majluf-Cruz A, Castro Martinez G, Herrera Cornejo MA, Liceaga-Cravioto G, Espinosa-Larrañaga F, Garcia-Chavez J. Awareness regarding venous thromboembolism among internal medicine practitioners in Mexico: a national cross-sectional study. Intern Med J. 2012;42(12):1335-41.
• 11. Karadogan K, Durna Z, Akin S. Evaluation of Nurses’ Knowledge Levels about Risk Factors for Venous Thromboembolism and Preventive Interventions. 2020;6(1):36-43.
• 12. Heit JA, Silverstein MD, Mohr DN, Petterson TM, O'Fallon WM, Melton LJ, 3rd. Risk factors for deep vein thrombosis and pulmonary embolism: a population-based case-control study. Arch Intern Med. 2000;160(6):809-15.
• 13. Rocha AT, Paiva EF, Lichtenstein A, Milani R, Jr., Cavalheiro CF, Maffei FH. Risk-assessment algorithm and recommendations for venous thromboembolism prophylaxis in medical patients. Vasc Health Risk Manag. 2007;3(4):533-53.
• 14. Evans NS, Ratchford EV. Vascular Disease Patient Information Page: Venous Thromboembolism (deep vein thrombosis and pulmonary embolism). Vasc Med. 2014;19(2):148-50.
• 15. National Clinical Guideline Centre – A, Chronic C. National Institute for Health and Clinical Excellence: Guidance. Venous Thromboembolism: Reducing the Risk of Venous Thromboembolism (Deep Vein Thrombosis and Pulmonary Embolism) in Patients Admitted to Hospital. London: Royal College of Physicians (UK) Copyright © 2010, National Clinical Guideline Centre - Acute and Chronic Conditions.; 2010.
• 16. Institute of Medicine Committee on Standards for Developing Trustworthy Clinical Practice G. In: Graham R, Mancher M, Miller Wolman D, Greenfield S, Steinberg E, editors. Clinical Practice Guidelines We Can Trust. Washington (DC): National Academies Press (US) Copyright 2011 by the National Academy of Sciences. All rights reserved.; 2011.
• 17. Office of the Surgeon G, National Heart L, Blood I. Publications and Reports of the Surgeon General. The Surgeon General's Call to Action to Prevent Deep Vein Thrombosis and Pulmonary Embolism. Rockville (MD): Office of the Surgeon General (US); 2008.