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Published in: Journal of Orthopaedic Surgery and Research 1/2018

Open Access 01-12-2018 | Research Article

Prevention of venous thromboembolism in patients undergoing major orthopedic surgery in China: a qualitative study of patients’ perceptions

Authors: Yaping Xu, Jing Zhao, Yuzhao Chen

Published in: Journal of Orthopaedic Surgery and Research | Issue 1/2018

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Abstract

Background

Venous thromboembolism (VTE) is the third leading cause of cardiovascular-associated death worldwide, and VTE prevention is one of the top patient safety strategies that hospitals can adopt. This study aimed to understand patients’ perceptions of VTE prevention related to major orthopedic surgery in order to guide the clinical practice of medical staff and improve patient quality of life. Patients undergoing major orthopedic surgery should receive interventions to prevent VTE. To encourage patient participation, these interventions should be patient-centered. However, few studies have examined the perceptions of VTE prevention among patients undergoing major orthopedic surgery.

Methods

Participants were purposively selected from among patients undergoing major orthopedic surgery in the orthopedic department of a level-three, class-A hospital in Beijing, China. Data were collected through in-depth semi-structured interviews, and findings were based on a thematic content analysis. All interviews were held during each patient’s hospital stay.

Results

From eight patients who participated, the following themes were identified: (1) unclear understanding of VTE, (2) poor understanding of the severity of postoperative VTE, and (3) poor understanding of VTE prevention.

Conclusions

There are weak links in clinical care related to VTE prevention. We should aim to more completely understand patients’ needs, strengthen the health education provided to patients, and improve patient adherence to preventative measures.
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Metadata
Title
Prevention of venous thromboembolism in patients undergoing major orthopedic surgery in China: a qualitative study of patients’ perceptions
Authors
Yaping Xu
Jing Zhao
Yuzhao Chen
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Journal of Orthopaedic Surgery and Research / Issue 1/2018
Electronic ISSN: 1749-799X
DOI
https://doi.org/10.1186/s13018-018-0813-2

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