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已发表论文
中国老年患者静脉血栓栓塞症相关知识、态度和实践：一项横断面研究
Authors Jin J, Zhang X, Zhao Z, Li J, Hu T, Yuan M, Ke Y, Wang B
Received 10 November 2025
Accepted for publication 16 January 2026
Published 29 January 2026 Volume 2026:19 580403
DOI https://doi.org/10.2147/IJGM.S580403
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Satish Nair
Jun Jin,* Xingliang Zhang,* Zhe Zhao, Jie Li, Tingjun Hu, Meixia Yuan, Yingying Ke, Beiyun Wang
Department of Gerontology, Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, 200233, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Beiyun Wang, Email wangbeiyun@sjtu.edu.cn
Purpose: Venous thromboembolism (VTE) poses a significant health risk for the elderly. This study aims to evaluate the knowledge, attitudes, and practices (KAP) concerning VTE among elderly individuals.
Patients and Methods: This cross-sectional study was conducted between September and October 2024 among elderly inpatients and outpatients at the Department of Gerontology, Shanghai Sixth People’s Hospital in China, involving 540 participants. Demographic characteristics and KAP scores were collected using a self-designed questionnaire. Confirmatory factor analysis demonstrated acceptable construct validity, and a cutoff of 70% of the maximum score was applied to define adequate knowledge, positive attitudes, and proactive practices. Univariate and multivariate regression analyses were used to identify factors associated with KAP scores, and structural equation modeling (SEM) was performed to examine the direct and indirect relationships among knowledge, attitudes, and practices.
Results: Among respondents, 272 (50.4%) were male, and 67 (12.4%) reported a history of VTE. Mean scores were 8.04 ± 5.22 (knowledge), 40.99 ± 4.10 (attitude), and 28.77 ± 5.12 (practice), indicating inadequate knowledge, generally positive attitudes, and moderately proactive practices. SEM revealed that knowledge significantly influenced both attitude (β = 0.365, P < 0.001) and practice (β = 0.306, P < 0.001), while attitude also affected practice (β = 0.219, P < 0.001). Knowledge further had an indirect effect on practice via attitude (β = 0.080, P < 0.001).
Conclusion: These findings highlight critical knowledge gaps among elderly individuals, particularly in mechanical prophylaxis and symptom recognition, underscoring the urgent need for targeted educational interventions to improve VTE prevention strategies.
Keywords: venous thromboembolism, knowledge, attitude, practice, elderly, cross-sectional study
Department of Gerontology, Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, 200233, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Beiyun Wang, Email wangbeiyun@sjtu.edu.cn
Purpose: Venous thromboembolism (VTE) poses a significant health risk for the elderly. This study aims to evaluate the knowledge, attitudes, and practices (KAP) concerning VTE among elderly individuals.
Patients and Methods: This cross-sectional study was conducted between September and October 2024 among elderly inpatients and outpatients at the Department of Gerontology, Shanghai Sixth People’s Hospital in China, involving 540 participants. Demographic characteristics and KAP scores were collected using a self-designed questionnaire. Confirmatory factor analysis demonstrated acceptable construct validity, and a cutoff of 70% of the maximum score was applied to define adequate knowledge, positive attitudes, and proactive practices. Univariate and multivariate regression analyses were used to identify factors associated with KAP scores, and structural equation modeling (SEM) was performed to examine the direct and indirect relationships among knowledge, attitudes, and practices.
Results: Among respondents, 272 (50.4%) were male, and 67 (12.4%) reported a history of VTE. Mean scores were 8.04 ± 5.22 (knowledge), 40.99 ± 4.10 (attitude), and 28.77 ± 5.12 (practice), indicating inadequate knowledge, generally positive attitudes, and moderately proactive practices. SEM revealed that knowledge significantly influenced both attitude (β = 0.365, P < 0.001) and practice (β = 0.306, P < 0.001), while attitude also affected practice (β = 0.219, P < 0.001). Knowledge further had an indirect effect on practice via attitude (β = 0.080, P < 0.001).
Conclusion: These findings highlight critical knowledge gaps among elderly individuals, particularly in mechanical prophylaxis and symptom recognition, underscoring the urgent need for targeted educational interventions to improve VTE prevention strategies.
Keywords: venous thromboembolism, knowledge, attitude, practice, elderly, cross-sectional study