Journal of Modern Nursing MedicineJPCNS

Objective To analyze the risk factors of joint deformities in adult hemophilia A patients and provide effective prevention and treatment strategies. Method A retrospective analysis was conducted on the general and clinical data of 145 adult hemophilia A patients who were initially diagnosed and registered at a hemophilia center in a third tier hospital in Guangzhou from March 2022 to September 2023. The joint deformities of the patients were collected and logistic analysis was conducted on the risk factors for joint deformities, and prevention and treatment strategies were proposed. Results A total of 102 patients (70.34%) had joint deformities. Univariate analysis showed that four variables, including patient BMI, age of first bleeding, number of previously bleeding joints ≥3, and number of bleeding episodes>20 in the past year, were risk factors for joint deformities in patients. Logistic regression analysis showed that age, age of first bleeding, and number of bleeding episodes>20 in the past year are independent risk factors for patients with joint deformities. Conclusion There are many risk factors for hemophilia patients with joint deformities. Medical staff should strengthen patient management and health education, develop standardized treatment plans and nursing interventions, improve the joint health status of patients, and improve their quality of life.

Hemophilia; Joint deformities; Analysis; countermeasure