太原市出院患者居家护理需求及影响因素分析  

Demand and influencing factors analysis of home care for discharged patients

作　　者：石贞仙[1] 田艳妮[2] 

机构地区：[1]山西省人民医院护理部,太原030012 [2]山西医科大学护理学院,太原030600

出　　处：《中华现代护理杂志》2015年第25期2991-2995,共5页Chinese Journal of Modern Nursing

基　　金：山西省国际科技合作计划项目（2014081061-2）

摘　　要：目的：探讨出院患者的居家护理需求及其影响因素。方法采用自设问卷对太原市3所三级甲等综合医院的450例有不同居家护理需求的出院患者进行调查；采用均数±标准差（ x± s）、百分比（%）进行统计学描述，采用t检验、方差分析、多元线性回归进行统计学分析。结果出院患者护理需求均分为（2.47±0.96）分，需求强度健康指导、康复护理、心理护理、临床护理、生活护理分别为（2.85±1.25），（2.75±1.64），（2.58±1.68），（2.46±1.17），（1.85±1.03）分；多元线性回归分析显示，患病种类和收入水平是居家护理需求的正性影响因素；ADL得分和婚姻状况是居家护理需求的负性影响因素。结论居家护理是未来护理的发展方向，应以需求为导向，从多角度出发，制定针对性的对策，开展适合国情的居家护理，满足多元化需求。Objective To explore the demand and influencing factors analysis of home care for discharged patients. Methods The self-designed questionnaire was used to investigated 450 patients discharged from three level three class A hospitals in Taiyuan; we utilized （x± s）, （%） to statistically describe, and applied t test, variance analysis and multiple linear regression for statistically analysis. Results The average demand score of nursing care was （2. 47 ± 0. 96） in discharged patients, while the score of demand degree of health guidance, rehabilitation nursing, psychological nursing, clinical nursing and life care were （ 2. 85 ± 1. 25）, （2. 75 ± 1. 64）, （2. 58 ± 1. 68）, （2. 46 ± 1. 17） and （1. 85 ± 1. 03） respectively; multi liner regression analysis represented that the type of patients and income were the positive influencing factors for the demand of home care;the score of ADL and marriage status were the negative influencing factors for home care demand. Conclusions Home care is one direction of nursing development in future, so it should guide by demand, be from multiple perspectives, make corresponding countermeasures, and develop the home care suited Chinese circumstances to satisfy diversified demand.

关 键 词：病人出院 家庭护理 原因分析 

分 类 号：R473.2[医药卫生—护理学]