冠心病患者出院准备度现状及其影响因素的研究  

Survey of the readiness for hospital discharge and its influencing factors among coronary heart disease patients

作　　者：王冰花[1] 汪晖[2] 杨纯子[2] 胡凯利[2] 周舸[3] 

机构地区：[1]华中科技大学同济医学院护理学院,武汉市430030 [2]华中科技大学同济医学院附属同济医院护理部 [3]华中科技大学同济医学院附属同济医院心内科

出　　处：《中华护理杂志》2017年第2期138-143,共6页Chinese Journal of Nursing

基　　金：华中科技大学院系自主创新基金(2016YXMS161)

摘　　要：目的描述即将出院的冠心病患者的出院准备度水平,探讨其影响因素。方法采用一般资料调查表、出院准备度量表、出院指导质量量表对武汉市4所三级甲等医院心血管内科的413例冠心病患者进行调查。结果冠心病患者的出院准备度总分为(96.15±17.30)分,处于较高水平。多元线性回归分析显示,出院指导质量、感知自理能力下降、需长期规律服药、经济条件、合并症种类和工作状态是冠心病患者出院准备度的主要影响因素。结论冠心病患者感知的出院准备度较好,但医护人员应根据冠心病患者的具体情况给予针对性的干预措施,以确保出院指导的质量,保障患者出院后的安全。Objective To describe the status quo of coronary heart disease（CHD） patients＇ readiness for hospital discharge and to explore its influencing factors. Methods A cross-sectional survey was conducted. A self-designed general information questionnaire,the Readiness for Hospital Discharge Scale and the Quality of Discharge Teaching Scale were delivered to 413 CHD patients from 4 hospitals in Wuhan. Results The total score of readiness for hospital discharge was 96.15±17.30,which was relatively high. The multiple linear regression analysis revealed that the quality of discharge guidance,self-care ability perception,long-term regular medication,economic condition,number of complication,and employment status were influencing factors of readiness for hospital discharge. Conclusion The level of CHD patients＇ readiness for hospital discharge is relatively satisfactory,and heahhcare workers should provide specific interventions according to different influencing factors. Especially, the quality of discharge guidance should be paid more attention,in order to improve the readiness for hospital discharge and promote patients＇ safety after hospital discharge.

关 键 词：冠心病 病人出院 出院准备度 影响因素分析 

分 类 号：R473.5[医药卫生—护理学]