腰椎退行性变术后患者出院准备度现状及影响因素的研究  

The readiness for hospital discharge and its influencing factors among patients with lumbar degenerative disease after surgery

作　　者：欧阳一雪 赵红伟[1] 蔡雪 赵书娥[1] OUYANG Yixue;ZHAO Hongwei;CAI Xue;ZHAO Shu＇e(Educational Administration Division,the 3rd Hospital of Hebei Medical University,Shijiazhuang,050051,China)

机构地区：[1]河北医科大学第三医院教务处,石家庄市050051

出　　处：《中国护理管理》2018年第9期1280-1285,共6页Chinese Nursing Management

摘　　要：目的 :调查腰椎退行性变术后患者出院准备度情况,分析其影响因素。方法 :采用一般人口学资料及疾病相关资料调查表、出院准备度量表、出院指导质量量表对进行腰椎手术的210例患者进行调查。结果 :腰椎退行性变术后患者出院准备度总分为(92.54±11.23)分,各维度标准化得分由高到低分别为预期性支持、个人状态和适应能力。多元线性回归分析显示出院指导质量、性别、出院原因、合并症、下肢肌力是术后患者出院准备度的影响因素。结论 :腰椎退行性变术后患者出院准备度有待提高,医护人员应该根据患者的需要给予针对性的护理干预,同时为患者制订详细的康复计划和多元化的随访模式,提高出院指导的质量,以提升患者的出院准备度,促进患者的康复。Objective： To investigate the status of patients＇ readiness for hospital discharge after lumbar spine surgery and to explore its influencing factors. Methods： A total of 210 patients after lumbar surgery were investigated by the Readiness for Hospital Discharge Scale （RHDS） and the Quality of Discharge Teaching Scale （QDTS）. Results： The total score of RHDS was 92.54±11.23, The average scores of each dimension of RHDS from high to low order were expected support, personal status and coping ability after discharge. The multiple linear regression analysis revealed that the quality of discharge guidance, gender, cause of discharge, complication, and lower limb muscle strength were influencing factors of readiness for hospital discharge. Conclusion： The level of discharge preparation of patients after lumbar surgery needs improvement. Health care staff should provide specific interventions according to patients＇ needs, and develop a detailed rehabilitation plan and a diversified follow-up model, in order to improve the readiness for hospital discharge and promote patients＇ rehabilitation.

关 键 词：腰椎退行性病变 脊柱手术 出院准备度 影响因素 

分 类 号：R47[医药卫生—护理学]