主动脉夹层术后患者出院准备度现状及其影响因素  

Influencing Factors of Discharge Readiness for Patients after Aortic Dissection Surgery

作　　者：郭万鹏[1] 张倩[2] 栗林[1] GUO Wanpeng;ZHANG Qian;LI Lin(Department of Cardiac Surgery,Shanxi Dayi Hospital of Shanxi Medical University,Taiyuan 030032,Shanxi Province,China;Department of Vascular Surgery,Shanxi Dayi Hospital of Shanxi Medical University)

机构地区：[1]山西医学科学院山西大医院心脏大血管外科,山西太原030032 [2]山西医学科学院山西大医院血管外科

出　　处：《解放军护理杂志》2018年第20期18-22,共5页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的了解主动脉夹层术后患者的出院准备度现状,并分析其影响因素。方法 2016年1月至2017年12月,采用便利抽样的方法选择山西医学科学院山西大医院心外科、血管外科、介入治疗科收治的主动脉夹层行手术治疗后痊愈准备出院的患者为研究对象,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其进行调查。结果患者出院准备度各条目均分为(7.36±0.58)分,各维度评分从高到低依次为自身状况、出院后应对能力、疾病知识、可获得的社会支持。相关性分析得出主动脉夹层术后患者出院准备度与出院指导质量总分呈正相关(r=0.673,P<0.001),与指导质量各维度均呈正相关(均P<0.05)。多元线性回归分析显示,年龄、文化程度、手术方式、住院天数是主动脉夹层术后患者出院准备度的主要影响因素,出院指导质量与出院准备度呈正相关。结论主动脉夹层术后患者出院准备度处于中等偏上水平,有待提高。医护人员应注重患者的出院健康宣教,进行针对性的实施出院计划服务,提高患者的出院准备度。Objective To understand the status of patients’discharge readiness after aortic dissection surgery and analyze its influencing factors.Methods By convenience sampling method,patients who were discharged from the hospital after aortic dissection surgery were selected and investigated by the general data questionnaire,the discharge readiness scale and the quality of discharge guidance scale.Results The mean score of patients’discharge readiness items was 7.36±0.58,and the dimensions from highest to lowest scores include self-condition,coping ability after discharge,knowledge of disease and social support.The correlation analysis showed that the discharge readiness of the patients after aortic dissection surgery was positively correlated with the quality of discharge guidance(r=0.673,P<0.001),and was positively correlated with all dimensions of guidance quality(all P<0.05).Multiple linear regression analysis showed that age,education,operation method and hospital days were the main factors affecting the discharge readiness of patients after aortic dissection surgery.The quality of discharge guidance was positively correlated with discharge readiness.Conclusions The discharge readiness of patients after aortic dissection surgery is at the medium to upper level,and needs to be improved.Medical staff should pay attention to the patients’health education for discharge and carry out specific discharge service for improving the discharge readiness of patients.

关 键 词：主动脉夹层术后 出院准备度 影响因素 

分 类 号：R473.54[医药卫生—护理学]