永久性肠造口术患者出院准备度与出院指导质量、社会支持的相关性研究  

Correlation among Readiness for Hospital Discharge,Quality of Discharge Education and Social Support in Patients with Permanent Colostomy

作　　者：胡志琴[1] 马新莉 HU Zhiqin;Xinli(Nursing Department,The First People's Hospital of Kashi, Kashi 844000,Xinjiang Uygur Autonomous Region,China;Department of General Surgery,The First People's Hospital of Kashi)

机构地区：[1]喀什地区第一人民医院护理部,新疆喀什844000 [2]喀什地区第一人民医院普外科

出　　处：《解放军护理杂志》2019年第5期33-37,共5页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的探讨永久性肠造口术患者出院准备度现状,并分析其与出院指导质量、社会支持的相关性。方法便利抽样选取2017年2-12月在我院普外科住院的直肠癌行永久性肠造口患者130例.釆用一般情况调查表、出院准备度量表(readi-ness for hospital discharge scale, RHDS)、出院指导质量量表(quality of discharge teaching scale,QDTS)、社会支持评定量表(social support rating scale,SSRS)对其进行调查。结果本组患者出院准备度得分为(161. 75±21. 47)分;主观支持、造口自理程度、年龄、出院指导技巧是影响永久性肠造口患者出院准备度的主要影响因素,可解释总变异的44. 2%。结论永久性肠造口术患者的出院准备度处于中等水平,临床护理匸作者应关注永久性肠造口术患者的出院准备度,采取针对性的护理干预措施,提升出院指导质量和社会支持水平,从而提高患者的出院准备度。Objective To investigate the status of readiness for hospital discharge in patients with the per manent colostomy, and to analyze its correlation with quality of discharge teaching and social support. Methods A total of 130 patients with rectal cancer who underwent the permanent colostomy in our general surgery from February to December 2017 were selected by convenience sampling method, and were investigated using the general condition questionnaire, readiness for hospital discharge scale (RHI)S), the quality of discharge teaching scale (QDTS) and social support rating scale (SSRS). Results The score of RHDS of patients with the permanent colostomy was 161. 75 ±21. 47. Subjective support, the degree of stoma self-care, age, and discharge guidance skills were the main influencing factors affecting the patient' s readiness for hospital discharge, and explained 44. 2% of the total variation. Conclusions The readiness for hospital discharge in patients with the permanent colostomy is at a moderate level. Clinical nurse work ers should pay attention to the status of readiness for hospital discharge in patients with the permanent colostomy. and take targeted care interventions to improve the quality of discharge guidance and social support ,thereby improving the readiness for hospital discharge.

关 键 词：永久性肠造口 岀院准备度 出院指导质量 社会支持 

分 类 号：R473.6[医药卫生—护理学]