甲状腺恶性肿瘤日间手术患者出院准备度与延迟出院现状调查分析  

Investigation and analysis on the current situation of discharge readiness and delayed discharge for patients undergoing ambulatory thyroid malignancy surgery

作　　者：邱咪咪[1] 彭静[1] 刘倩[1] 刘蔚东[1] 莫洋[1] QIU Mimi;PENG Jing;LIU Qian;LIU Weidong;MO Yang(Day Surgery Center,Xiangya Hospital,Central South University,Changsha,Hunan 410008,P.R.China)

机构地区：[1]中南大学湘雅医院日间手术中心

出　　处：《华西医学》2020年第2期176-180,共5页West China Medical Journal

基　　金：湘雅医院-北大未名临床与康复研究基金(2016II06)

摘　　要：目的探讨甲状腺恶性肿瘤日间手术患者出院准备度及延迟出院现状,并予以分析。方法采用便利抽样,选取2018年9月1日-12月30日中南大学湘雅医院日间病房收治的284例甲状腺恶性肿瘤患者为研究对象,研究工具采用一般资料问卷、出院准备度量表;对患者人口学资料进行描述性分析,对不同患者出院准备各维度得分及总分进行差异性分析。结果患者出院准备度总得分为(8.66±0.60)分,其中身体状况得分(6.31±0.74)分,疾病知识得分(9.49±0.87)分,出院后的应对能力得分(9.20±0.99)分,期望获得的社会支持得分(9.63±0.74)分;延迟出院率为2.1%;不同性别、年龄、文化程度、是否有专人照顾的甲状腺恶性肿瘤日间手术患者出院准备各维度得分以及总得分差异无统计学意义(P>0.05);是否延迟出院的患者出院准备中患者自身状况、疾病知识、出院后的应对能力3个维度得分以及总得分差异有统计学意义(P<0.05),而期望获得的社会支持维度得分差异无统计学意义(P>0.05)。结论甲状腺恶性肿瘤日间手术患者出院准备度较好,医务人员需根据患者具体情况提供健康干预措施,提高出院指导质量,确保患者安全。Objective To explore and analyze the current situation of discharge readiness and delayed discharge for patients undergoing ambulatory thyroid malignancy surgery.Methods By convenient sampling,284 thyroid malignancy patients who were admitted to the day surgery ward of Xiangya Hospital,Central South University from September 1 st to December 30 th,2018 were selected as the research objects.The general information questionnaire and Readiness for Hospital Discharge Scale(RHDS)were used as the research tools.Descriptive statistical analysis was used to analyze the demographic statistics of the patients,and the differences of different dimension scores and total scores of RHDS were analyzed based on the basic information of patients.Results The total score of RHDS was 8.66±0.60 for patients,including 6.31±0.74 for dimension of physical condition,9.49±0.87 for dimension of disease knowledge,9.20±0.99 for dimension of coping ability after discharge,and 9.63±0.74 for dimension of expected social support.The delayed discharge rate was 2.1%.There was no significant difference in the scores of different dimensions or total scores in RHDS of patients undergoing ambulatory thyroid malignancy surgery with different gender,age,education level or whether there was a special person to take care of them(P>0.05).There were differences between patients with delayed discharge and the ones without delayed discharge in the three dimensions namely physical condition,disease knowledge,and coping ability,as well as the total scores(P<0.05),while there was no statistically significant difference in the scores of expected social support dimension(P>0.05).Conclusions The discharge readiness for patients undergoing ambulatory thyroid malignancy surgery is good.The medical staff should provide health intervention measures according to the specific situation of patients,so as to improve the quality of discharge guidance,and ensure the safety of patients.

关 键 词：甲状腺恶性肿瘤 日间手术 出院准备度 延迟出院 

分 类 号：R736.1[医药卫生—肿瘤]