农村初置管腹膜透析患者出院准备度的调查  

Survey on discharge readiness of peritoneal dialysis patients with first catheter in rural areas

作　　者：蔡利 单岩[1] 杜理平 李艳艳[1] 周越[1] 蒋婷婷 CAI Li;SHAN Yan;DU Liping;LI Yanyan;ZHOU Yue;JIANG Tingting(School of Nursing and Health,Zhengzhou University,Zhengzhou,450000,China)

机构地区：[1]郑州大学护理与健康学院,450000

出　　处：《中国护理管理》2020年第3期366-370,共5页Chinese Nursing Management

基　　金：河南省高等学校重点科研项目计划(19A320061)。

摘　　要：目的 :调查农村初置管腹膜透析患者出院准备度现状及其影响因素。方法 :于2018年11月至2019年5月在郑州市某三级甲等综合医院肾脏内科,采用出院准备度量表、出院指导质量量表及社会支持评定量表对155名农村初置管腹膜透析患者于出院当天进行问卷调查。结果 :患者出院准备度条目均分为(6.33±0.85)分,处于中等偏下水平;相关性分析显示出院准备度与出院指导质量、社会支持均呈正相关;性别、年龄、文化程度、工作状况、合并症数量、血肌酐水平、出院指导质量及社会支持水平是出院准备度的影响因素(R2=0.842)。结论 :农村初置管腹膜透析患者出院准备度水平亟须提高。医护人员应对不同特征的农村初置管腹膜透析患者实施针对性健康教育,注重出院指导技巧及效果提升,努力为患者营造多元支持系统。Objective: To investigate the level and influencing factors of discharge readiness of patients with first catheter for peritoneal dialysis in rural areas. Methods: Totally 155 peritoneal dialysis patients with first catheter in rural areas from nephrology department of a tertiary Grade-A hospital in Zhengzhou were investigated during November 2018 to May 2019 with discharge preparation scale, quality of discharge guidance scale and social support rating scale on the day of discharge. Results: The average score of patients’ discharge readiness was 6.33±0.85, with a lower middle level. The results of correlation analysis showed that the patient’s discharge readiness was positively correlated with the quality of discharge guidance and social support. The related factors of patient’s discharge readiness included gender, age, education level, occupation, number of complications, serum creatinine level, quality of discharge guidance and social support(R2=0.842). Conclusion: The level of discharge readiness of peritoneal dialysis patients with first catheter in rural areas needs to be improved urgently. Targeted health education for the patients should be implemented according to the different characteristics of patients in rural areas. It is necessary to improve the discharge guidance skills and effects, to create a multi-support system for patients.

关 键 词：农村 腹膜透析 出院准备度 出院指导质量 调查 

分 类 号：R47[医药卫生—护理学]