老年髋部骨折患者出院准备度的现况及影响因素分析  

Current status and influencing factors for discharge readiness in elderly patients with hip fractures

作　　者：何丹 胡三莲[1,2] 周玲 钱会娟[2] 翁羽翚[3] 黄穗芳[3] 陈伟[3] 徐婧[3] He Dan;Hu Sanlian;Zhou Ling;Qian Huijuan;Weng Yuhui;Huang Suifang;Chen Wei;Xu Jing(School of Nursing,Shanghai Jiao Tong University,Shanghai 200025,China;Nursing Department,the Sixth People's Hospital Affiliated to Shanghai Jiao Tong University,Shanghai 200233,China;Department of Orthopaedics,the Sixth People's Hospital Affiliated to Shanghai Jiao Tong University,Shanghai 200233,China)

机构地区：[1]上海交通大学护理学院,200025 [2]上海交通大学附属第六人民医院护理部,上海200233 [3]上海交通大学附属第六人民医院骨科,上海200233

出　　处：《中华现代护理杂志》2020年第27期3732-3737,共6页Chinese Journal of Modern Nursing

基　　金：上海市护理质控中心2019年护理工作改进项目(ZK2019015);上海市第六人民医院医疗集团科学研究课题基金(院内-2183)。

摘　　要：目的了解老年髋部骨折患者术后出院准备度的现状并分析其影响因素。方法采用便利抽样法,选取2018年10月—2019年6月于上海市某三甲医院骨科就诊的180例老年髋部骨折术后待出院的患者,采用一般资料问卷、出院准备度量表、出院指导质量量表进行问卷调查,采用Pearson相关分析对出院指导质量与出院准备度的相关性进行分析,采用多重线性回归分析对出院准备度水平的影响因素进行分析。结果老年髋部骨折患者出院准备度标准化得分为(6.37±1.26)分,处于中等水平。多重线性回归分析显示,骨折部位、文化程度、照护者、年龄、是否有慢性病和并发症是老年髋部骨折患者出院准备度的影响因素(P<0.05)。老年髋部骨折患者出院指导质量量表总分为(140.52±17.27)分,处于中等偏上水平。患者需要和实际获得的出院指导内容总分比较,差异有统计学意义(P<0.05)。出院准备度总分和出院指导质量总分呈正相关(P<0.05)。结论老年髋部骨折患者的出院准备度受多种因素影响,与出院指导质量呈正相关。应根据老年髋部骨折患者出院准备度和出院指导质量现况,找出薄弱环节,借助信息化技术开展多种形式的过渡期出院准备服务。Objective To understand the current status of discharge readiness for elderly patients with hip fractures and analyze its influencing factors.Methods The convenient sampling method was used to select 180 elderly patients with hip fractures who were to be discharged from the hospital after surgery in the Orthopedic Department of a ClassⅢGrade A hospital in Shanghai from October 2018 to June 2019.General information questionnaire,Readiness for Hospital Discharge Scale(RHDS)and Quality of Discharge Teaching Scale(QDTS)were used for the questionnaire survey.Pearson correlation analysis was used to analyze the correlation between discharge guidance quality and discharge readiness,and multiple linear regression analysis was used to analyze the influencing factors of discharge readiness.Results The standardized score of discharge readiness of elderly patients with hip fracture was(6.37±1.26)points,which was in the middle level.Multiple linear regression analysis showed that fracture location,education level,caregiver,age,chronic disease and complications were the influencing factors of the readiness for discharge of elderly patients with hip fractures(P<0.05).The total score of QDTS for elderly patients with hip fractures was(140.52±17.27)points,which was in the upper middle level.There was a statistically significant difference between the total scores of the required and obtained discharge guidance(P<0.05).The total scores of discharge readiness and discharge guidance quality were positively correlated(P<0.05).Conclusions The discharge readiness of elderly patients with hip fracture is affected by many factors and positively correlated with the quality of discharge guidance.According to the current status of discharge readiness and discharge guidance quality of elderly patients with hip fractures,weak links should be identified,and various forms of transitional discharge preparation services should be carried out with the help of information technology.

关 键 词：髋骨折 老年人 出院准备度 影响因素 出院指导 

分 类 号：R473.6[医药卫生—护理学]