慢性病患者延续护理质量及影响因素的调查研究  

Investigation on the quality and influencing factors of continuous nursing care for patients with chronic diseases

作　　者：何平[1] 付梦雪 杨阳[1] 方琴[1] HE Ping;FU Mengxue;YANG Yang;FANG Qin(Department of Nursing,the People′s Hospital of Jianyang City in Sichuan Province,Jianyang641400,China)

机构地区：[1]四川省简阳市人民医院护理部,四川简阳641400

出　　处：《中国现代医生》2021年第6期148-151,共4页China Modern Doctor

基　　金：四川省卫生和计划生育委员会科研课题(普及应用项目)(17PJ363)。

摘　　要：目的对基层医院慢性病患者的延续护理服务质量进行评估及影响因素分析。方法采用中文版延续护理测评量表(CTM)对2017年1月至2018年11月接受延续护理服务的慢性病患者或其家属1763例进行问卷调查。结果慢性病患者CTM总分为(80.43±5.70)分,根据评分指标公式,各维度由高到低依次为:书面计划(95.90%)、医患沟通(95.20%)、一般自护准备(94.18%)、症状管理(88.00%);单因素分析结果显示,年龄(F=21.632,P<0.01)、受访对象(t=3.177,P<0.01)、是否再次入院(t=5.321,P<0.01)、科室类别(F=280.843,P<0.01)及是否收到短信(t=4.626,P<0.01)对延续护理质量有影响,差异有统计学意义(P<0.05);以单因素分析中有统计学意义的变量为自变量进行的多元回归分析结果显示,年龄、科室类别、是否收到短信、是否再次入院4个因素可解释总变异的11.3%。结论随着延续护理工作的不断推行,基层医院延续护理质量得到了较大水平的提高,针对症状管理等薄弱环节,则有待进一步采取措施进行相应的改善。Objective To evaluate the quality of continuous nursing care for patients with chronic diseases in primary hospitals and analyze its influencing factors.Methods A total of 1763 patients with chronic diseases who received continuous nursing or their family members from January 2017 to November 2018 were investigated by using the Chinese version of care transitions measure(CTM).Results The total score of CTM of patients with chronic diseases was(80.43±5.70)points.According to the scoring index formula,each dimension from high to low were written plan(95.90%),doctor-patient communication(95.20%),general self-care preparation(94.18%)and symptom management(88.00%).Univariate analysis showed that age(F=21.632,P<0.01),respondents(t=3.177,P<0.01),readmission(t=5.321,P<0.01),department category(F=280.843,P<0.01)and receipt of text messages(t=4.626,P<0.01)had efficacy on the quality of continuous nursing care,and the differences were statistically significant(P<0.05).Taking the statistically significant variables in univariate analysis as independent variables,multiple regression analysis showed that age,type of department,receipt of text messages and re-admission could explain 11.3%of the total variation.Conclusion With the implementation of continuous nursing,the quality of continuous nursing in primary hospitals has been greatly improved,and further measures should be taken to improve the weak links such as symptom management.

关 键 词：基层医院 慢性病 延续护理 护理质量调查 影响因素 

分 类 号：R473.5[医药卫生—护理学]