心脏瓣膜置换术后患者与照护者出院准备度及出院指导质量比较分析  

Differences in discharge readiness and quality of discharge teaching between patients and caregivers after cardiac valve replacement surgery

作　　者：梁骊敏[1] 顾娇娇[2] 李欢[2] 黄师菊[2] 方蘅英[3] 蔡有弟[2] Liang Limin;Gu Jiaojiao;Li Huan;Huang Shiju;Fang Hengying;Cai Youdi(Department of Cardio-Thoracic Surgery,The Third Affiliated Hospital of Sun Yat-sen University,Guangzhou 510630,China)

机构地区：[1]中山大学附属第三医院心胸外科,广东广州510630 [2]中山大学附属第三医院外科,广东广州510630 [3]中山大学附属第三医院护理部,广东广州510630

出　　处：《护理学杂志》2022年第6期25-28,共4页Journal of Nursing Science

基　　金：广东省医学科研基金项目(A2020561)。

摘　　要：目的 对比心脏瓣膜置换术后患者及其照护者的出院准备度和出院指导质量差异。方法 采用一般资料调查表、出院准备度量表、出院指导质量量表对广州市1所三级甲等医院心胸外科的138例瓣膜置换术后患者及其照护者进行调查。结果 瓣膜置换术后患者的出院准备度总分为(160.33±38.92)分,家属为(168.25±35.17)分,差异无统计学意义(P>0.05);两者出院指导质量评分分别为(148.29±32.24)分、(162.68±24.36)分,差异有统计学意义(P<0.01)。结论 瓣膜置换术后患者和照护者的出院准备度和出院指导质量处于中等水平,在临床工作中要重视并提高患者及其照护者的出院准备度,减少患者并发症和再入院率。Objective To compare the differences in discharge readiness and quality of discharge teaching between patients and caregivers after cardiac valve replacement(CVR) surgery. Methods Totally, 138 patients after CVR surgery and their caregivers were surveyed with a general data questionnaire, the Readiness for Hospital Discharge Scale(RHDS) and the Quality of Discharge Teaching Scale(QDTS). Results The patients scored(160.33±38.92) points, while the caregivers scored(168.25±35.17) points in readiness for hospital discharge, without significant difference between the dyads(P>0.05);the patients scored(148.29±32.24) points, and the caregivers scored(162.68±24.36)points in quality of discharge teaching, with significant difference between the dyads(P<0.01). Conclusion Discharge readiness of patients and their caregivers after CVR surgery and the quality of discharge teaching were at medium level. In clinical work, nurses should pay attention to discharge services for patients, take measures to improve discharge readiness of patients, in an effort to reduce complications and readmission rate.

关 键 词：瓣膜置换 照护者 出院准备度 出院指导质量 健康教育 差异性 比较分析 

分 类 号：R473.6[医药卫生—护理学]