骶神经调控一期术后患者出院准备度及其影响因素  

Discharge readiness and its influencing factors of patients after first-stage sacral neuromodulation

作　　者：赵瑶 丁清清[1] 王双凤[1] 丁子钰 李佳佳[1] 刘会范[2] ZHAO Yao;DING Qingqing;WANG Shuangfeng;DING Ziyu;LI Jiajia;LIU Huifan(Urinary Surgery,the First Affiliated Hospital of Zhengzhou University,Henan Province,Zhengzhou 450052,China;Department of Education,the First Affiliated Hospital of Zhengzhou University,Henan Province,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院泌尿外科,河南郑州450052 [2]郑州大学第一附属医院教育处,河南郑州450052

出　　处：《中国医药导报》2022年第6期48-51,75,共5页China Medical Herald

基　　金：河南省医学科技攻关计划项目(2018010004);河南省医学科技攻关计划项目(RKX202001008)。

摘　　要：目的探讨骶神经调控(SNM)一期术后患者的出院准备度及其影响因素。方法2019年7月至2021年6月,采取便利抽样法,选取郑州大学第一附属医院泌尿外科的106例SNM一期术后患者作为研究对象,采用一般资料调查表、出院准备度量表、出院指导质量量表、社会支持量表对其进行调查。结果本调查共发放问卷106份,回收有效问卷103份,有效回收率为97.17%。患者的出院准备度总分为(89.39±6.78)分,处于中等水平。单因素分析结果显示,不同文化程度、居住地、收入情况、经济负担、自觉疾病严重程度和病种的患者出院准备度得分比较,差异有统计学意义(P<0.05)。Pearson相关分析显示,SNM一期术后患者出院准备度与出院指导质量、社会支持总分呈正相关(r=0.506、0.602,P<0.05)。多元线性回归分析显示,文化程度、收入情况、经济负担、自觉疾病严重程度、出院指导质量及社会支持是其出院准备度的主要影响因素(P<0.05)。结论SNM一期术后患者尚未做好充分的出院准备,医护人员应根据其具体情况给予针对性干预措施。Objective To investigate the readiness for hospital discharge and its influencing factors in patients after first-stage sacral neuromodulation(SNM).Methods From July 2019 to June 2021,a convenience sampling method was used to select 106 patients with SNM after first-stage surgery in the Department of Urology,the First Affiliated Hospital of Zhengzhou University as the research subjects.The general information questionnaire,hospital discharge readiness scale,discharge guidance quality scale and social support scale were used to investigate them.Results A total of 106 questionnaires were distributed in this survey,and 103 valid questionnaires were recovered,with an effective recovery rate of 97.17%.The total score of the patient’s discharge readiness was(89.39±6.78)points,which was at a moderate level.The results of univariate analysis showed that there were significant differences in the scores of hospital discharge readiness among patients with different educational levels,places of residence,income,economic burden,perceived disease severity and disease types(P<0.05).Pearson correlation analysis showed that the discharge readiness of patients after the first-stage SNM was positively correlated with the quality of discharge guidance and the total score of social support(r=0.506,0.602,P<0.05).Multiple linear regression analysis showed that education level,income,economic burden,perceived disease severity,quality of discharge guidances,and social support were the main influencing factors for discharge readiness(P<0.05).Conclusion Patients after the first stage of SNM have not been fully prepared for discharge,and medical staff should give targeted interventions according to their specific conditions.

关 键 词：骶神经调控术 出院准备度 出院指导质量 社会支持 

分 类 号：R473.6[医药卫生—护理学] R694.5[医药卫生—临床医学]