急性胆囊炎患者腹腔镜术后出院准备度影响因素分析  

Influencing Factors on the Status of Hospital Discharge ReadinessAfter Laparoscopic Surgery in Patients with Acute Cholecystitis

作　　者：林作倩 余淼[2] 徐健 LIN Zuoqian;YU Miao;XU Jian(Department of General Surgery,Shangcheng People’s Hospital,Xinyang 465350,China;Department of Hepatobiliary Surgery,Henan Provincial People’s Hospital,Zhengzhou 450003,China)

机构地区：[1]商城县人民医院普外科,河南信阳465350 [2]河南省人民医院肝胆外科,河南郑州450003

出　　处：《河南医学研究》2022年第17期3155-3158,共4页Henan Medical Research

摘　　要：目的分析急性胆囊炎患者腹腔镜术后出院准备度影响因素。方法选取2019年8月至2021年5月商城县人民医院收治的285例接受腹腔镜术急性胆囊炎患者为研究对象,统计患者的出院准备度量表(RHDS)评分现况,分析术后RHDS评分的相关影响因素,并针对性制定干预策略。结果急性胆囊炎患者腹腔镜术后RHDS总分为(175.94±29.38)分,其中自身状态为(53.77±9.07)分,预期性支持为(34.88±7.29)分,疾病知识为(63.08±12.36)分,出院后应对能力为(25.18±5.07)分;多重线性回归分析显示,受教育程度、居住地、居住情况、术后并发症、引流管留置、家庭人均月收入、住院时间、医疗费用支付情况是患者RHDS评分的影响因素(P<0.05)。结论急性胆囊炎患者腹腔镜术后RHDS评分处于中等偏上水平,临床需针对受教育程度、居住地、居住情况、术后并发症、引流管留置等影响因素制定干预对策,提高出院准备度,促进术后康复。Objective To analyze the influencing factors of readiness for discharge after laparoscopic surgery in patients with acute cholecystitis.Methods A total of 285 patients with acute cholecystitis who underwent laparoscopic surgery were selected from August 2019 to May 2021 in Shangcheng County People’s Hospital as the research objects.The readiness for hospital discharge scale(RHDS)score of patients was investigated and statistically analyzed,and the related influencing factors of RHDS score were analyzed,and the intervention strategies were targeted.Results The total score of RHDS in patients with acute cholecystitis after laparoscopic surgery was(175.94±29.38)points,the self-state was(53.77±9.07)points,the anticipatory support was(34.88±7.29)points,and the disease knowledge was(63.08±12.36)points,the coping ability after discharge was(25.18±5.07)points.Multiple linear regression analysis showed that education level,place of residence,living situation,postoperative complications,drainage tube indwelling,per capita monthly income of family,hospitalization time and medical expenses payment were the influencing factors of RHDS score(P<0.05).Conclusion The RHDS score of patients with acute cholecystitis after laparoscopic surgery is in the upper middle level.Clinical intervention measures should be formulated according to the influencing factors such as education level,place of residence,living conditions,postoperative complications and drainage tube indwelling,so as to improve the readiness for discharge and promote the post-operative recovery.

关 键 词：急性胆囊炎 出院准备度 引流管留置 腹腔镜术 

分 类 号：R657.4[医药卫生—外科学]