唇腭裂患者延续护理需求及影响因素分析  

Current status and influencing factors of continuous nursing needs among patients with cleft lip and palate

作　　者：李楠[1] 张宽[1] 崔洁[1] 韩雪[1] 薛恩慈 杨悦[1] Li Nan;Zhang Kuan;Cui Jie;Han Xue;Xue Enci;Yang Yue(Oral and Maxillofacial Surgery,Peking University School and Hospital of Stomatology,National Center of Stomatology,Beijing 100081,China;Department of Epidemiology and Biostatistics,School of Public Health,Peking University,Beijing 100191,China)

机构地区：[1]北京大学口腔医学院·口腔医院,国家口腔医学中心口腔颌面外科,北京100081 [2]北京大学公共卫生学院流行病与卫生统计学系,北京100191

出　　处：《中国实用护理杂志》2022年第33期2625-2630,共6页Chinese Journal of Practical Nursing

基　　金：北京大学口腔医学院第十届管理科研基金项目 (2021GLJJ04)。

摘　　要：目的了解唇腭裂患者出院后延续护理需求现状并分析其影响因素。方法采用便利抽样法,选取2021年4—8月北京大学口腔医院行唇腭裂序列治疗手术的401例唇腭裂患者及患者看护家属为研究对象,采用一般资料调查表和自制唇腭裂患者延续护理需求问卷进行延续护理需求现状调查及影响因素分析。结果唇腭裂患者延续护理需求总得分为(91.53±12.07)分,需求维度由高到低依次为健康促进需求、疾病自我护理需求、医患沟通需求及社会心理支持需求。多元线性回归分析结果显示,费用支付方式、手术次数、延续护理需求意愿、延续护理方式及期望的延续护理周期是唇腭裂患者延续护理需求的影响因素(R^(2)=0.282,F=27.16,P<0.05)。结论唇腭裂患者延续护理需求较高,应根据患者的需求制订个性化和有效的延续护理干预措施,促进患者康复。Objective To understand the status of continuing care needs of patients with cleft lip and palate after discharge,and to analyze the influencing factors.Methods Using convenience sampling method,401 patients with cleft lip and palate and their nursing families who underwent sequential treatment of cleft lip and palate in Peking university hospital of stomatology from April to August 2021 were selected as the research objects.The general information questionnaire and self-made continuous nursing needs assessment table were used to investigate patients with cleft lip and palate current situation of continuous nursing needs and analyze the influencing factors.Results The total score of continuing care needs of patients with cleft lip and palate was(91.53±12.07).From high to low,the demand dimensions were health promotion demand,disease self-care demand,doctor-patient communication demand and psychosocial support demand.The results of multivariate linear regression analysis showed that the mode of payment,the number of operations,the intention of rehabilitation guidance,the mode of continuation service and the expected continuation service cycle were the influential factors for the continuing nursing needs of patients with cleft lip and palate(R2=0.282,F=27.16,P<0.05).Conclusion Patients with cleft lip and palate have a high demand for continuing nursing.Individualized and effective continuous nursing intervention measures should be developed according to the needs of patients to promote the rehabilitation of patients.

关 键 词：唇裂 腭裂 延续性护理 问卷调查 需求 

分 类 号：R473.78[医药卫生—护理学]