精神分裂症患者出院准备度与30天内非计划再入院的相关性研究  

Correlation between readiness for discharge and 30-day unplanned readmission in patients with schizophrenia

作　　者：刘泰驿 李小麟[1] 张秀英[2] LIU Taiyi;LI Xiaolin;ZHANG Xiuying(West China School Nursing of Sichuan University&West China Hospital of Sichuan University,Chengdu 610041,Sichuan,China;Mental Health Center,West China Hospital,Sichuan University,Chengdu 610041,Sichuan,China)

机构地区：[1]四川大学华西护理学院/四川大学华西医院,四川成都610041 [2]四川大学华西医院心理卫生中心,四川成都610041

出　　处：《护士进修杂志》2023年第8期673-678,共6页Journal of Nurses Training

基　　金：四川省科学技术厅重点研发项目(编号:2019YFS0388)。

摘　　要：目的 了解精神分裂症患者出院准备度与出院后30 d内非计划再入院的现状并分析其相关性。方法 采用方便抽样,选择2021年8月-2022年1月四川大学华西医院精神科计划1~2 d内出院的306例精神分裂症患者,采用自行设计的一般资料调查表、出院准备度量表进行调查,于出院后第30天进行随访。根据患者出院后30 d内是否发生非计划再入院,分为再入院组与非再入院组。采用单因素分析、Spearman相关性分析及logistic回归分析探究出院准备度与30 d内非计划再入院的关系。结果 本研究调查的306例精神分裂症患者出院后30 d内发生非计划再入院为27例(8.8%);213例(69.7%)出院准备度不好,出院准备度总平均分为(141.68±24.14)分,条目平均分为(6.43±1.10)分;出院准备度与30 d内非计划再入院呈负相关(r=-0.43,P<0.001)。多因素分析结果显示:性别、自身状态、可获得社会支持是影响患者出院后30 d内非计划再入院的因素。结论 精神分裂症患者出院准备度水平还有待提高;患者出院准备度、尤其是患者自身状态越好,可获得社会支持越高,其出院后30 d内非计划再入院的风险越低。医务人员应重视患者出院准备度,并全面评估患者的状态,探索形成出院准备服务的标准化操作流程,更好地提高精神分裂症患者的出院准备度。Objective To investigate the readiness for discharge and 30-day unplanned readmission after discharge in patients with schizophrenia,and to explore the relationship between them.Methods A total of 306 schizophrenic patients who were scheduled to be discharged within 1-2 d from the Department of Psychiatry of West China Hospital of Sichuan University from August 2021 to January 2022 were selected by convenience sampling.General information questionnaire and Readiness for Hospital Discharge Scale(RHDS)designed by ourselves were used for the survey,and follow-up was conducted on 30 d after discharge from hospital.Patients were divided into readmission group and non-readmission group according to whether unplanned readmission occurred within 30 d after discharge.Univariate analysis,Spearman correlation analysis,and logistic regression analysis were used to explore the relationship between hospital discharge readiness and 30-day unplanned readmission.Results Twenty-seven(8.8%)of 306 patients with schizophrenia occurred unplanned readmission within 30 days after discharge.Two hundred and thirteen patients(69.7%)had poor discharge readiness,and the average score of discharge readiness was(141.68±24.14)points and the mean score of items was(6.43±1.10)points,and the scores of RHDS had a negative correlation with 30 d unplanned readmission(r=0.43,P<0.001).The results of multivariate analysis showed that gender,personal status,and availability of social support were the influencing factors of 30-day unplanned readmission after discharge.Conclusion Level of discharge readiness in schizophrenic patients needs to be improved;The better the patient's discharge readiness,especially their own state,and the higher level of access to social support,and the lower the risk of 30 day-unplanned readmission after discharge.Medical staff shall pay attention to the patient's discharge readiness,and comprehensively evaluate the status of patients,and explore standardized operation of discharge readiness services,so as to better improve t

关 键 词：精神分裂症 出院准备度 非计划再入院 社会支持 护理 

分 类 号：R473.74[医药卫生—护理学] R749.3[医药卫生—临床医学]