冠状动脉旁路移植术后患者出院准备度现状及影响因素研究  

Study on the Current Status and Influencing Factors of Patients'Discharge Readiness after Coronary Artery Bypass Grafting

作　　者：王丽娜[1] 徐丽娟 胡新巧 WANG Li-na;XU Li-juan;HU Xin-qiao(The 7th People’s Hospital of Zhengzhou,Henan Zhengzhou 450000)

机构地区：[1]郑州市第七人民医院,河南郑州450000

出　　处：《深圳中西医结合杂志》2023年第5期19-22,共4页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的:调查冠状动脉旁路移植术(CABG)后患者出院准备度现状并分析其影响因素。方法:选取郑州市第七人民医院2019年11月至2021年11月行CABG的179例患者作为研究对象,分析其出院准备度现状和影响因素。结果:患者出院指导质量量表(QDTS)评分为(131.26±15.64)分,单因素分析可知文化程度、医疗费用支付方式、婚姻状况、服药种类、自我效能评分及QDTS评分为影响CABG术后患者出院准备度的因素(P<0.05);多因素logistic回归分析显示,未婚、服药种类>2种、自我效能评分较低及QDTS评分较低为影响CABG术后患者出院准备度的独立危险因素(P<0.05)。结论:未婚、服药种类>2种、自我效能评分较低及QDTS评分较低为影响CABG术后患者出院准备度的独立危险因素,CABG术后患者出院准备度中个人状态方面仍存在不足,还需加强对患者个人状态的评估及干预,以进一步提高患者出院准备度,促进患者术后康复。Objective To investigate the status of discharge readiness of patients after coronary artery bypass grafting(CABG)and analyze its influencing factors.Methods A total of 179 patients with CABG in the 7th People’s Hospital of Zhengzhou from November 2019 to November 2021 were selected as the research objects,the status quo of discharge readiness and influencing factors were analyzed.Results The score of quality of discharge teaching scale(QDTS)was(131.26±15.64).Univariate analysis showed that educational level,payment method of medical expenses,marital status,medication type,self-efficacy score and QDTS score were the factors affecting the discharge readiness of patients after CABG surgery(P<0.05).Multivariate logistic regression analysis showed that unmarried patients,more than 2 types of medication,low self-efficacy score and low QDTS score were independent risk factors affecting the discharge readiness of patients after CABG surgery(P<0.05).Conclusion Unmarried patients,more than 2 types of medication,low self-efficacy score and low QDTS score are independent risk factors affecting the discharge readiness of patients after CABG surgery.There are still deficiencies in the personal status of patients in the discharge readiness after CABG surgery.It is necessary to strengthen the assessment and intervention of patients'personal status to further improve the discharge readiness of patients and promote postoperative rehabilitation of patients.

关 键 词：冠状动脉旁路移植术 出院准备度 影响因素 

分 类 号：R473.5[医药卫生—护理学] R541.4[医药卫生—临床医学]