老年食管癌术后患者出院准备度现状及影响因素分析  

Status quality and influencing factors of discharge preparation of patients with elderly patients after esophageal cancer

作　　者：杨孝苹 单媛媛 王晓倩[1] 姚寒 邱明英 Yang Xiaoping;Shan Yuanyuan;Wang Xiaoqian;Yao Han;Qiu Mingying(Department of Thoracic Surgery,the First Affiliated Hospital of USTC,Division of Life Sciences and Medicine,University of Science and Technology of China,Hefei 230031,China)

机构地区：[1]中国科学技术大学附属第一医院(安徽省立医院)西区安徽省肿瘤医院胸外科,合肥230031

出　　处：《中国临床保健杂志》2023年第6期848-853,共6页Chinese Journal of Clinical Healthcare

摘　　要：目的 调查了解老年食管癌术后患者出院准备度现状并分析影响因素。方法 选取2022年6月至2023年6月安徽省合肥市某三级甲等肿瘤医院200例食管癌术后患者为研究对象,采用一般资料问卷、出院准备度量表、出院指导质量量表、社会支持量表进行问卷调查。通过单因素、多因素分析老年食管癌术后患者出院准备度影响因素。结果 老年食管癌术后患者出院准备度总分为(88.61±9.78)分,条目标准化得分为(7.38±0.82)分,处于中等水平;多因素分析结果显示,文化程度、是否带管出院、出院前患者获得的指导内容、出院指导技巧及效果、客观支持是老年食管癌术后患者出院准备度的主要影响因素。结论 老年食管癌术后患者的出院准备度处于中等水平,医护人员应根据患者自身情况,制定针对性的出院指导,保障患者出院后的安全。Objective To investigate the current situation of discharge readiness of elderly patients after esophageal cancer and analyze the influencing factors.Methods Selecting 200 postoperative esophageal cancer patients from a tertiary Grade A tumor hospital in Hefei,Anhui Province from June 2022 to June 2023 as the research subjects.Readiness for Hospital Discharge Scale(RHDS),Quality of Discharge Teaching Scale(QDTS)and Social Support Rating Scale(SSRS)to analyze the factors affecting discharge readiness in elderly patients after esophageal cancer.Results The total score of discharge readiness for elderly patients after esophageal cancer(88.61±9.78),and the standardized score(7.38±0.82)was at the middle level;The results of multivariate analysis showed that the education level,whether to discharge with tube,the actual content of the patients before discharge,discharge guidance skills,and objective support were the main influencing factors for the discharge readiness of elderly patients with esophageal cancer after surgery.Conclusions The discharge readiness of elderly patients after esophageal cancer surgery is at a medium level.Medical staff should formulate targeted discharge guidance according to the patients′own situation,and ensure the safety of patients after discharge.

关 键 词：食管肿瘤 手术后医护 影响因素分析 出院后医疗 健康教育 老年人 

分 类 号：R473.73[医药卫生—护理学]