脑卒中失能老年患者出院准备度现状调查与分析  

Investigation and analysis of the status quo of readiness for hospital discharge in elderly patients with stroke disability

作　　者：张琰[1] 黄利宾 韦红 李俊利 梁海珍 黄春丽[1] ZHANG Yan;HUANG Libin;WEI Hong;LI Junli;LIANG Haizhen;HUANG Chunli(Jiangbin Hospital of Guangxi Zhuang Autonomous Region,Nanning 530021,China)

机构地区：[1]广西壮族自治区江滨医院,广西南宁530021

出　　处：《临床医学研究与实践》2024年第6期9-12,21,共5页Clinical Research and Practice

基　　金：广西壮族自治区卫生健康委员会资助研究项目(No.WJLL2021-01)。

摘　　要：目的调查脑卒中失能老年患者出院准备度现状并分析其影响因素。方法采用脑卒中失能老年患者出院准备度现况调查问卷、住院老年人安全感量表对广西某三级甲等医院333例脑卒中失能老年患者进行全面评估及出院准备度现状调查,并用多元线性回归分析分析影响脑卒中失能老年患者出院准备度的相关因素。结果脑卒中失能老年患者出院准备度总分(101.95±13.14)分,安全感总分(96.83±11.73)分,生活自理能力总分(52.78±13.18)分。多元线性回归分析结果显示,住院次数、并发症发生情况、生活自理能力及安全感是脑卒中失能老年患者出院准备度的主要影响因素(P<0.05)。结论脑卒中失能老年患者出院准备度处于中等水平,医护人员应加强患者及家属的健康宣教和出院指导,提供优质的延续性护理服务,降低其出院后并发症发生率和再入院率。Objective To investigate the status quo of readiness for hospital discharge in elderly patients with stroke disability,and to analyze its influencing factors.Methods A total of 333 elderly patients with stroke disability in a tertiary hospital in Guangxi were comprehensively evaluated and investigated for the status quo of readiness for hospital discharge by using the questionnaire on the status quo of readiness for hospital discharge of elderly patients with stroke disability and the sense of security scale for the elderly in hospital.Multiple linear regression analysis was used to analyze the related factors affecting the readiness for hospital discharge of elderly patients with stroke disability.Results The total score of readiness for hospital discharge of elderly patients with stroke disability was(101.95±13.14)points,the total score of sense of security was(96.83±11.73)points,and the total score of self-care ability was(52.78±13.18)points.The results of multiple linear regression analysis showed that the times of hospitalization,complications,self-care ability and sense of security were the main influencing factors of readiness for hospital discharge in elderly patients with stroke disability(P<0.05).Conclusion The readiness for hospital discharge of elderly patients with stroke disability is at a moderate level.Medical staff should strengthen health education and discharge guidance for patients and their families,provide high-quality continuity of care services,and reduce the incidence of complications and readmission after discharge.

关 键 词：脑卒中 失能 出院准备度 自理能力 安全感 

分 类 号：R494[医药卫生—康复医学]