肾病患儿家庭出院准备度与出院指导质量的相关性  

Correlation of family discharge readiness and discharge guidance quality in families of children with nephropathy

作　　者：王燕[1] 张梅[2] 高瑜 米雪梅 杨小娟 Wang Yan;Zhang Mei;Gao Yu;Mi Xuemei;Yang Xiaojuan(Department of Nursing,Peking University First Hospital Ningxia Women and Children's Hospital(Ningxia Hui Autonomous Region Maternal and Child Health Hospital),Yinchuan 750002,China;Department of Pediatrics,Peking University First Hospital Ningxia Women and Children's Hospital(Ningxia Hui Autonomous Region Maternal and Child Health Hospital),Yinchuan 750002,China)

机构地区：[1]北京大学第一医院宁夏妇女儿童医院(宁夏回族自治区妇幼保健院)护理部,银川750002 [2]北京大学第一医院宁夏妇女儿童医院(宁夏回族自治区妇幼保健院)儿二科,银川750002

出　　处：《中华行为医学与脑科学杂志》2024年第5期452-457,共6页Chinese Journal of Behavioral Medicine and Brain Science

基　　金：宁夏自然科学基金(2023AAC03726)。

摘　　要：目的:调查肾病患儿家庭出院准备度及出院指导质量水平,分析出院指导质量与出院准备度的相关性。方法:2022年1—12月采用一般资料调查表、中文版出院准备度量表-父母版、中文版出院指导质量量表-父母版对银川某三级专科医院107例肾病患儿的主要照顾者进行问卷调查。采用SPSS 26.0对数据进行统计分析和描述,采用Pearson相关分析研究出院准备度与出院指导质量的相关性,多元线性逐步回归分析影响出院准备度的因素。结果:肾病患儿的家庭出院准备度总分为(130.90±10.69)分,出院指导质量总分为(140.99±6.31)分;Pearson相关分析显示,肾病患儿出院准备度与出院指导质量之间呈正相关( r=0.962, P<0.05);多元线性回归结果显示,出院指导质量( β=0.973)、患儿住院时间( β=0.987)、主要照顾者( β=0.078)及其文化程度( β=-0.093)是影响出院准备度的主要影响因素(均 P<0.05)。 结论:出院指导质量能够对肾病患儿照顾者出院准备度产生显著影响,医护人员应持续提升出院教育指导质量,促进照顾者做好出院准备,减少非计划性再入院。Objective To investigate the levels of family discharge readiness and discharge education quality in families of children with nephropathy,and to analyze the correlation between family discharge readiness and discharge education quality.Methods From January to December in 2022,the primary caregivers of children with nephropathy in a tertiary hospital in Yinchuan(n=107)were investigated by general data questionnaire,Chinese version of readiness for hospital discharge scale-parent form and Chinese version of quality of discharge teaching scale-parent form.SPSS 26.0 software was used for statistical description of the data,Pearson correlation analysis was used for correlation between family discharge readiness and discharge guidance quality,and multiple linear stepwise regression analysis was used to identify factors affecting discharge readiness.Results The total score of family discharge readiness was(130.90±10.69),and quality of discharge education was(140.99±6.31).Pearson correlation analysis showed that there was a positive correlation between family discharge readiness and discharge education quality(r=0.962,P<0.05).The results of multiple linear regression showed that the quality of discharge education(β=0.973),length of hospital stay for the patients(β=0.987),primary caregivers(β=0.078)and their cultural levels(β=-0.093)were the main influencing factors on discharge readiness(all P<0.05).Conclusion The quality of discharge education could significantly affect discharge readiness of children with nephropathy.Medical staff should improve the quality of discharge education and guidance,so as to promote the caregivers to be prepared for discharge and reduce unplanned re-admissions.

关 键 词：肾病 儿童 出院准备度 出院指导质量 相关分析 

分 类 号：R473.72[医药卫生—护理学]