影响双相情感障碍躁狂发作住院患者出院准备度的相关因素分析及出院指导护理路径改进策略探讨  

Analysis of Related Factors Affecting Discharge Readiness in Patients with Manic Episode of Bipolar Affective Disorder and Discussion on Improvement Strategies of Discharge Guidance Nursing Pathway

作　　者：张浈兴 洪瑞云 Zhang Zhenxing;Hong Ruiyun(Teh Second Department of Geriatrics,No.3 People’s Hospital of Ji’an,Ji’an,Jiangxi,343000,China)

机构地区：[1]吉安市第三人民医院老年科二区,江西吉安343000

出　　处：《黑龙江医学》2024年第16期2033-2036,共4页Heilongjiang Medical Journal

基　　金：吉安市科技计划项目(20233-043729)。

摘　　要：目的:分析影响双相情感障碍躁狂发作住院患者出院准备度的相关因素,并探讨出院指导护理路径改进策略。方法:回顾性分析2021年1月—2022年6月吉安市第三人民医院收治的86例双相情感障碍躁狂发作住院患者出院准备度资料,采用出院准备度量表(RHDS)、出院指导质量量表(QDTS)评估患者出院指导质量,logistic回归分析影响因素。结果:86例患者RHDS总分(164.82±12.18)分;分析结果中病程、工作/学习状态、文化水平、家庭构成、社会支持、希望水平、疾病不确定感、出院指导质量是影响患者出院准备度的单因素(P<0.05);病程、疾病不确定感是升高患者出院准备度的独立危险因素,社会支持、希望水平、出院指导质量是升高患者出院准备度的独立保护因素(P<0.05)。结论:病程、希望水平、社会支持度、疾病不确定感及出院指导质量是影响双相情感障碍躁狂发作住院患者出院准备度的相关因素,对于长病程、缺乏社会支持及自我调节能力的患者应主动给予详细护理指导,提高指导技巧,以提高患者出院准备度。Objective:To analyze the related factors affecting discharge readiness in inpatients with manic episode of bipolar affective disorder,and to explore the improvement strategies of discharge guidance nursing pathway.Methods:The discharge readiness of 86 inpatients with manic episode of bipolar affective disorder admitted to the hospital from January 2021 to June 2022 was retrospectively analyzed.Readiness for Hospital Discharge Scale(RHDS)and Quality of Discharge Teaching Scale(QDTS)were used to evaluate the discharge guidance quality of patients.Multivariate logistic regression analysis was used to analyze the influencing factors.Results:The total score of RHDS in 86 patients was(164.82±12.18).Among analysis results,the disease duration,work/study status,education level,family composition,social support,hope level,disease uncertainty and quality of discharge guidance were the single factors that affected discharge readiness of patients(P<0.05).The disease course and disease uncertainty were independent risk factors of increasing discharge readiness,and the social support,hope level and discharge guidance quality were independent protective factors of increasing discharge readiness(P<0.05).Conclusion:Disease duration,hope level,social support,uncertainty of disease and quality of discharge guidance are related factors affecting discharge readiness in patients with manic episode of bipolar affective disorder.It is necessary to actively give detailed nursing guidance and enhance the guidance skills for patients with long disease duration,lack of social support and self-regulation ability so as to improve the discharge readiness of patients.

关 键 词：双相情感障碍 躁狂发作 出院准备度 出院指导 护理路径 

分 类 号：R749.05[医药卫生—神经病学与精神病学]