老年盆腔器官脱垂盆底重建术患者出院准备度现状及其影响因素  

The current status and influencing factors of discharge readiness of elderly patients with pelvic organ prolapse undergoing pelvic floor reconstruction

作　　者：韩姗 李方方 陈瑶瑶 葛淑亚 陈淑梅 贾丽丽 HAN Shan;LI Fangfang;CHEN Yaoyao;GE Shuya;CHEN Shumei;JIA Lili(Department of Gynecology,Zhengzhou Central Hospital Affiliated to Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学附属郑州中心医院妇科,河南郑州450000

出　　处：《老年医学研究》2024年第6期24-29,共6页Geriatrics Research

摘　　要：目的探讨老年盆腔器官脱垂(POP)盆底重建术患者出院准备度现状,并分析其影响因素。方法选取2022年9月—2024年4月在郑州大学附属郑州中心医院就诊的210例老年POP患者作为研究对象,采用一般情况调查表、出院准备度量表、出院指导质量量表、自我效能量表、家庭关怀度指数测评表进行调查,采用多元线性回归分析老年POP患者盆底重建术术后出院准备度影响因素。结果老年POP盆底重建术患者出院准备度总分为(138.98±15.56)分。多元线性回归分析结果显示,年龄、有无照顾者、POP-Q分度、出院前疼痛状态、住院时间、自我效能、出院指导质量、家庭关怀度是老年POP盆底重建术患者出院准备度的影响因素(P均<0.05)。结论老年POP盆底重建术患者出院准备度处于中等水平。年龄大、无照顾者、脱垂程度严重、出院前疼痛、住院时间短、自我效能低下、出院指导质量低、家庭关怀度低的老年POP盆底重建术患者更易发生出院准备度不足。Objective To investigate the current status of discharge readiness in elderly patients with pelvic organ prolapse(POP)undergoing pelvic floor reconstruction and analyze its influencing factors.Methods A total of 210 elderly POP patients treated in Zhengzhou Central Hospital Affiliated to Zhengzhou University from September 2022 to April 2024 were selected as the study objects,and the general situation questionnaire,discharge readiness scale,discharge guidance quality scale,self-efficacy scale and family caring index were used to investigate.Multiple linear regression was used to analyze the influencing factors of postoperative discharge readiness in elderly POP patients.Results The total score of discharge readiness of elderly POP patients with pelvic floor reconstruction was 138.98±15.56.The results of multiple linear regression analysis showed that age,caregiver,POP-Q scale,pain state before discharge,length of stay,selfefficacy,quality of discharge guidance and family care were the influencing factors for discharge readiness of elderly POP pelvic floor reconstruction patients(all P<0.05).Conclusions The discharge readiness of elderly POP patients undergoing pelvic floor reconstruction is at a moderate level.Elderly POP pelvic floor reconstruction patients with older age,no caregiver,severe prolapse,pain before discharge,short stay in hospital,low self-efficacy,low quality of discharge guidance,and low degree of family care aremore likely to be poorly prepared for discharge.

关 键 词：盆腔器官脱垂 盆底重建术 出院准备 老年人 影响因素 

分 类 号：R711[医药卫生—妇产科学]