肺癌根治术患者术后出院准备度状况及其影响因素分析  

Analysis of Postoperative Discharge Readiness and Influencing Factors in Patients with Lung Cancer Undergoing Radical Surgery

作　　者：李桂兰 刘盼 晏宝林[2] 陈柳 Li Guilan;Liu Pan;Yan Baolin(Thoracic Surgery Department,Jiangxi Cancer Hospital(Second Affiliated Hospital of Nanchang Medical College),Nanchang,Jiangxi,330029,China)

机构地区：[1]江西省肿瘤医院(南昌医学院第二附属医院)胸外科,江西南昌330029 [2]江西省肿瘤医院(南昌医学院第二附属医院)放射治疗中心,江西南昌330029

出　　处：《黑龙江医学》2025年第1期44-46,50,共4页Heilongjiang Medical Journal

摘　　要：目的:探讨肺癌根治术患者术后出院准备度(RHD)状况及其影响因素。方法:选取2022年1月—2023年5月于江西省肿瘤医院行根治性手术治疗的78例肺癌患者作为研究对象,用一般资料问卷、出院准备度量表(RHDS)、出院指导质量量表(QDTS)实施问卷调查,调查肺癌根治术患者术后RHD状况及其影响因素。结果:肺癌根治术患者术后RHDS总分为(90.08±12.33)分,条目均分为(7.51±1.01)分。单因素分析结果显示,肺癌根治术患者受教育程度、居住地、是否独居及家庭人均月收入与术后RHD有关,差异有统计学意义(t=4.188、2.697、2.497、4.301,P<0.05)。肺癌根治术患者术后QDTS各维度评分及其总分与适应能力、个人状态、预期获得帮助、RHDS总分均呈正相关(P<0.05)。多元线性回归分析结果显示,肺癌根治术患者受教育程度、居住地、独居、家庭人均月收入、出院指导质量均是影响其术后RHD的危险因素,差异有统计学意义(P<0.05)。结论:肺癌根治术患者术后RHD有待提高,其受教育程度、居住地、独居、家庭人均月收入、出院指导质量多因素影响,临床需加以注意。Objective:To explore the status of postoperative discharge readiness(RHD)and its influencing factors.Methods:78 lung cancer patients who underwent radical surgery in Jiangxi Cancer Hospital from January 2022 to May 2023 were selected as the study objects.The general data questionnaire,discharge readiness scale(RHDS)and discharge guidance quality scale(QDTS)were used to investigate the status of radical lung cancer patients.Results:The total score of patients with radical lung cancer was(90.08±12.33),and the items were equally divided into(7.51±1.01)points.Univariate analysis revealed that,educational level,residence,living alone,and household monthly income were related to postoperative RHD,with statistically significant difference(t=4.188,2.697,2.497,4.301;P<0.05).All dimensions of the quality of postoperative discharge guidance and their total score were positively correlated with their adaptability,personal status,expected assistance,and the total score of RHDS(P<0.05).Multivariate analysis showed that family per capita monthly income,discharge guidance quality,residence,living alone and education were all risk factors affecting postoperative RHD in patients with radical lung cancer(P<0.05).Conclusion:The postoperative RHD of patients with radical lung cancer needs to be improved,which is affected by multiple factors,such as education level,residence,living alone,family per capita monthly income and quality of discharge guidance,which should be paid attention to clinically.

关 键 词：肺癌 肺癌根治术 出院准备度 出院指导质量 

分 类 号：R655.3[医药卫生—外科学]