摘要
目的 探究颅内动脉瘤介入治疗患者出院准备度现状及其影响因素。 方法 采用方便抽样法,选取于2015年1月至2018年4月在聊城市人民医院神经外科择期行介入治疗的颅内动脉瘤患者136例,应用临床资料调查表收集患者临床资料,应用出院准备度量表与出院指导质量量表评估患者出院准备度与出院指导质量。采用Pearson相关分析分析出院指导质量与出院准备度间的相关性,采用多元线性回归分析出院准备度的影响因素。 结果 本研究颅内动脉瘤介入治疗患者出院准备度总分为(157.90 ± 26.98)分,处于中等水平。Pearson相关分析显示,出院指导质量与颅内动脉瘤介入治疗患者出院准备度呈正相关(r=0.619,P<0.01)。多元线性回归分析显示,文化程度、家庭人均月收入、居住地、需长期服药种类及出院指导质量均为颅内动脉瘤介入治疗患者出院准备度的影响因素(β′值分别为0.102、0.175、0.391、-0.226、0.314,P<0.05)。 结论 颅内动脉瘤介入治疗患者出院准备度呈中等水平,医护人员应针对出院准备度的影响因素,制定干预对策,并提升出院指导质量,以提高患者的出院准备度水平,改善预后。
Objective To describe the status of discharge readiness of patients with intracranial aneurysm undergoing interventional therapy and explore its influencing factors. Methods Easy sampling method was used to select 136 patients with intracranial aneurysm undergoing interventional therapy at the Department of Neurosurgery, Liaocheng People's Hospital. Clinical data questionnaire was applied to collect the clinical data of patients. Discharge readiness scale and discharge guidance quality scale were adopted to assess patients′ discharge readiness and discharge guidance quality. Pearson correlation analysis was used to analyze the correlation between discharge guidance quality and discharge readiness, while multi-linear regression analysis was used to analyze the influencing factors of discharge readiness. Results In this study, the total score of discharge readiness in patients with intracranial aneurysm undergoing interventional therapy was (157.90±26.98) points, which was at a moderate level. Pearson correlation analysis showed that the discharge guidance quality was positively correlated with the discharge readiness for patients with intracranial aneurysm (r=0.619, P<0.01). Multi-linear regression analysis showed that the education level, family average monthly income, place of residence, numbers of long-term medications required, and discharge guidance quality were factors influencing the discharge readiness of patients with intracranial aneurysm undergoing interventional therapy (β′=0.102, 0.175, 0.391, -0.226, 0.314, P<0.05). Conclusion In patients with intracranial aneurysm undergoing interventional therapy, the discharge readiness was at a moderate level, and the medical staff should make interventional strategies, taken the factors affecting the discharge readiness into consideration, and strength the discharge guidance quality to improve the patients′ discharge readiness and prognosis.
作者
胡艳淳
刘文静
刘静
Hu Yanchun;Liu Wenjing;Liu Jing(Department of Vascular and Neurosurgery,Liaocheng People's Hospital,Liaocheng 252000, China;Department of ICU,Liaocheng People's Hospital,Liaocheng 252000,China;Department of the Fourth Surgery,Perking Union Medical College Hospital,Beijing 100032,China)
出处
《中国实用护理杂志》
2019年第5期340-345,共6页
Chinese Journal of Practical Nursing
关键词
颅内动脉瘤
出院准备度
出院指导质量
影响因素
Intracranial aneurysm
Discharge readiness
Discharge guidance quality
Influencing factors
