摘要
目的探讨肺结核患者出院准备度的现状并分析其影响因素。方法采用便利抽样法,于2020年8-12月选择浙江省结核病诊疗中心符合条件的200例结核病患者为研究对象。采用一般资料调查表、患者出院准备度量表(RHDS)和患者出院指导质量量表(QDTS)在出院当日对患者进行调查。多因素分析采用多重线性回归分析。本研究共发放问卷200份,回收有效问卷200份,有效回收率为100%。结果200例肺结核患者RHDS总分为(94.04±14.31)分,条目均分为(7.83±1.19)分。不同文化程度、住院天数、住院次数、合并其他慢性疾病种类患者的RHDS得分比较,差异均有统计学意义(P<0.05)。肺结核患者的RHDS总分与年龄呈负相关(r=-0.246,P<0.05),与QDTS总分呈正相关(r=0.641,P<0.01)。多重线性回归分析显示,文化程度、出院指导质量是影响肺结核患者出院准备度的因素,共解释总变异的42.8%(P<0.05)。结论肺结核患者的出院准备度水平有待进一步提高。医务人员应关注不同学历程度的患者,开展多形式多途径的健康教育提高肺结核患者的出院指导质量,进而提高患者的出院准备度。
Objective To explore the status and influencing factors of discharge readiness of patients with pulmonary tuberculosis.Methods A total of 200 patients with tuberculosis in Zhejiang Tuberculosis Diagnosis and Treatment Center from August to December 2020 were selected as the objects by convenience sampling method.The patients were investigated on the day of discharge by general information questionnaire,Readiness for Hospital Discharge Scale(RHDS)and Quality of Discharge Teaching Scale(QDTS).Multiple linear multivariate regression analysis was used.200 questionnaires were distributed and 200 valid questionnaires were recovered in this study.The effective recovery rate was 100%.Results The total RHDS score of 200 patients with pulmonary tuberculosis was(94.04±14.31),and the item average score was(7.83±1.19).There were statistically significant differences in RHDS scores among patients with different educational backgrounds,hospitalization days,hospitalization times and other chronic diseases(P<0.05).The total RHDS score of patients with pulmonary tuberculosis was negatively correlated with age(r=-0.246,P<0.05),and positively correlated with the total QDTS score(r=0.641,P<0.01).Multiple linear regression analysis showed that education background and quality of discharge teaching were the influencing factors of discharge readiness of patients with pulmonary tuberculosis,explaining 42.8%of the total variation(P<0.05).Conclusions The level of discharge readiness of patients with pulmonary tuberculosis needs to be further improved.Medical staff should focus on patients with different educational backgrounds and carry out multiform and multi-channel health education,in order to improve the quality of discharge teaching for patients with pulmonary tuberculosis,and then improve the discharge readiness of patients.
作者
姚丽伟
刘晓霞
林立华
石燕
郎雅珍
Yao Liwei;Liu Xiaoxia;Lin Lihua;Shi Yan;Lang Yazhen(Nursing Department,Hangzhou Chest Hospital Affiliated to Zhejiang University School of Medicine,Hangzhou 310003,China;Tuberculosis Diagnosis and Treatment Center,Hangzhou Chest Hospital Affiliated to Zhejiang University School of Medicine,Hangzhou 310003,China)
出处
《中华现代护理杂志》
2021年第25期3454-3457,共4页
Chinese Journal of Modern Nursing
基金
杭州市科技计划引导项目(20181228Y17)
杭州市农业与社会发展科研计划项目(20180533B77)。
关键词
结核
肺
出院准备度
出院指导质量
影响因素
Tuberculosis,pulmonary
Discharge readiness
Quality of discharge teaching
Influencing factor
