摘要
目的:系统评价术后患者出院准备度的影响因素。方法:计算机检索建库至2021年5月29日MedLine、The Cochrane Library、PubMed、Web of science、EMbase、中国知网(CNKI)、万方数据库(Wanfang Data)、维普数据库(VIP)、中国生物医学文献数据库(CBM)中与术后患者出院准备度影响因素相关的文献,研究者依据纳排标准选择合格文献并提取相关资料,参照NOS和AHRQ评分进行文献的质量评价,并采用Revman 5.3软件进行Meta分析。结果:共纳入23篇文献,涉及患者4027例。Meta分析结果显示:年龄≥69岁的患者出院准备度低于年龄<69岁的患者[OR=0.67,95%CI(0.51,0.87),P=0.36],已婚患者出院准备度高于未婚、离异、丧偶患者[OR=0.51,95%CI(0.35,0.87),P=0.08],居住在城镇患者出院准备度高于居住在农村患者[OR=2.68,95%CI(2.06,3.47),P<0.00001],文化程度高的患者出院准备度高于文化程度低的患者[OR=2.26,95%CI(1.50,3.40),P<0.00001],服药种类多的患者出院准备度低于服药种类少的患者[OR=2.67,95%CI(1.68,4.23),P<0.0001],共病数量多的患者出院准备度低于共病数量少的患者[OR=0.81,95%CI(0.32,2.02),P=0.65],出院指导质量高的患者出院准备度高于出院准备度低的患者[OR=1.45,95%CI(1.21,1.73),P<0.0001]、自理能力强的患者出院准备度高于自理能力弱的患者[OR=1.82,95%CI(1.68,1.98),P<0.00001],其中,居住地、文化程度、服药种类、共病数量、出院指导质量、自理能力是术后患者出院准备度的主要影响因素(P<0.05)。结论:术后患者出院准备度影响因素较多,分别有年龄、婚姻状况、文化程度、服药种类、是否有合并疾病、住院天数、居住地和自理能力,但因纳入文献数量较少,今后还需进行大样本、高质量的前瞻性研究。
Objective:To systematically evaluate the influencing factors of postoperative patients discharged from hospital readiness.Methods:The database was searched by computer until March 14,2021.Medline,Cochrane library,PubMed,Web of Science,Embase,CNKI,WanfangData,VIP,and China Bio-medicine Research related to influencing factors of postoperative discharge readiness in CBM,literature screening,data extraction,quality assessment,and meta-analysis using revman5.3 software.Results:A total of 23 literatures were included,involving 3789 patients.Meta-analysis results showed that:discharge readiness of patients aged>69 years old was lower than that of patients aged<69 years old[OR=0.67,95%CI(0.51,0.87),P=0.36],and discharge readiness of married patients was higher than that of unmarried,divorced and widowed patients[OR=0.51,95%CI(0.35,0.87),P=0.08],the discharge readiness of patients living in urban areas was higher than that of patients living in rural areas[OR=2.68,95%CI(2.06,3.47),P<0.00001],and the discharge readiness of patients with high education level was higher than that of patients with low education level[OR=2.26,95%CI(1.50,3.40),P<0.00001],the discharge readiness of patients with more medications was lower than that of patients with fewer medications[OR=2.67,95%CI(1.68,4.23),P<0.0001],and the discharge readiness of patients with more comorbiditions was lower than that of patients with fewer comorbiditions[OR=0.81,95%CI(0.32,2.02),P=0.65],patients with high quality of discharge guidance had higher discharge readiness than patients with low discharge readiness[OR=1.45,95%CI(1.21,1.73),P<0.0001],and the discharge readiness of patients with strong self-care ability was higher than that of patients with weak self-care ability[OR=1.82,95%CI(1.68,1.98),P<0.00001].Among them,residence,education level,type of medication,number of comorbidiments,quality of discharge guidance and self-care ability were the main influencing factors of postoperative discharge readiness(P<0.05).Conclusions:There are many influencing factors fo
作者
张静
方海雁
尤敏
吴灵莎
唐杰
ZHANG Jing;FANG Haiyan;YOU Min;WU Lingsha;TANG Jie(School of Nursing,Anhui University of Chinese Medicine,Hefei 230031,China)
出处
《包头医学院学报》
CAS
2022年第9期64-70,80,共8页
Journal of Baotou Medical College
基金
安徽高校自然科学基金项目(KJ2017A276)。
关键词
术后患者
出院准备度
影响因素
META分析
Postoperative patients
Discharge readiness
Influencing factors
Meta onalysis
