白内障患者日间手术后出院指导、出院准备度和出院后结局的横断面研究。

Discharge teaching, readiness for discharge, and post-discharge outcomes in cataract patients treated with day surgery: A cross-sectional study.

机构信息

West China School of Medicine, West China Hospital, Sichuan University, Chengdu, China.

West China School of Nursing, West China Hospital, Sichuan University, Chengdu, China.

出版信息

Indian J Ophthalmol. 2019 May;67(5):612-617. doi: 10.4103/ijo.IJO_1116_18.

Abstract

PURPOSE

To investigate the quality of discharge teaching, readiness for hospital discharge (RHD), and post-discharge outcomes (PDO) of cataract patients in a day ward and to explore the relationships among these three variables.

METHODS

This cross-sectional study used an opportunistic sample from the ophthalmic day ward in a general hospital in Sichuan province, China. Data were collected using four questionnaires.

RESULTS

The total average score on the Quality of Discharge Teaching Scale was 192.95, and the dimension with the lowest score was "guidance obtained practically." The total average score on the Readiness for Hospital Discharge Scale was 175.51, and the dimension with the lowest score was "knowledge of disease." The total average score on the Post-Discharge Outcome Questionnaire was 77.08, and the four dimensions with the lowest scores were "compliance behaviors," "avoiding excessive use of eye," "avoiding strenuous exercise," and "regular check-up." Pearson correlation coefficients indicated low to moderate correlations between discharge teaching quality and PDO (0.245, P < 0.01), RHD and PDO (0.271, P < 0.01), and discharge teaching quality and PDO (0.559, P < 0.01).

CONCLUSION

The quality of discharge teaching among cataract patients who underwent day surgery was relatively high, and patient preparation for discharge and PDO were good. However, medical staff should focus more attention on patients' individualized needs for discharge teaching while emphasizing the importance of compliance behavior.

摘要

目的

调查白内障日间病房患者出院教学质量、出院准备状况和出院后结局(PDO),并探讨这三个变量之间的关系。

方法

本横断面研究采用便利抽样法,选取中国四川省某综合医院眼科日间病房的患者。使用 4 份问卷收集数据。

结果

出院教学质量量表总均分为 192.95 分,得分最低的维度是“实际获得指导”。出院准备状况量表总均分为 175.51 分,得分最低的维度是“对疾病的了解”。PDO 问卷总均分为 77.08 分,得分最低的四个维度是“遵医行为”“避免过度用眼”“避免剧烈运动”和“定期复查”。Pearson 相关系数表明,出院教学质量与 PDO(0.245,P<0.01)、出院准备状况与 PDO(0.271,P<0.01)以及出院教学质量与 PDO(0.559,P<0.01)之间存在低度至中度相关性。

结论

白内障日间手术患者的出院教学质量相对较高,患者出院准备状况和 PDO 较好。但医务人员在强调遵医行为重要性的同时,应更加关注患者对出院教学的个体化需求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe6e/6498919/cbdfb80816e7/IJO-67-612-g001.jpg

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