Department of nursing, Zhongshan Hospital Fudan University, 180 Fenglin Road, Xuhui District, Shanghai, 200032, China.
BMC Health Serv Res. 2020 Jul 11;20(1):647. doi: 10.1186/s12913-020-05518-6.
The aim of this study was to understand the quality of discharge guidance for patients with chronic diseases, to clarify the gap between patient needs and the content of discharge guidance, and to provide a reference for health education and clinical path management of patients with chronic diseases in the future.
A total of 602 inpatients with stroke, coronary heart disease, cancer, chronic obstructive pulmonary disease and diabetes from the chronic disease-related departments of 7 tertiary general hospitals in China were selected by convenience sampling. Measures included a demographic questionnaire and the Quality of Discharged Teaching Scale(QDTS). Descriptive analysis ANOVA and paired t-test were completed by SPSS 22.0 software.
The overall average score of QDTS in this survey was 155.79 ± 23.29. The total score of QDTS in chronic obstructive pulmonary disease was lower than coronary heart disease (P < 0.001) and cancer (P = 0.02). While coronary heart disease was higher than stroke (P = 0.01) and diabetes (P = 0.01). And the scores of patients on discharge guidance skills and effects were higher than 8.50.
The level of the patients' perception of quality of discharge insrtuction is middle to high. Managers should understand the characteristics of various departments, give corresponding guidance and help, and clinical nurses should understand the characteristics of ward patients and pay more attention to individual guidance.
本研究旨在了解慢性病患者出院指导的质量，明确患者需求与出院指导内容之间的差距，为今后慢性病患者的健康教育和临床路径管理提供参考。
采用便利抽样的方法，选取我国 7 家三级综合医院慢性病相关科室的 602 例脑卒中、冠心病、癌症、慢性阻塞性肺疾病和糖尿病患者。使用一般资料问卷和出院教学质量量表（QDTS）进行调查。采用 SPSS 22.0 软件进行描述性分析、方差分析和配对 t 检验。
本调查中 QDTS 的总平均分是 155.79±23.29。慢性阻塞性肺疾病的 QDTS 总分低于冠心病（P<0.001）和癌症（P=0.02），而冠心病则高于脑卒中（P=0.01）和糖尿病（P=0.01）。出院指导技能和效果的得分均高于 8.50。
患者对出院指导质量的感知水平处于中高水平。管理者应了解各科室的特点，给予相应的指导和帮助，临床护士应了解病房患者的特点，注重个体化指导。
