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患者出院准备度及其影响因素:肝胆外科置管出院患者的横断面研究

Readiness for hospital discharge and influencing factors: a cross-sectional study on patients discharged with tubes from the department of hepatobiliary surgery.

机构信息

Department of Hepatobiliary Surgery, Shaoxing Second Hospital, Zhejiang, Shaoxing, China.

Department of Operation Rooms, Shaoxing People's Hospital, Shaoxing People's Hospital (Shaoxing Hospital, Zhejiang University School of Medicine), Zhejiang, Shaoxing, China.

出版信息

BMC Surg. 2021 Mar 8;21(1):121. doi: 10.1186/s12893-021-01119-0.


DOI:10.1186/s12893-021-01119-0
PMID:33685424
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7941921/
Abstract

BACKGROUND: To investigate the readiness for hospital discharge of patients discharged with tubes from the department of hepatobiliary surgery and to explore the influencing factors. METHODS: A cross-sectional survey was conducted for the 161 patients with tubes who were discharged from the department of hepatobiliary surgery of Shaoxing Second Hospital by using the modified Chinese version of Readiness for Hospital Discharge Scale (RHDS) and Quality of Discharge Teaching Scale (QDTS). General data of the patients, such as gender, age, BMI (body mass index), and educational level, were collected. RESULTS: According to the statistical results, the total score of the RHDS was 142.40 ± 23.98, and that of the QDTS was 148.14 ± 17.74. Multiple linear step-wise regression analysis revealed that the total score of the QDTS, residence and educational level were the independent influencing factors of the readiness for hospital discharge (p < 0.05). CONCLUSION: The level of the readiness for hospital discharge of the 161 discharged patients with tubes from the department of hepatobiliary surgery was in the middle and lower level. For the patients who are far away from the hospital and have a low education level, we should pay more attention to health education and discharge teaching, so as to improve the readiness for hospital discharge of relatively vulnerable patients, reduce the incidence of adverse events after discharge with tubes, and ensure the health and safety of patients.

摘要

背景:调查肝胆外科置管出院患者的出院准备情况,并探讨其影响因素。

方法:采用改良的中文版出院准备度量表(RHDS)和出院教学质量量表(QDTS),对绍兴市第二医院肝胆外科 161 例带管出院患者进行横断面调查。收集患者的一般资料,如性别、年龄、BMI(体重指数)和文化程度等。

结果:统计结果显示,RHDS 总分为 142.40±23.98,QDTS 总分为 148.14±17.74。多元线性逐步回归分析显示,QDTS 总分、居住地和文化程度是出院准备度的独立影响因素(p<0.05)。

结论:161 例肝胆外科带管出院患者的出院准备度处于中下水平。对于远离医院、文化程度较低的患者,应更加重视健康教育和出院教学,提高相对脆弱患者的出院准备度,降低带管出院后不良事件的发生率,保障患者的健康和安全。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea3a/7941921/c5bbe0e4b911/12893_2021_1119_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea3a/7941921/c5bbe0e4b911/12893_2021_1119_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea3a/7941921/c5bbe0e4b911/12893_2021_1119_Fig1_HTML.jpg

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本文引用的文献

[1]
Factors influencing readiness for hospital discharge among patients undergoing laryngectomy.

Int J Nurs Pract. 2020-10

[2]
Colorectal patients' readiness for hospital discharge following management of enhanced recovery after surgery pathway: A cross-sectional study from China.

Medicine (Baltimore). 2020-2

[3]
Discharge teaching, readiness for discharge, and post-discharge outcomes in cataract patients treated with day surgery: A cross-sectional study.

Indian J Ophthalmol. 2019-5

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ENHANCED RECOVERY (ERAS) AFTER LIVER SURGERY:COMPARATIVE STUDY IN A BRAZILIAN TERCIARY CENTER.

Arq Bras Cir Dig. 2019-2-7

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Surg Clin North Am. 2018-8-24

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S Afr J Physiother. 2018-7-3

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Evaluation of the Safety and Efficacy of Percutaneous Transhepatic Gallbladder Drainage Combined with Laparoscopic Cholecystectomy for Treating Acute Complicated Cholecystitis.

Am Surg. 2018-1-1

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Analysis of Patients Discharged From the Hospital With a Chest Tube in Place.

Ann Thorac Surg. 2018-2-15

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J Clin Nurs. 2017-8-10

[10]
Readiness for hospital discharge: A concept analysis.

J Adv Nurs. 2017-6-2

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