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白内障手术患者感知的出院教学质量、出院准备度与出院后结局之间的关系:基于回归建模分析的横断面研究。

Relationships between Cataract Surgery Patient-Perceived Discharge Teaching Quality, Discharge Readiness, and Post-Discharge Outcomes: A Cross-Sectional Study Based on Regression Modeling Analysis.

机构信息

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

Department of Nursing, West China Hospital, Sichuan University, Chengdu, China,

出版信息

Ophthalmic Res. 2023;66(1):328-338. doi: 10.1159/000527958. Epub 2022 Nov 9.

DOI:10.1159/000527958
PMID:36353771
Abstract

INTRODUCTION

A short hospital stay makes discharge planning services especially critical for patients undergoing cataract surgery. Studies on discharge teaching quality, discharge readiness, and post-discharge outcomes for patients with cataracts are lacking. Our study aimed to explore the relationships between the perceived discharge teaching quality, discharge readiness, and post-discharge outcomes of cataract surgery patients and to conduct a differential analysis between inpatient and day ward patients.

METHODS

We recruited 387 patients from the ophthalmology ward of a top-tier hospital in western China through convenience sampling. Data were collected on the day of discharge and at 2 weeks post-discharge. Statistical methods included multiple linear regression analysis, χ2 test, and the Mann-Whitney U test.

RESULTS

Regression models indicated that discharge teaching quality was the key factor of discharge readiness, while post-discharge outcomes were influenced by discharge readiness and discharge teaching quality. Further, inpatients' discharge teaching quality, discharge readiness, and post-discharge subjective feelings were better than those of day ward patients.

CONCLUSIONS

The effect of discharge planning services on patients undergoing cataract surgery was generally satisfactory. High-quality discharge teaching can enhance patients' discharge readiness, further improving their post-discharge outcomes. When conducting discharge teaching, day ward medical staff should pay more attention to patients' demands and explore a more effective teaching delivery method.

摘要

简介

患者接受白内障手术时,短暂的住院时间使得出院计划服务尤为关键。目前缺乏关于白内障患者出院教学质量、出院准备情况和出院后结果的研究。我们的研究旨在探讨白内障手术患者感知的出院教学质量、出院准备情况和出院后结果之间的关系,并对内住院患者和日间病房患者进行差异分析。

方法

我们通过便利抽样的方式从中国西部一家顶级医院的眼科病房招募了 387 名患者。数据在出院当天和出院后 2 周收集。统计方法包括多元线性回归分析、卡方检验和曼-惠特尼 U 检验。

结果

回归模型表明,出院教学质量是出院准备情况的关键因素,而出院后结果则受到出院准备情况和出院教学质量的影响。此外,住院患者的出院教学质量、出院准备情况和出院后主观感受均优于日间病房患者。

结论

出院计划服务对接受白内障手术的患者的效果总体上是令人满意的。高质量的出院教学可以增强患者的出院准备情况,进一步改善其出院后结果。在进行出院教学时,日间病房医务人员应更加关注患者的需求,并探索更有效的教学提供方式。

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