剖宫产术后中国产妇的出院准备情况及相关因素：一项单中心横断面研究
Readiness for Hospital Discharge After a Cesarean Section and Associated Factors Among Chinese Mothers: A Single Centre Cross-Sectional Study.
作者信息
Xia Mei-Ling, Lin Wen-Xuan, Gao Ling-Ling, Zhang Mao-Ling, Li Zhi-Yun, Zeng Li-Ling
机构信息
Reproductive Centre, Guangdong Women and Children Hospital, Guangzhou, People's Republic of China.
Nursing Department, Guangdong Women and Children Hospital, Guangzhou, People's Republic of China.
出版信息
Patient Prefer Adherence. 2023 Apr 12;17:1005-1015. doi: 10.2147/PPA.S404137. eCollection 2023.
PURPOSE
Knowledge of the readiness for hospital discharge can help health care professionals accurately determine the patients' discharge time. However, few studies were on the readiness for discharge and its related factors among mothers with cesarean sections. Thus, this study aims to examine the readiness for hospital discharge and its associated factors among Chinese mothers with cesarean sections.
PATIENTS AND METHODS
A single-centre cross-sectional study was conducted from September 2020 to March 2021 in Guangzhou, China. Three hundred thirty-nine mothers with cesarean sections completed the questionnaires on demographic and obstetric characteristics, readiness for hospital discharge, quality for discharge teaching, parenting sense of competence, family function, and social support. Multiple linear regression analysis was used to identify independent factors influencing readiness for hospital discharge among mothers with cesarean sections.
RESULTS
The total score of readiness for hospital discharge was 136.47 ± 25.29. The quality of discharge teaching, parenting sense of competence, number of cesareans, family function, and attending antenatal classes were independent factors influencing the readiness for hospital discharge ( < 0.05) among mothers with cesarean sections.
CONCLUSION
The readiness for hospital discharge of mothers with cesarean sections need to be improved. Improving the quality of discharge teaching, parenting sense of competence, and family function may help improve the readiness for hospital discharge of mothers with cesarean sections.
目的
了解产妇出院准备情况有助于医护人员准确确定患者的出院时间。然而，关于剖宫产术后母亲的出院准备情况及其相关因素的研究较少。因此，本研究旨在探讨中国剖宫产术后母亲的出院准备情况及其相关因素。
患者与方法
2020年9月至2021年3月在中国广州进行了一项单中心横断面研究。339名剖宫产术后母亲完成了关于人口统计学和产科特征、出院准备情况、出院指导质量、育儿胜任感、家庭功能和社会支持的问卷调查。采用多元线性回归分析确定影响剖宫产术后母亲出院准备情况的独立因素。
结果
出院准备情况总分136.47±25.29。出院指导质量、育儿胜任感、剖宫产次数、家庭功能和参加产前课程是影响剖宫产术后母亲出院准备情况（<0.05）的独立因素。
结论
剖宫产术后母亲的出院准备情况有待提高。提高出院指导质量、育儿胜任感和家庭功能可能有助于提高剖宫产术后母亲的出院准备情况。
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