Gao Saiyu, Huang Nanqi, Huang Wenmin, Lian Yu, Xiao Huiming, Yao Shuyu
Department of Geriatrics, Xiangya Hospital, Central South University, Changsha, Hunan, People's Republic of China.
National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, Hunan, People's Republic of China.
Patient Prefer Adherence. 2024 Apr 15;18:829-838. doi: 10.2147/PPA.S453683. eCollection 2024.
Position adherence of patients with Pars Plana Vitrectomy with Silicone Oil Tamponade after discharge is of positive significance. However, patients undergoing a day surgery makes the quality of discharge teaching and readiness for hospital discharge is insufficient, which will influence their position adherence at home.
This study aimed to find the correlation of discharge teaching, readiness for hospital discharge, and position adherence in patients who underwent PPV with silicone oil tamponade from the day ward.
This was a cross-sectional survey. One hundred ninety-four patients with day surgery were recruited by convenient sampling from Zhongshan Ophthalmic Center, China. Data were collected using the quality of discharge teaching scale, readiness for hospital discharge scale, and position adherence scale.
Patients' education level, residence, poor postoperative vision, ophthalmic surgery history, and quality of discharge teaching are the main factors of readiness for discharge. Only 41(21%) patients had good position adherence, and education level and readiness for discharge are the main factors of position adherence.
Discharge teaching improves patients' knowledge and competence of self-care and helps patients prepare for the transition from hospital to home, and readiness for hospital discharge significantly influences position adherence after discharge and indirectly plays a vital role in postoperative vision recovery and surgical effect.
玻璃体切割联合硅油填充术后患者出院后的体位依从性具有积极意义。然而，日间手术患者的出院指导质量和出院准备不足，这会影响他们在家中的体位依从性。
本研究旨在探讨日间病房接受玻璃体切割联合硅油填充术患者的出院指导、出院准备与体位依从性之间的相关性。
这是一项横断面调查。通过便利抽样从中国中山眼科中心招募了194例日间手术患者。使用出院指导质量量表、出院准备量表和体位依从性量表收集数据。
患者的教育程度、居住地、术后视力差、眼科手术史和出院指导质量是出院准备的主要因素。只有41例（21%）患者有良好的体位依从性，教育程度和出院准备是体位依从性的主要因素。
出院指导提高了患者的自我护理知识和能力，帮助患者为从医院过渡到家庭做好准备，出院准备显著影响出院后的体位依从性，并间接对术后视力恢复和手术效果起着至关重要的作用。
