School of Nursing, University of South China, Hengyang 421001, China.
Department of Pulmonary Tuberculosis, Changsha Central Hospital Affiliated to University of South China, Changsha 410004, China.
Appl Nurs Res. 2024 Jun;77:151789. doi: 10.1016/j.apnr.2024.151789. Epub 2024 Apr 9.
To understand the relationship between the need for continuing care services and influencing factors, social support, readiness for discharge among discharged pulmonary tuberculosis (PTB) patients.
A cross-sectional study was conducted among 170 patients from a database of discharged patients with PTB from September 2023 to January 2024. A demographic and disease characteristics questionnaire, continuing care services basic modality questionnaire, continuing care services need questionnaire, the Social Support Rating Scale (SSRS), and the Readiness for Hospital Discharge Scale (RHDS) were used for this investigation. Univariate analysis and multiple linear regression analysis were used to analyze the associated factors.
The mean total score for the need for continuing care services among patients with PTB discharged from the hospital was (121.61 ± 22.98). The dimension with the highest score was health education guidance need. Compared to the the original hospital medical personnel, the primary source of care information after discharge was the local medical institutions was statistically significant and negatively correlated with continuing care service need (P = 0.005). Social support was positively associated with need for continuing care services (P = 0.042).
Discharged PTB patients had a high degree of continuing care service need. Factors influencing the need for continuing care services are the primary source of care information after discharge was the local medical institutions, the social support. Medical staff need to provide targeted continuing care services based on relevant influencing factors to meet the discharge needs of patients.
了解出院肺结核(PTB)患者继续护理服务需求与影响因素、社会支持、出院准备之间的关系。
本横断面研究于 2023 年 9 月至 2024 年 1 月期间,从出院 PTB 患者数据库中抽取了 170 例患者。使用一般资料和疾病特征问卷、继续护理服务基本模式问卷、继续护理服务需求问卷、社会支持评定量表(SSRS)和出院准备量表(RHDS)进行调查。采用单因素分析和多元线性回归分析进行相关因素分析。
PTB 出院患者继续护理服务需求总分为(121.61±22.98)分,各维度得分最高的是健康教育指导需求。与原住院医务人员相比,出院后首要的照护信息来源是当地医疗机构,差异有统计学意义,与继续护理服务需求呈负相关(P=0.005)。社会支持与继续护理服务需求呈正相关(P=0.042)。
PTB 出院患者继续护理服务需求较高。影响继续护理服务需求的因素为出院后首要的照护信息来源是当地医疗机构、社会支持。医务人员需根据相关影响因素提供有针对性的继续护理服务,以满足患者的出院需求。