Ding Xiaoying, Jiao Weijie, Gong Xue, Sun Yuanyuan, Sang Lin, Yu Ming
Department of Ultrasound, Xijing Hospital, The Fourth Military Medical University, Xi'an, Shaanxi, 710032, People's Republic of China.
J Multidiscip Healthc. 2025 Mar 27;18:1759-1769. doi: 10.2147/JMDH.S500220. eCollection 2025.
This study aimed to assess the crucial factors that contribute to the self-nursing intention of discharged patients with drainage tubes, with a specific emphasis on percutaneous surgeries.
A case-control study was conducted in accordance with the EQUATOR-STROBE statement. Over the period of January 2023 to December 2023, a cohort of 146 discharged patients with drainage tubes were recruited. Upon their return to the hospital for the removal of the drainage tubes, an anonymous questionnaire was administered to gather data on various aspects, including basic demographic characteristics, comprehensive disease information, and the respondents' self-nursing intention concerning the drainage tubes. Chi-square tests and binary logistic regression analysis were used to explore the factors associated with self-nursing intention and the degree of influence. Bivariate analysis was conducted to examine the relevance of the variables showing significant differences.
Excluding 5 questionnaires (logic errors), 141 respondents were enrolled in this analysis (effective accomplished ratio=96.58%). The median age of study subjects was 63 years. Rank correlation analysis results showed there is statistical significance between income level and education level (SCC=0.647, <0.01). Resident area is statistically significant with education level and income level (SCC=-0.635, <0.01, SCC=-0.653, <0.01, respectively). Binary logistic regression analysis showed that married status (OR=4.996, =0.077, 95% CI: 0.841-29.664), income level (OR=3.112, =0.01, 95% CI: 1.308-7.402), occupation (OR=1.124, =0.013, 95% CI: 0.331-1.5), and degree of apprehending nursing video (OR=12.636, <0.001, 95% CI: 4.104-38.906) were the crucial factors that affect nursing intention.
The degree of apprehending nursing video contributed most to nursing intention of discharged patients with drainage tubes. Transitional care teams should devise more readily available care models (eg, mobile health) tailored to the needs of older individuals.
本研究旨在评估影响带引流管出院患者自我护理意愿的关键因素，特别关注经皮手术患者。
本病例对照研究遵循EQUATOR-STROBE声明进行。在2023年1月至2023年12月期间，招募了146名带引流管出院的患者。当他们返回医院拔除引流管时，发放一份匿名问卷，收集包括基本人口统计学特征、综合疾病信息以及受访者对引流管的自我护理意愿等各方面的数据。采用卡方检验和二元逻辑回归分析来探究与自我护理意愿相关的因素及其影响程度。进行双变量分析以检验显示出显著差异的变量之间的相关性。
排除5份问卷（逻辑错误）后，141名受访者纳入本分析（有效完成率=96.58%）。研究对象的中位年龄为63岁。等级相关分析结果显示收入水平与教育水平之间存在统计学意义（斯皮尔曼等级相关系数SCC=0.647，P<0.01）。居住地区与教育水平和收入水平存在统计学意义（斯皮尔曼等级相关系数SCC分别为-0.635，P<0.01；SCC=-0.653，P<0.01）。二元逻辑回归分析显示，婚姻状况（比值比OR=4.996，P=0.077，95%置信区间CI：0.841-29.664）、收入水平（OR=3.112，P=0.01，95%置信区间CI：1.308-7.402）、职业（OR=1.124，P=0.013，95%置信区间CI：0.331-1.5）以及对护理视频的理解程度（OR=12.636，P<0.001，95%置信区间CI：4.104-38.906）是影响护理意愿的关键因素。
对护理视频的理解程度对带引流管出院患者的护理意愿影响最大。过渡性护理团队应设计更适合老年人需求的便捷护理模式（如移动健康）。
