妇科手术患者出院准备度现状及影响因素分析

doi:10.3969/j.issn.1006-5253.2023.06.002

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摘要目的探究妇科手术患者出院准备度现状及其影响因素，为干预措施的制定提供理论参考。方法选择2020年11月至2022年10月于某院接受妇科手术治疗的准备出院患者作为观察对象，采用中文版出院准备度评定量表、出院指导质量量表对患者进行调查，采用多元线性回归分析法对妇科手术患者出院准备度的影响因素进行分析。结果 203例妇科手术患者的出院准备度总评分（159.39±23.79）分；多因素分析结果显示，出院指导质量得分、合并症种类、医院离家距离、医疗费用支付方式是妇科手术患者出院准备度的主要影响因素（P＜0.05）。结论妇科手术患者的出院准备度处于中等水平，出院指导质量、合并症种类、医院离家距离、医疗费用支付方式会影响患者的出院准备度，临床医护人员应针对性提出干预措施，提高患者的出院准备度水平。

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	余淑炬
	胡玮
	蔡星星

关键词 ：妇科手术, 出院准备度, 出院指导质量

Abstract：

Objective To explore the status quo and related influencing factors of discharge readiness of gynecological surgery patients, and to provide theoretical reference for the formulation of intervention measures.Methods The patients who received gynecological surgery in a hospital from November 2020 to October 2022 and were ready for discharge were selected as the observation objects. The Chinese version of the discharge readiness rating scale and the quality of discharge guiding scale were used to investigate the patients. The influencing factors of discharge readiness of gynecological surgery patients were analyzed by multiple linear regression analysis.Results The total score of discharge readiness of 203 patients undergoing gynecological surgery was（159.39±23.79）points. Multivariate analysis showed that the quality of discharge guidance, the type of complications, the distance between hospital and home, and the payment method of medical expenses were the main influencing factors of discharge readiness of patients undergoing gynecological surgery (P<0.05).Conclusion The discharge readiness of gynecological surgery patients is at a medium level. Factors such as discharge guidance quality score, types of complications, distance between hospital and home, and payment method of medical expenses can affect patients′ discharge readiness. Clinical medical staff should implement targeted intervention measures to improve the level of discharge readiness.

Key words： gynecological surgery discharge readiness quality of discharge guidance

收稿日期: 2023-04-04

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基金资助:温州市科技局项目（Y2020485）

通讯作者: 余淑炬，Email：yushuju888@126.com

引用本文:

余淑炬，胡玮，蔡星星. 妇科手术患者出院准备度现状及影响因素分析[J]. 中国医院统计, 2023, 30(6): 408-411.
Yu Shuju，Hu Wei，Cai Xingxing. Status of discharge readiness of patients undergoing gynecological surgery and analysis of related influencing factors. journal1, 2023, 30(6): 408-411.

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［1］李文淑，马杰，倪想，等．已婚女性123270例妇科疾病检出情况分析［J］．中国临床保健杂志，2018，21(5)：602-604．DOI: 10.3969/J.issn.1672-6790.2018.05.008.

［2］吉宁，刘世炜，曾新颖，等．2016年中国妇科疾病的疾病负担研究［J］．中华妇产科杂志，2018，53(5)：313-318．

［3］陈琰琰，陈侠，刘晓莉，等．全髋关节置换患者出院准备度及其影响因素分析［J］．医院管理论坛，2019，36(5)：25-27．DOI: 10.3969/j.issn.1671-9069.2019.05.007.

［4］ZHANG A H, FENG X Q, QIU C J. Discharge teaching, readiness for hospital discharge and post-discharge outcomes in cataract patients: A structural equation model analysis［J］. J Nurs Manag, 2021, 29(3):543-552. DOI: 10.1111/jonm.13169.

［5］王韵，幸露，刘怡，等．卵巢癌术后化疗患者出院指导质量与出院准备度的相关性研究［J］．四川医学，2019，40(6)：624-627．DOI: 10.16252/j.cnki.issn1004-0501-2019.06.019.

［6］鲍冠君，米媛媛．乳腺癌患者化疗期间恐惧、出院准备度和家庭功能对生命质量影响的路径分析［J］．中国实用护理杂志，2021，37(10)：721-726．DOI: 10.3760/cma.j.cn211501-20200424-02017.

［7］WEISS M E, YAKUSHEVA O, BOBAY K L, et al. Effect of implementing discharge readiness assessment in adult medical-surgical units on 30-day return to hospital: The READI randomized clinical trial［J］. JAMA Netw Open, 2019, 2(1):e187387. DOI: 10.1001/jamanetworkopen.2018.7387.

［8］卢朝辉，陈杰．WHO女性生殖器官肿瘤学分类(第4版)解读［J］．中华病理学杂志，2014，43(10)：649-650．DOI: 10.3760/cma.j.issn.0529-5807.2014.10.001.

［9］ZHAO H L, FENG X Q, YU R, et al. Validation of the Chinese version of the readiness for hospital discharge scale on patients who have undergone laryngectomy［J］. J Nurs Res, 2016, 24(4):321-328. DOI: 10.1097/JNR.0000000000000126.

［10］王冰花，汪晖，杨纯子．中文版出院指导质量量表的信效度测评［J］．中华护理杂志，2016，51(6)：752-755．DOI: 10.3761/j.issn.0254-1769.2016.06.025.

［11］ROTVIG C, CHRISTENSEN A V, RASMUSSEN T B, et al. Unreadiness for hospital discharge predicts readmission among cardiac patients: Results from the national DenHeart survey［J］. Eur J Cardiovasc Nurs, 2021, 20(7):667-675. DOI: 10.1093/eurjcn/zvab017.

［12］杜旭芳，谢仙萍，姚佳，等．肝硬化并发食管胃底静脉曲张破裂出血病人出院准备度现状及影响因素分析［J］．护理研究，2022，36(16)：2898-2903．DOI: 10.12102/j.issn.1009-6493.2022.16.012.

［13］吕璐洋，王华芬，卢芳燕，等．住院患儿家庭出院准备度评估工具的研究进展［J］．中华护理杂志，2022，57(4)：507-512．DOI: 10.3761/j.issn.0254-1769.2022.04.019.

［14］贺育华，杨婕，蒋理立，等．加速康复外科模式下结直肠癌患者出院准备度与出院指导质量现状调查［J］．护理学杂志，2019，34(10)：17-19．DOI 10.3870/j.issn.1001-4152.2019.10.017.

［15］林虹，暨玲，徐昶，等．团队管理模式在提高肠造口患者出院准备度和出院指导质量中的应用效果［J］．中华现代护理杂志，2020，26(15)：2073-2076．DOI: 10.3760/cma.j.cn115682-20191012-03667.

［16］WANG M M, WANG Y, MENG N, et al. The factors of patient-reported readiness for hospital discharge in patients with depression: A cross-sectional study［J］. J Psychiatr Ment Health Nurs, 2021, 28(3):409-421. DOI: 10.1111/jpm.12693.

［17］谢丽，朱丹，李虹霖，等．ERAS模式管理的尿道下裂手术患儿出院准备度现状及其影响因素分析［J］．当代护士(中旬刊)，2021，28(5)：97=100．DOI: 10.19792/j.cnki.1006=6411.2021.14.034.［18］刘丽，林征，戎明梅，等．加速康复外科理念护理的女性生殖系统疾病患者出院准备度的现状调查及影响因素分析［J］．中国计划生育和妇产科，2020，12(3)：36=40．DOI: 10.3969/j.issn.1674=4020.2020.03.10.

［19］杜钰娟，陈华英，田晓芳，等．类风湿关节炎患者出院准备度现状及影响因素［J］．昆明医科大学学报，2022，43(6)：132-139．DOI: 10.12259/j.issn.2095-610X.S20220603.

［20］徐靓，陈秀秀，罗鹏珍．喉癌手术患者术后出院准备度水平及其相关危险因素分析［J］．临床护理杂志，2022，21(3)：14-16．DOI: 10.3969/j.issn.1671-8933.2022.03.005.