【摘要】 目的调查上海市部分三级综合医院慢性病患者的出院准备度现状并探讨其影响因素,为提升慢性病患者出院准备度的干预性研究提供参考。方法 2018年8—10月,采用一般资料调查表、出院准备度量表及出院指导质量量表对上海市7所三级甲等综合医院的602例慢性病患者进行调查。结果 602例患者的出院准备度总均分为8.01±1.41,处于中高水平;出院准备度得分与出院指导质量呈正相关。多重线性回归分析结果显示,慢性病种类、住院天数、疾病知识知晓程度、有无其他慢性病或合并症、就医取药是否方便、感知自理能力下降、出院指导技巧及效果等是慢性病患者出院准备度的主要影响因素。结论医护人员应针对不同慢性病患者的特点进行合理评估,并结合患者需求给予个体化干预措施,以提升其出院准备度,改善出院后结局。更多还原

【Abstract】 Objective To investigate the status quo of readiness for hospital discharge of patients with chronic diseases in some tertiary general hospitals in Shanghai and to explore the influencing factors, so as to provide a reference for an intervention study to improve the readiness for hospital discharge of patients with chronic diseases. Methods From August to October 2018, a total of 602 patients with chronic diseases in 7 tertiary Grade A hospitals in Shanghai were investigated by using a general information questionnaire, readiness for hospital discharge scale and quality of discharge teaching scale. Results The total average score of the readiness for hospital discharge in 602 patients was 8.01 ± 1.41, which was in the middle-to-high level,and the score of the readiness for hospital discharge was positively correlated with the quality of discharge teaching. The multiple linear regression analysis showed that the readiness for hospital discharge of patients with chronic diseases was mainly affected by the types of chronic diseases, length of hospital stay, knowledge of diseases, presence or absence of other chronic diseases or complications, convenience to seek medical care and get medicines, decreased level of self-care ability, as well as skills and effect of discharge teaching. Conclusion Medical workers should properly evaluate the characteristics of patients with different chronic diseases, and take individualized intervention measures in combination with the needs of patients, so as to improve the readiness for hospital discharge and the outcome after discharge.更多还原