住院肿瘤患者及其家属出院后随访意愿情况调查分析

A survey of follow-up willingness of cancer patients and their families after discharge

目的探讨住院肿瘤患者及其家属出院后随访意愿情况。方法自行设计肿瘤患者及家属随访意愿调查表,了解患者及其家属随访意愿、随访方式、随访时间、随访内容需求等方面。结果 93.9%的患者和96.9%的家属选择愿意接受随访;84.8%的患者和81.3%的家属愿意接受电话随访;42.4%的患者及43.8%的家属选择可在任意时间随访,33.4%的患者及40.7%的家属选择下午或晚上时间;69.7%的患者及62.4%的家属选择随访时间为10 min内;97.0%的患者及93.8%的家属选择由医生进行电话随访,33.3%的患者及31.2%的家属选择由护士进行电话随访;在随访内容方面,患者及家属根据需求选择了用药指导、复查提醒、预约住院、饮食指导、健康咨询、运动指导、心理疏导、并发症护理及PICC护理等,患者及家属在随访意愿情况方面表现高度一致(均P>0.05)。结论住院肿瘤患者及家属在出院后愿意接受来自医院医护人员的随访,主要选择电话随访及由医生进行随访,随访内容是多方面的。

Objective To investigate follow-up willingness of patients and their families after discharge.Method A follow-up willingness questionnaire for cancer patients and their families was designed,the items covering follow-up willingness,follow-up methods, follow-up time,follow-up demand for content etc.Results Ninety-three point nine percent of patients and 96.9%of families were willing to accept follow-ups;84.8%of patients and 81.3%of families were willing to accept follow-ups by phone calls;42.4%of patients and 43.8%of families were willing to take follow-ups at any time,33.4%of patients and 40.7%of families would like the follow-up in the afternoon or evening.69.7%of patients and 62.4%of families would like the follow-ups of 5 to 10 minutes. 97.0%of patients and 93.8%of families were willing to take the phone call follow-ups by physicians and 33.3%of the patients,31.2%of their families by nurses.In terms of contents,the patients and families were willing to have the medication instructions,re-examination reminder,appointments for hospitalization,dietary guidance,health counseling,exercise guidance,psychological counseling and nursing on complications and PICC.There was a high consistence on follow-up contents after discharge in cancer patients and their families（all P〉0.05）.Conclusion The hospitalized cancer patients and their families are willing to take telephone follow-up after discharge by the hospital staff,but most choose to have follow-ups by a doctor.The follow-up contents are multifaceted.