慢加急性肝衰竭患者出院后延续护理需求调查

A Survey on Nursing Needs of Patients with Chronic and Acute Liver Failure after Discharge

目的：调查慢加急性肝衰竭（ACLF）患者出院后延续护理需求。方法：选取2014年1月~2015年10月北京市某三甲医院肝衰竭中心收治的422例ACLF患者,采用自行设计的问卷分别对出院后护理需求内容和需求方式进行调查。结果：调查共回收问卷422份,有效回收率100.00%。ACLF患者均有出院后护理需求,需求率为100.00%,其中护理需求内容中患者最需要率（96.45%）和总需要率（100.00%）最高的均为用药指导;在出院后护理方式需求中,患者最满意率（91.49%）和总满意率（98.34%）最高的均为电话随访。结论：ACLF患者对出院后护理有着迫切的需求,包括多项护理内容,而随访方式需求差异较大,显示为传统方式与网络和移动技术相结合的特征。

Objective ：To investigate the need for continuing nursing care in patients with chronic and acute liver failure （ACLF）after discharge. Methods：A total of 422 cases of ACLF patients were selected from October 2015 to January 2014 in a hospital in Beijing. The content and demand of nursing needs were investigated by self- designed questionnaires. Results ： A total of 422 questionnaires were col- lected, and the effective recovery rate was 100.00%. ACLF patients had post discharge nursing demand and demand rate is 100.00%. A- mong them,the most needed rate （96. 45% ）and total demand rate（ 100. 00% ）were the highest in the nursing requirement. After dis- charge, the patients＇ satisfaction rate （91.49% ） and the total satisfaction rate （98.34%）were the highest in the telephone follow - up. Con- clusion：There is an urgent need for ACLF patients after discharge, including a number of nursing content, and a large number of follow - up needs styles had a great difference, which shows the combination of traditional methods, network and mobile technology.