肺癌患者出院指导质量现状调查与分析

Investigation and analysis of quality of discharge guidance in patients with lung cancer

目的了解肺癌患者出院指导内容,为提高肺癌的出院指导质量提供依据。方法采用方便抽样的方法,对四川省某三级甲等医院胸部肿瘤科212例肺癌患者进行一般资料问卷、出院指导质量量表调查。结果总出院指导质量为(195.93±39.98)分,处于较高水平;出院指导内容需求得分(48.69±11.51)分高于获得得分(47.35±11.34)分,差异有统计学意义(P<0.05);不同年龄、文化程度、居住方式及是否带有中心静脉置管的肺癌患者出院指导质量得分比较,差异有统计学意义(P<0.05)。结论应根据肺癌患者年龄、学历、居住方式等给予不同针对性健康宣教,尤其加强独居、带有中心静脉置管患者的出院指导,提高出院指导质量,促进肺癌患者康复。

Objective To understand the content of discharge guidance for lung cancer patients ,and to provide evidence for improving the quality of lung cancer .Methods Using convenient sampling method ,a sample of 212 patients with lung cancer in the Department of Thoracic Oncology ,a third‐class hospital in Sichuan province was surveyed by general data questionnaire and dis‐charge guidance quality questionnaire .Results The total discharge guidance quality was （195 .93 ± 39 .98） points and was at a high level .The score of discharge guidance requirement（48 .69 ± 11 .51） was higher than that of discharge instruction （47 .35 ± 11 .34） , the difference was statistically significant（P〈0 .05） .There was significant difference in the scores of different age ,educational lev‐el ,living style and the patients with central venous catheter （PICC/CVC） ,the difference was statistically significant （P〈0 .05） . Conclusion Patients with lung cancer were discharged from the hospital with a higher level of guidance ,and the content of dis‐charge guidance from patients with lung cancer was far from meeting the requirements .It should be based on the age ,education and living style of patients with lung cancer ,especially for strengthening the guidance of discharged patients with PICC/CVC ,improving the quality of discharge guidance and promoting the rehabilitation of lung cancer patients .