腹膜透析置管患者出院准备度现状及影响因素分析

The status and influencing factors of readiness for hospital discharge in patients undergoing peritoneal dialysis catheter placement

目的调查腹膜透析置管患者出院准备度现状并分析其影响因素,以指导出院准备服务。方法采用一般情况调查表、出院准备度量表对62例腹膜透析置管患者出院前进行问卷调查。结果腹膜透析置管患者出院准备度总分(155.05±21.36)分,条目均分为(7.05±1.26)分,各维度得分从高到低依次为出院后应对能力、可获得的社会支持、自身状况、疾病知识;多元线性回归分析显示,性别、教育程度、居住方式、疾病知识知晓程度是患者出院准备度的重要影响因素(均P<0.05)。结论患者出院准备度处于中等水平。医护人员应高度关注腹膜透析置管患者出院准备度水平及其影响因素,根据具体情况给予针对性的干预措施,确保患者出院后的安全。

Objective To investigate the status and influencing factors of readiness for hospital discharge in patients undergoing peri- toneal dialysis catheter placement, and to provide references for hospital discharge service. Methods A total of 62 patients under going peritoneal dialysis catheter placement were investigated using a demographic questionnaire and Readiness for Hospital Dis- charge Scale （PTGS）. Results The patients scored （155. 05--21. 36） points in readiness for hospital discharge, and the average score of all the items was（7.05 q-1.26） points, with the dimensions in descending orders being coping style after discharge, availa-ble social support, patients＇own situation, and patients＇knowledge of the disease. Multiple linear regression analysis showed that gender, education levels,living styles, knowledge levels of the disease were influencing factors of patients＇ readiness for hospital discharge. Conclusion The readiness for hospital discharge in patients undergoing peritoneal dialysis catheter placement was at me- dium level. Health care workers should take patients＇ level of readiness for hospital discharge into account,and provide specific interventions, in order to promote patients＇ safety after hospital discharge.