日间手术患者延续性护理服务需求与出院准备度的相关分析

Correlation between demand for transitional care service and readiness for hospital discharge inpatients with day surgery

目的探讨日间手术患者延续性护理服务的需求和出院准备度，并分析其相关性。方法2016年10-12月于四川大学华西医院日间手术病房对288例行日间手术的患者进行问卷调查。调查工具包括一般资料问卷、延续性护理服务需求问卷、出院准备度量表。量表各维度得分及总分用均数±标准差（x±s）描述，患者延续性护理服务需求得分与出院准备度得分行Pearson相关分析。结果日间手自我观察和护理（2．93±0．81）分。患者出院准备度得分为（80．44±13．06）分，处于较高水平。出院准备度术患者延续性护理服务需求总分为（2．88±0．78）分，处于较高水平，其中得分最高的维度是伤口的总分与延续性护理服务需求总分呈负相关（r=-0．424，P〈0．05）。结论 日间手术患者对延续性护理服务具有较高的需求，提升患者出院准备度可降低延续性护理服务的需求，故应在患者住院期间积极采取措施提高患者的自我护理能力，并应针对不同的病种制定不同的延续性护理方案，提供有侧重点的延续性护理服务。

Objective To explore the demand for transitional care service and readiness for hospital discharge in patients with day surgery and analyze their correlation. Methods From October to December 2016, a total of 288 patients undergoing day surgery of Day Surgery Ward in the West China Hospital, Sichuan University, were investigated with questionnaire. Survey instrument included the general information questionnaire, Transitional Care Service Demand Questionnaire and Readiness for Hospital Discharge Scale （RHDS）. The dimension score and total score were described with a （x ± s） deviation. Pearson correlation was used to analyze the correlation between the score of demand for transitional care service and readiness for hospital discharge of patients. Results The total score of demand for transitional care service of patients with day surgery was （2.88 ± 0.78） with a high level and （2.93 ± 0.81） for the highest score in the dimension of wound self observation and care. The score of readiness for hospital discharge was （80.44 ± 13.06） in patients with a high level. The total score of readiness for hospital discharge had a negative correlation with the total score of demand for transitional care service （r=-0.424, P 〈 0.05）. Conclusions Patients with day surgery are with a high demand for transitional care service. Improving the readiness for hospital discharge can reduce demand for transitional care seivice. We should adopt positive measures to improve patients＇ self-care agency during hospitalization, draw up transitional care scheme according to different diseases and provide focused transitional