阻塞性睡眠呼吸暂停低通气综合征日间手术患儿出院准备度现状及其影响因素研究

Study on the readiness for hospital discharge and its influencing factors among the day surgery patients of obstructive sleep apnea-hypopnea syndrome

目的了解阻塞性睡眠呼吸暂停低通气综合征日间手术患儿的出院准备度并分析其影响因素。方法采用一般资料调查表、改编的出院准备度量表对我中心129例阻塞性睡眠呼吸暂停低通气综合征日间手术患儿进行问卷调查。结果研究对象出院准备度总分为(166.38±30.93)分。出院准备度各维度得分均分从高到低依次为适应能力(8.35±1.80)分、预期性支持(8.17±1.70)分、知识状态(7.35±2.10)分、个人状态(7.10±1.43)分。多元线性回归结果显示,家长认为照顾患儿的难度对阻塞性睡眠呼吸暂停低通气综合征日间手术患儿出院准备度有显著影响(F=11.727,P<0.01)。结论阻塞性睡眠呼吸暂停低通气综合征日间手术患儿的出院准备度处于中上水平,但患儿个人状态不佳。医护人员应重视对患儿家长进行疾病相关知识的健康指导,做好出院前的解释工作,帮助家长增强出院后照顾患儿的信心,提高出院准备度水平,保障患儿出院后安全。

Objective To understand the readiness for hospital discharge of the day surgery patients of obstructive sleep apnea-hypopnea syndrome and analyze its influencing factors.Methods A total of 129 children with obstructive sleep apnea-hypopnea syndrome during the day surgery were investigated with a general data questionnaire and an adapted discharge preparation metric.Results The total score of the readiness for hospital discharge was 166.38±30.93.The scores of discharge in all dimensions from high to low were adaptive ability 8.35±1.80,expected support 8.17±1.70,knowledge status 7.35±2.10,and personal status 7.10±1.43.Multiple linear regression results showed that the difficulty of caring for children from parents had a significant effect on the readiness of children with obstructive sleep apnea hypopnea syndrome during day surgery(P<0.01).Conclusions The discharge readiness of children with obstructive sleep apnea-hypopnea syndrome during day surgery was at the upper-middle level,but their personal status was not good.Medical and nursing staff should pay attention to health guidance for parents of children with disease-related knowledge,do a good job of interpretation before discharge,help parents increase their confidence in caring for children after discharge,improve the level of preparation for discharge,and ensure the safety of children after discharge.