输尿管皮肤造口患者延续护理需求现状及影响因素

Continuous nursing needs and its influencing factors among patients after uretercutaneousostomy

目的调查输尿管皮肤造口出院患者延续护理需求现状及影响因素,为开展针对性延续护理提供参考。方法采取便利抽样法抽取门诊复诊的125例输尿管皮肤造口患者,采用一般资料调查表、尿路造口出院患者延续护理需求评估量表进行调查。结果输尿管皮肤造口出院患者的延续护理需求总分为(82.47±21.83)分。多元线性逐步回归分析结果显示,病程、照护需求满足情况、家与医院距离、工作状态是输尿管皮肤造口出院患者延续护理需求的主要影响因素(P<0.05,P<0.01)。结论输尿管皮肤造口出院患者延续护理需求处于中等偏下水平,且受到多种因素的影响。护理人员应根据不同时期患者的需求情况,提供针对性干预措施和延续护理服务,以促进患者身心健康,使其尽早回归家庭和社会。

Objective To investigate continuous nursing needs and its influencing factors among outpatients after uretercutaneousostomy,so as to provide reference for conducting targeted transitional care.Methods A total of 125 patients after uretercutaneousostomy during outpatient follow-up were selected utilizing convenience sampling,then they were investigated using a general information questionnaire and the continuous nursing needs assessment scale for urostomy discharged patients.Results The total score of continuous nursing needs among discharged patients after uretercutaneousostomy was 82.47±21.83.Multiple linear stepwise regression analysis showed that,duration of illness,satisfaction of care needs,distance between home and hospital,and working status were the main factors influencing the patients'continuous nursing needs(P<0.05,P<0.01).Conclusion The continuous nursing needs among discharged patients after uretercutaneousostomy is in a moderate and low level,and it is influenced by some factors.Clinical nurses should provide targeted interventions and transitional care tailored to the needs of patients at different stage,so as to improve patients'physical and mental health,then return to their families and society as soon as possible.