关节镜下前交叉韧带重建术患者出院准备度与出院指导质量相关性

Correlation between discharge preparation and quality of discharge guidance in patients undergoing arthroscopic anterior cruciate ligament reconstruction

目的:探讨关节镜下前交叉韧带(ACL)重建术患者出院准备度和出院指导质量的相关性。方法:收集60例接受关节镜下ACL重建术的ACL损伤患者,采用一般资料调查表、出院准备度量表(RHDS)和出院指导质量量表(QDTS)进行评估,Pearson法分析ACL重建术患者RHDS与QDTS评分的相关性。结果:ACL重建术患者的RHDS平均总得分为(158.47±7.84)分,条目平均得分(7.20±1.08)分,4个维度平均得分由高到低依次为:“可获得的社会支持”、“出院后应对能力”、“自身状况”、“疾病知识”。QDTS平均总得分为(145.65±8.37)分,“内容差”得分为(8.22±1.37)分。Pearson法分析显示,ACL重建术患者RHDS与QDTS各维度及总得分呈正相关(P<0.05)。结论:ACL重建术患者出院准备度和出院指导质量处于中等偏上水平,且二者呈正相关。医护人员应不断完善出院内容指导和指导技巧,进而提高ACL重建术患者的出院准备度。

Objective:To investigate the correlation between the preparation for discharge and the quality of discharge guidance in patients undergoing arthroscopic anterior cruciate ligament(ACL)reconstruction.Methods:60 patients with ACL injury who were treated with arthroscopic ACL reconstruction were investigated by using a general information questionnaire,readiness for hospital discharge scale(RHDS)and quality of discharge teaching scale(QDTS).Pearson method was used to analyze the correlation between RHDS and QDTS scores in patients with ACL reconstruction.Results:The average total score of RHDS in patients with ACL reconstruction was(158.47±7.84)and the average score of item was(7.20±1.08).The average scores of the four dimensions from high to low were as follows:“social support available”,“coping ability after discharge”,“self condition”,“disease knowledge”.The average total score of QDTS was(145.65±8.37),and the score of“poor content”was(8.22±1.37).Pearson analysis showed that RHDS was positively correlated with all dimensions and total scores of QDTS(P<0.05).Conclusion:The degree of preparation for discharge and the quality of discharge guidance of patients with ACL reconstruction are in the upper middle level,and they are positively correlated.Medical staff should constantly improve the discharge content guidance and guidance skills,so as to improve the discharge readiness of patients with ACL reconstruction.