视网膜脱离术后患者出院准备度情况及影响因素分析

Discharge Readiness of Patients After Retinal Reattachment Surgery and Its Influencing Factors

目的探讨视网膜脱离(RD)术后患者出院准备度情况,并分析影响出院准备度的相关因素。方法选取2018年1月至2019年1月在四川大学华西医院住院的RD术后患者128例为研究对象,使用一般资料调查表、出院准备度量表和出院指导质量量表进行问卷调查。结果94.5%的RD术后患者表示准备好了出院,出院准备度总得分为(159.83±26.11)分,处于中等水平。多元线性回归分析显示,年龄、出院指导质量、眼睑水肿程度、有无并发症、住院天数是RD术后患者出院准备度的独立影响因素。结论RD术后患者出院准备度存在不足,有必要进一步加强出院前管理,针对可能存在的危险因素采取相对应的措施,从而有效提高RD复位手术后患者的出院准备度。

Objective To investigate the discharge readiness of retinal detachment(RD)patients after reattachment surgery,and analyze the related factors.Methods A total of 128 RD inpatients after reattachment surgery in West China Hospital of Sichuan University from January 2018 to January 2019 were selected.General information questionnaire,readiness for hospital discharge scale and quality of discharge teaching scale were used for questionnaire survey.Results 94.5%of the RD patients after reattachment surgery indicated that they were ready to be discharged.The total score of discharge readiness was(159.83±26.11),which was at a medium level.Multiple linear regression analysis showed that age,quality of discharge guidance,degree of eyelid edema,complications and length of hospital stay were independent factors influencing the discharge readiness of RD patients after reattachment surgery.Conclusion RD patients after reattachment surgery are generally not fully prepared before discharge.Pre-discharge management should be further strengthened,and corresponding measures should be taken according to the possible risk factors,so as to effectively improve the discharge readiness of RD patients after reattachment surgery.