心脏瓣膜置换术后患者与照护者出院准备度及出院指导质量比较分析

Differences in discharge readiness and quality of discharge teaching between patients and caregivers after cardiac valve replacement surgery

目的 对比心脏瓣膜置换术后患者及其照护者的出院准备度和出院指导质量差异。方法 采用一般资料调查表、出院准备度量表、出院指导质量量表对广州市1所三级甲等医院心胸外科的138例瓣膜置换术后患者及其照护者进行调查。结果 瓣膜置换术后患者的出院准备度总分为(160.33±38.92)分,家属为(168.25±35.17)分,差异无统计学意义(P>0.05);两者出院指导质量评分分别为(148.29±32.24)分、(162.68±24.36)分,差异有统计学意义(P<0.01)。结论 瓣膜置换术后患者和照护者的出院准备度和出院指导质量处于中等水平,在临床工作中要重视并提高患者及其照护者的出院准备度,减少患者并发症和再入院率。

Objective To compare the differences in discharge readiness and quality of discharge teaching between patients and caregivers after cardiac valve replacement(CVR) surgery. Methods Totally, 138 patients after CVR surgery and their caregivers were surveyed with a general data questionnaire, the Readiness for Hospital Discharge Scale(RHDS) and the Quality of Discharge Teaching Scale(QDTS). Results The patients scored(160.33±38.92) points, while the caregivers scored(168.25±35.17) points in readiness for hospital discharge, without significant difference between the dyads(P>0.05);the patients scored(148.29±32.24) points, and the caregivers scored(162.68±24.36)points in quality of discharge teaching, with significant difference between the dyads(P<0.01). Conclusion Discharge readiness of patients and their caregivers after CVR surgery and the quality of discharge teaching were at medium level. In clinical work, nurses should pay attention to discharge services for patients, take measures to improve discharge readiness of patients, in an effort to reduce complications and readmission rate.