角膜移植日间手术患者的延续护理需求调查及其影响因素

Investigation and analysis of transitional care needs among patients with keratoplasty in day ward and its influencing factors

目的:探究角膜移植日间手术患者的延续护理需求现状及其影响因素。方法:采用便利抽样法抽取行角膜移植日间手术的173例患者,采用课题组自行设计的一般资料调查表、角膜移植日间手术患者延续护理需求调查问卷进行调查。采用独立样本t检验、单因素方差分析、多元线性回归进行统计分析。结果:角膜移植日间术后患者延续护理需求得分为88.13±15.55,其中,对疾病相关知识的需求得分最高,为4.39±0.66,对心理护理的需求得分最低,为2.72±1.18;在延续护理实施方式方面,74.6%患者倾向于电话随访,只有5.8%倾向于上门服务;在影响因素方面,婚姻状况、视力、家庭月收入、文化程度是延续护理需求的影响因素。结论:角膜移植日间术后患者的延续护理需求较高,应根据患者延续护理需求及影响因素进行个性化指导,以提高角膜移植手术的成功率和减少并发症的发生。

Objective:To explore transition care needs among patients with keratoplasty in day ward and analyze the influencing factors.Methods:Using convenience sampling method,173 patients undergoing keratoplasty in day ward were selected,and they were investigated by using a self-designed general information questionnaire and a questionnaire of transitional care needs of patients with keratoplasty in day ward.T-test,one-way analysis of variance(ANOVA),multiple linear regression were used to analyze the data.Results:The total score of transitional care needs among patients with keratoplasty in day ward was 88.13±15.55.The demand for disease related knowledge was the highest(4.39±0.66),the demand for mental nursing was the lowest(2.72±1.18).In terms of the way of implementation,74.6%patients preferred telephone follow-up and only 5.8%preferred doorto-door service.Single-factor analysis showed that marital status,vision,monthly income,educational level were the factors influencing the demand for transitional care(P<0.05).Conclusion:Patients with keratoplasty in day ward have a high demand for transitional care.In order to improve the success rate of keratoplasty and reduce the incidence of complications,personalized guidance should be given according to patients’transitional care needs and influencing factors.