口腔癌术后患者出院准备度现状及影响因素研究

The current status and factors influencing the readiness of patients to be discharged from hospital after oral cancer surgery

目的调查口腔癌术后患者的出院准备度现状,并分析其影响因素。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深圳市某三甲医院口腔颌面外科的124例口腔癌术后患者进行调查。结果口腔癌术后患者出院准备度总分为(86.04±14.95)分,出院准备度总分与出院指导质量总分呈正相关(r=0.745,P<0.001)。多元线性回归分析显示,年龄、住院天数、是否带管出院、出院指导质量是口腔癌术后患者出院准备度的独立影响因素(R^(2)=0.615,△R^(2)=0.592,F=14.251,P<0.001)。结论口腔癌术后患者的出院准备度受患者年龄、住院天数、带管出院、出院指导质量的影响,医护人员应针对主要影响因素采取相应的干预措施,以提高口腔癌术后患者的出院准备度,帮助患者顺利从医院返回家庭,回归社会。

Objective To understand the current situation of discharge readiness of postoperative oral cancer patients and to analyze the influencing factors.Methods Totally 124 oral cancer patients were surveyed using a general condition questionnaire,the readiness for hospital discharge scale(RHDS)and the quality of discharge teaching scale(QDTS).Results The total RHDS score was 86.04±14.95,positively correlated with the QDTS score(r=0.745,P<0.001).The results of multiple linear regression showed that age,days of hospitalization,whether to wear a tube for discharge and the QDTS score were independent influencing factors of their discharge readiness(R^(2)=0.615,△R^(2)=0.592,F=14.251,P<0.001).Conclusion The readiness for discharge of postoperative oral cancer patients is influenced by patients′age,days of hospital stay,whether they wear a gastric tube for discharge and quality of discharge teaching.Targeted measures should be taken to improve their readiness for discharge,and help them return home from hospital and back to society smoothly.