妇科手术患者出院准备度现状及影响因素分析

Status of discharge readiness of patients undergoing gynecological surgery and analysis of related influencing factors

目的探究妇科手术患者出院准备度现状及其影响因素,为干预措施的制定提供理论参考。方法选择2020年11月至2022年10月于某院接受妇科手术治疗的准备出院患者作为观察对象,采用中文版出院准备度评定量表、出院指导质量量表对患者进行调查,采用多元线性回归分析法对妇科手术患者出院准备度的影响因素进行分析。结果203例妇科手术患者的出院准备度总评分(159.39±23.79)分;多因素分析结果显示,出院指导质量得分、合并症种类、医院离家距离、医疗费用支付方式是妇科手术患者出院准备度的主要影响因素(P<0.05)。结论妇科手术患者的出院准备度处于中等水平,出院指导质量、合并症种类、医院离家距离、医疗费用支付方式会影响患者的出院准备度,临床医护人员应针对性提出干预措施,提高患者的出院准备度水平。

Objective To explore the status quo and related influencing factors of discharge readiness of gynecological surgery patients,and to provide theoretical reference for the formulation of intervention measures.Methods The patients who received gynecological surgery in a hospital from November 2020 to October 2022 and were ready for discharge were selected as the observation objects.The Chinese version of the discharge readiness rating scale and the quality of discharge guiding scale were used to investigate the patients.The influencing factors of discharge readiness of gynecological surgery patients were analyzed by multiple linear regression analysis.Results The total score of discharge readiness of 203 patients undergoing gynecological surgery was(159.39±23.79)points.Multivariate analysis showed that the quality of discharge guidance,the type of complications,the distance between hospital and home,and the payment method of medical expenses were the main influencing factors of discharge readiness of patients undergoing gynecological surgery(P<0.05).Conclusion The discharge readiness of gynecological surgery patients is at a medium level.Factors such as discharge guidance quality score,types of complications,distance between hospital and home,and payment method of medical expenses can affect patients′discharge readiness.Clinical medical staff should implement targeted intervention measures to improve the level of discharge readiness.