中文版延续护理测评量表在慢性病患者中的应用

Application of Chinese version of Care Transitions Measure in patients with chronic diseases Li

目的：采用中文版延续护理测评量表（CTM）评估慢性病患者院内延续护理质量现况并分析影响因素，为改善院内延续护理质量提供参考。方法应用中文版 CTM 对出院后2~4周的210例慢性病患者进行电话调查。结果210例患者中文版 CTM 得分为（52.37±15.45）分。各因子中，一般自护准备得分最高，为（65.48±15.07）分；书面计划得分最低，中位数得分为16.67分。多元线性回归结果显示，教育程度、医院级别和入院时日常生活能力（ADL）评分为中文版 CTM 得分的正向影响因素。结论本调查人群院内延续护理质量偏低，特别是适宜书面材料的提供。各类慢性病患者中，教育程度低、入住二级甲等医院和入院时 ADL 评分低的患者院内延续护理质量更差。

Objective To apply the Chinese version of Care Transition Measure (C-CTM) in patients with chronic diseases to assess the quality of transitional care and its influencing elements in order to provide reference for improving the quality of transitional care. Methods A total of 210 patients with chronic diseases were telephoned 2 to 4 weeks after discharge using C- CTM. Results The C- CTM score of the 210 study participants was 52.37±15.45. The general self- care preparation scored the highest which was 65.48±15.07, written plan was the lowest with a median score of 16.67. Multiple regression analysis showed that education level, hospital class and Activity of Daily Living (ADL) scores upon admission were significantly positively associated with the C- CTM scores. Conclusions The overall quality of transitional care was poor, especially in written plan. Quality of transitional care was poorer in patients with lower education level, being admitted to lower class hospitals and with lower ADL scores upon admission.