蚌埠医学院学报2024,Vol.49Issue(5) :674-680.DOI:10.13898/j.cnki.issn.1000-2200.2024.05.026

脑卒中病人及其照顾者出院准备度现状调查及影响因素分析

Status and influencing factors analysis of discharge readiness in stroke patients and their caregivers

叶繁 朱宁宁
蚌埠医学院学报2024,Vol.49Issue(5) :674-680.DOI:10.13898/j.cnki.issn.1000-2200.2024.05.026

脑卒中病人及其照顾者出院准备度现状调查及影响因素分析

Status and influencing factors analysis of discharge readiness in stroke patients and their caregivers

叶繁 1朱宁宁1
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作者信息

  • 1. 蚌埠医科大学 护理学院,安徽 蚌埠 233030
  • 折叠

摘要

目的:调查脑卒中病人及其照顾者出院准备的现状,分析影响因素,为提供出院计划服务提供依据.方法:采用便利抽样的方法,选取神经内科130例脑卒中病人及其照顾者,在出院前分别使用出院准备度量表和照顾者准备度量表进行调查.结果:出院准备度总分与照顾者准备度之间呈现正相关关系(P<0.01),应对能力维度与照顾者准备度之间呈现正相关关系(P<0.01);回归分析显示,自行承担住院费用的主要来源、家庭人均收入、照顾者性别、照顾者婚姻状况、有无照顾经验,是病人出院准备度的影响因素(P<0.01);病人性别、家庭人均收入、照顾者文化程度、病人应对能力是照顾者准备度的影响因素(P<0.01).结论:脑卒中病人及照顾者的准备度有待提高,应及时评估病人及照顾者的准备度水平,给予个性化的出院指导方案,以实现有效的出院过渡.

Abstract

Objective:To investigate the status of discharge readiness of stroke patients and their caregivers,analyze the possible influencing factors,and provide the basis for discharge planning services. Methods:A total of 130 stroke patients and their caregivers were investigated with readiness for hospital discharge scale and caregiver readiness scale before discharge. Results:There was a positive correlation between patients' discharge readiness and caregivers' readiness (P<0. 01),and a positive correlation between coping capacity and caregiver readiness (P<0. 01). According to the results of multiple regression analysis,the total scores of patients' readiness were significantly affected by the following factors:the main source of the costs for hospitalization,family monthly income,gender and marital status of caregivers and caregiving experience of caregivers (P<0. 01),while another four factors,the gender of patients,family monthly income,education level and response capacity of caregivers,had strong influence on the total scores of caregivers' readiness (P<0. 01). Conclusions:The readiness of stroke patients and caregivers needs to be improved. It should be assessed in a timely manner of readiness levels of patients and caregivers,and the personalized discharge guidance program should be given to realize the effective discharge transition.

关键词

脑卒中/照顾者/出院准备度/影响因素

Key words

stroke/caregivers/discharge readiness/influencing factors

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出版年

2024
蚌埠医学院学报
蚌埠医学院

蚌埠医学院学报

CSTPCD
影响因子:0.917
ISSN:1000-2200
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